Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.
Clin Oral Investig
; 25(7): 4563-4569, 2021 Jul.
Article
em En
| MEDLINE
| ID: mdl-33449193
ABSTRACT
OBJECTIVES:
This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities. MATERIALS ANDMETHODS:
Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (α = 5%).RESULTS:
A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR 50.932, p = 0.001) and combined intellectual/physical disability (HR 3.145, p = 0.016) compared with intellectual disability only, presence of a removable partial denture (HR 3.013, p < 0.001), and restorations in incisors (HR 2.281, p = 0.013) or molars (HR 1.693, p = 0.017) compared with premolars to increase the risk for failure.CONCLUSION:
Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years. CLINICAL RELEVANCE Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Resinas Compostas
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Restauração Dentária Permanente
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article