Reasons for direct restoration failure from childhood to adolescence: A birth cohort study

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Citações na Scopus
14
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCI LTD
Autores
CUMERLATO, Catarina Borges da Fonseca
DEMARCO, Flavio Fernando
BARROS, Aluisio J. D.
PERES, Marco Aurelio
PERES, Karen Glazer
CASCAES, Andreia Morales
CAMARGO, Maria Beatriz Junqueira de
SANTOS, Ina da Silva dos
CORREA, Marcos Britto
Citação
JOURNAL OF DENTISTRY, v.89, article ID UNSP 103183, 6p, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: The aim of this study was to assess the prevalence of direct restorations in posterior teeth in children aged 12, from a birth cohort, and to test the association between the quality of the restorations and individual variables experienced in the life cycle. Methods: All live-born children in Pelotas, in 2004, were prospectively investigated and a representative sample was assessed for oral conditions at ages 5 and 12. The outcome was the quality of the restoration (satisfactory/unsatisfactory). Independent variables included socioeconomic, behavioral and oral health characteristics at the individual level and the size of cavity and material at the tooth level. Associations were tested using multilevel logistic regression models. Results: A total of 1,000 participants and 249 restorations in the permanent dentition were examined. Most of the restorations were composites (73.5%), while only 6.8% were amalgam. After adjusted analyses, children whose parents received information on how to prevent their child from developing caries before reaching 5 years of age had 91.0% less chance of having an unsatisfactory restoration compared to children whose parents never received information (OR = 0.09; 95% CI 0.01-0.59). Also, the chances of presenting unsatisfactory restorations were 5.3 higher in children at high-risk for untreated dental caries in the permanent dentition, in comparison with children at low risk (OR = 5.32; 95% CI 1.07-26.6). Conclusions: Low-risk for untreated dental caries and having received information on preventing dental caries, reduced the chance of presenting failed restorations, showing that factors related to individuals play an important role in the quality of restorations. Clinical significance: Our findings highlight the role that individual-related factors play in restoration longevity in children, reinforcing the need for a patient-centered approach in restorative dentistry.
Palavras-chave
Dental restorations, Dental restoration failure, Cohort studies, Child, Posterior teeth, Longevity
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