Risk factors for secondary caries in direct composite restorations in primary teeth

International Journal of Paediatric Dentistry
Isabel MetzJan Kühnisch

Abstract

Secondary caries or caries adjacent to restorations is the most frequent reason for replacement of dental restorations. Though, limited data is available on variables influencing the development of secondary caries in primary teeth. To investigate risk factors for the development of secondary caries adjacent to direct composite restorations in primary teeth. For this retrospective study, data of 2417 composite restorations, which were placed due to primary carious lesions, were considered. A total of 212 restorations failed due to secondary caries within a maximum observation period of 8 years. A control group was randomly selected. Mann-Whitney U-test, binomial logistic regression with backward elimination and Cox regression with frailty model were performed (P < 0.05). The overall caries experience amounted to 6.3 dmft and 13.3 dmfs. 72.5% of restorations failed within the first 2 years. Older children and children from families with a higher socio-economic status showed a lower risk for secondary caries. Further, the dentist and the adhesive had a significant influence on the longevity. Posterior restorations had a higher risk to fail in comparison with anterior restorations. Within the limitation of this study, it is conclu...Continue Reading

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Citations

Nov 20, 2015·The Journal of the American Dental Association·Daniela Prócida RaggioMariana Minatel Braga
Mar 13, 2019·International Journal of Paediatric Dentistry·Natália Marchioretto de ÁvilaLuciano Casagrande
Aug 2, 2019·Journal of Conservative Dentistry : JCD·Marie-Chantal Avoaka-BoniAlexandra F E Koffi

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