Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings

Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings

Abstract This retrospective study aimed to compare the annual failure rate (AFR), reasons for failure and factors influencing survival of posterior and anterior composite restorations placed by undergraduate students. Composite restorations placed by undergraduate students were evaluated. The restor...

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Veröffentlicht in:Brazilian dental journal 2018-12, Vol.29 (6), p.547-554
Hauptverfasser: Montagner, Anelise Fernandes, Sande, Francoise Helene van de, Müller, Clecila, Cenci, Maximiliano Sérgio, Susin, Alexandre Henrique
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container_end_page 554
container_issue 6
container_start_page 547
container_title Brazilian dental journal
container_volume 29
creator Montagner, Anelise Fernandes
Sande, Francoise Helene van de
Müller, Clecila
Cenci, Maximiliano Sérgio
Susin, Alexandre Henrique
description Abstract This retrospective study aimed to compare the annual failure rate (AFR), reasons for failure and factors influencing survival of posterior and anterior composite restorations placed by undergraduate students. Composite restorations placed by undergraduate students were evaluated. The restorations should be in occlusion, with at least one adjacent tooth; and patients should have been present for check-up, with at least 1 annual recall. The investigation was performed in two separate analysis: 1) dental electronic records of 100 patients (n=333 restorations) were selected to assess factors influencing survival; 2) clinical evaluation of 30 patients by examining restorations (n=123) to assess clinical characteristics and failure type distribution. Data were subjected to Kaplan-Meier method, Log-rank test, Cox regression and Fisher’s Exact test (p
doi_str_mv 10.1590/0103-6440201802192
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Composite restorations placed by undergraduate students were evaluated. The restorations should be in occlusion, with at least one adjacent tooth; and patients should have been present for check-up, with at least 1 annual recall. The investigation was performed in two separate analysis: 1) dental electronic records of 100 patients (n=333 restorations) were selected to assess factors influencing survival; 2) clinical evaluation of 30 patients by examining restorations (n=123) to assess clinical characteristics and failure type distribution. Data were subjected to Kaplan-Meier method, Log-rank test, Cox regression and Fisher’s Exact test (p<0.05). After 8-year period, the AFR was 2.62%. There was difference between anterior and posterior restorations (p=0.005), with anterior showing a higher AFR. The patient caries-risk (p<0.001) and the number of surfaces restored (p=0.010) affected restoration survival. The superficial brightness (p=0.029), fracture (p=0.025) and retention (p=0.011) were clinical criteria with differences between anterior and posterior restorations. Income (p<0.001), caries activity (p<0.001), caries risk (p<0.001) and oclusal risk (p<0.001) also influenced on the restorations survival. After 8-year, the AFR of restorations placed by undergraduate students was acceptable and affected by patient risk factors and the position of the tooth in the arch: anterior restorations failed more than posterior. Resumo Este estudo retrospectivo comparou a taxa de falha anual (TFA), razões para falha e fatores influenciadores da sobrevida de restaurações posteriores e anteriores de resina composta realizadas por estudantes de graduação. As restaurações deveriam estar em oclusão, com pelo menos um dente adjacente, e os pacientes deveriam ter comparecido a pelo menos 1 consulta anual de retorno. A investigação foi realizada em 2 analises separadas: 1) dados odontológicos de prontuário eletrônico de pacientes (n=333 restaurações) foram selecionados para avaliar os fatores influenciadores na sobrevida; 2) avaliação de 30 pacientes por exame clinico das restaurações (n=123) para verificar as características clinicas e a distribuição do tipo de falha. Os dados foram submetidos a Kaplan-Meier método, Log-rank teste, regressão de Cox e Teste Exato de Fisher (p<0,05). Após o período de 8 anos, a TFA foi 2,62%. Houve diferença entre restaurações anteriores e posteriores (p=0,005), sendo que anteriores mostraram maior TFA. Os fatores de risco à carie (p<0,001) e o número de superfícies restauradas (p=0,010) influenciaram a sobrevida de restaurações. Brilho superficial (p=0,029), fratura (p=0,025) e retenção (p=0,011) foram critérios clínicos com diferenças entre restaurações anteriores e posteriores. Renda (p<0,001), atividade de cárie (p<0,001), risco à cárie (p<0,001) e risco oclusal (p<0,001) também influenciaram a sobrevida. Após 8 anos, a TFA das restaurações realizadas por estudantes de graduação foram clinicamente aceitáveis e afetadas pelos fatores de risco associados ao pacientes e a posição do dente na arcada; restaurações anteriores falham mais do que posteriores.]]