Anterior restoration longevity among nursing facility residents: a 30-year retrospective study

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Tariq S GhazalDaniel J Caplan

Abstract

To assess factors influencing anterior dental restoration longevity among the institutionalized elderly. Among a sample of Eastern Iowa nursing facility dental patients, one anterior restoration placed from 1985 to 2014 was selected at random from each subject. Kaplan-Meier survival curves were generated, with restoration failures defined as subsequent restorative codes involving the same surface; endodontic procedures; or extractions. Bivariate and multivariable Cox proportional hazards modeling were performed. In multivariable analyses, the 1985 to 1999 cohort (n = 496) had longer restoration survival in in females < 75 years old versus males < 75 years old (P = 0.016), males ≥75 years old (P = 0.026) and females ≥75 years old (P = 0.030); one- versus three-surface restorations (P < 0.001); and restorations placed by faculty/residents versus pre-doctoral students (P = 0.009). The 2000 to 2014 cohort (n = 521) had longer restoration survival in females < 75 years old versus males ≥75 years old (P = 0.012) and females ≥75 years old (P = 0.019); residents who paid out-of-pocket versus those on Medicaid (P = 0.019); and composite resin versus glass ionomer cement restorations (P < 0.001). Knowing how long restorations last, and w...Continue Reading

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