Factors influencing the longevity of posterior composite restorations: A dental university clinic study
Objectives: This retrospective study aimed to assess the performance of posterior composite resin restorations (PCRRs) and evaluate the influence of patient-specific factors on restoration outcomes. Methods: A total of 189 PCRRs were examined in 54 patients, with evaluations based on Modified USPHS...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024037666 |
| _version_ | 1827294000791420928 |
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| author | Sultan Gizem Ulku Nimet Unlu |
| author_facet | Sultan Gizem Ulku Nimet Unlu |
| author_sort | Sultan Gizem Ulku |
| collection | DOAJ |
| description | Objectives: This retrospective study aimed to assess the performance of posterior composite resin restorations (PCRRs) and evaluate the influence of patient-specific factors on restoration outcomes. Methods: A total of 189 PCRRs were examined in 54 patients, with evaluations based on Modified USPHS criteria. Patient-specific factors were analyzed. Statistical analyses, including chi-square tests, independent samples t-tests, and ANOVA tests, were conducted. Results: Patients aged over 50 exhibited higher DMFT averages and a higher rate of unsuccessful restorations. Despite higher DMFT scores in females, gender doesn't significantly impact restoration outcomes. Secondary caries correlated with.plaque scores, significantly affecting restoration survival. Marginal adaptation, retention deficiencies, and secondary caries were primary causes of failure. Multi-surface restorations faced higher failure risk due to elevated plaque scores. Class-V restorations showed a higher failure rate, challenging the number of surfaces and longevity correlation. Conclusions: This study identified key factors influencing posterior composite resin restorations-(PCRRs) in patients over 50, including higher DMFT averages and more unsuccessful restorations. No significant difference was found between brushing; frequency and DMFT rates, possibly due to the absence of non-brushers. Secondary caries; correlated with elevated plaque scores, impacting restoration survival. Primary causes of; failure included marginal adaptation issues, retention deficiencies, and secondary caries, with multi-surface restorations facing a higher risk. However, tooth vitality, beverage and acidic food consumption, and oral hygiene habits did not significantly affect PCRR outcomes. Clinical significance: Patient-specific factors significantly impact PCRRs' long-term performance. Dentists must tailor strategies, emphasizing regular monitoring and preventive measures for extended survival. |
| first_indexed | 2024-04-24T13:49:35Z |
| format | Article |
| id | doaj.art-a9542a83c26944f1afd0e3eca8938104 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T13:49:35Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-a9542a83c26944f1afd0e3eca89381042024-04-04T05:05:45ZengElsevierHeliyon2405-84402024-03-01106e27735Factors influencing the longevity of posterior composite restorations: A dental university clinic studySultan Gizem Ulku0Nimet Unlu1Konya Meram Oral and Dental Health Hospital, Konya, Turkey; Corresponding author.Selcuk University, Faculty of Dentistry, Restorative Dentistry, Konya, TurkeyObjectives: This retrospective study aimed to assess the performance of posterior composite resin restorations (PCRRs) and evaluate the influence of patient-specific factors on restoration outcomes. Methods: A total of 189 PCRRs were examined in 54 patients, with evaluations based on Modified USPHS criteria. Patient-specific factors were analyzed. Statistical analyses, including chi-square tests, independent samples t-tests, and ANOVA tests, were conducted. Results: Patients aged over 50 exhibited higher DMFT averages and a higher rate of unsuccessful restorations. Despite higher DMFT scores in females, gender doesn't significantly impact restoration outcomes. Secondary caries correlated with.plaque scores, significantly affecting restoration survival. Marginal adaptation, retention deficiencies, and secondary caries were primary causes of failure. Multi-surface restorations faced higher failure risk due to elevated plaque scores. Class-V restorations showed a higher failure rate, challenging the number of surfaces and longevity correlation. Conclusions: This study identified key factors influencing posterior composite resin restorations-(PCRRs) in patients over 50, including higher DMFT averages and more unsuccessful restorations. No significant difference was found between brushing; frequency and DMFT rates, possibly due to the absence of non-brushers. Secondary caries; correlated with elevated plaque scores, impacting restoration survival. Primary causes of; failure included marginal adaptation issues, retention deficiencies, and secondary caries, with multi-surface restorations facing a higher risk. However, tooth vitality, beverage and acidic food consumption, and oral hygiene habits did not significantly affect PCRR outcomes. Clinical significance: Patient-specific factors significantly impact PCRRs' long-term performance. Dentists must tailor strategies, emphasizing regular monitoring and preventive measures for extended survival.http://www.sciencedirect.com/science/article/pii/S2405844024037666Composite resinLongevityModified USPHS criteriaPatient-related factorsPosterior restorations |
| spellingShingle | Sultan Gizem Ulku Nimet Unlu Factors influencing the longevity of posterior composite restorations: A dental university clinic study Heliyon Composite resin Longevity Modified USPHS criteria Patient-related factors Posterior restorations |
| title | Factors influencing the longevity of posterior composite restorations: A dental university clinic study |
| title_full | Factors influencing the longevity of posterior composite restorations: A dental university clinic study |
| title_fullStr | Factors influencing the longevity of posterior composite restorations: A dental university clinic study |
| title_full_unstemmed | Factors influencing the longevity of posterior composite restorations: A dental university clinic study |
| title_short | Factors influencing the longevity of posterior composite restorations: A dental university clinic study |
| title_sort | factors influencing the longevity of posterior composite restorations a dental university clinic study |
| topic | Composite resin Longevity Modified USPHS criteria Patient-related factors Posterior restorations |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024037666 |
| work_keys_str_mv | AT sultangizemulku factorsinfluencingthelongevityofposteriorcompositerestorationsadentaluniversityclinicstudy AT nimetunlu factorsinfluencingthelongevityofposteriorcompositerestorationsadentaluniversityclinicstudy |