></description><identifier>ISSN: 0103-6440</identifier><identifier>EISSN: 1806-4760</identifier><identifier>DOI: 10.1590/0103-6440201802192</identifier><language>eng</language><ispartof>Brazilian dental journal, 2018-12, Vol.29 (6), p.547-554</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2782-c52844fce35769274c75bf3e14b00f7d4b3ec516f8815e7c6cd69a5fc77820673</citedby><cites>FETCH-LOGICAL-c2782-c52844fce35769274c75bf3e14b00f7d4b3ec516f8815e7c6cd69a5fc77820673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Montagner, Anelise Fernandes</creatorcontrib><creatorcontrib>Sande, Francoise Helene van de</creatorcontrib><creatorcontrib>Müller, Clecila</creatorcontrib><creatorcontrib>Cenci, Maximiliano Sérgio</creatorcontrib><creatorcontrib>Susin, Alexandre Henrique</creatorcontrib><title>Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings</title><title>Brazilian dental journal</title><description><![CDATA[Abstract This retrospective study aimed to compare the annual failure rate (AFR), reasons for failure and factors influencing survival of posterior and anterior composite restorations placed by undergraduate students. Composite restorations placed by undergraduate students were evaluated. The restorations should be in occlusion, with at least one adjacent tooth; and patients should have been present for check-up, with at least 1 annual recall. The investigation was performed in two separate analysis: 1) dental electronic records of 100 patients (n=333 restorations) were selected to assess factors influencing survival; 2) clinical evaluation of 30 patients by examining restorations (n=123) to assess clinical characteristics and failure type distribution. Data were subjected to Kaplan-Meier method, Log-rank test, Cox regression and Fisher’s Exact test (p<0.05). After 8-year period, the AFR was 2.62%. There was difference between anterior and posterior restorations (p=0.005), with anterior showing a higher AFR. The patient caries-risk (p<0.001) and the number of surfaces restored (p=0.010) affected restoration survival. The superficial brightness (p=0.029), fracture (p=0.025) and retention (p=0.011) were clinical criteria with differences between anterior and posterior restorations. Income (p<0.001), caries activity (p<0.001), caries risk (p<0.001) and oclusal risk (p<0.001) also influenced on the restorations survival. After 8-year, the AFR of restorations placed by undergraduate students was acceptable and affected by patient risk factors and the position of the tooth in the arch: anterior restorations failed more than posterior. Resumo Este estudo retrospectivo comparou a taxa de falha anual (TFA), razões para falha e fatores influenciadores da sobrevida de restaurações posteriores e anteriores de resina composta realizadas por estudantes de graduação. As restaurações deveriam estar em oclusão, com pelo menos um dente adjacente, e os pacientes deveriam ter comparecido a pelo menos 1 consulta anual de retorno. A investigação foi realizada em 2 analises separadas: 1) dados odontológicos de prontuário eletrônico de pacientes (n=333 restaurações) foram selecionados para avaliar os fatores influenciadores na sobrevida; 2) avaliação de 30 pacientes por exame clinico das restaurações (n=123) para verificar as características clinicas e a distribuição do tipo de falha. Os dados foram submetidos a Kaplan-Meier método, Log-rank teste, regressão de Cox e Teste Exato de Fisher (p<0,05). Após o período de 8 anos, a TFA foi 2,62%. Houve diferença entre restaurações anteriores e posteriores (p=0,005), sendo que anteriores mostraram maior TFA. Os fatores de risco à carie (p<0,001) e o número de superfícies restauradas (p=0,010) influenciaram a sobrevida de restaurações. Brilho superficial (p=0,029), fratura (p=0,025) e retenção (p=0,011) foram critérios clínicos com diferenças entre restaurações anteriores e posteriores. Renda (p<0,001), atividade de cárie (p<0,001), risco à cárie (p<0,001) e risco oclusal (p<0,001) também influenciaram a sobrevida. Após 8 anos, a TFA das restaurações realizadas por estudantes de graduação foram clinicamente aceitáveis e afetadas pelos fatores de risco associados ao pacientes e a posição do dente na arcada; restaurações anteriores falham mais do que posteriores.]]></description><issn>0103-6440</issn><issn>1806-4760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpVkE1LAzEYhIMoWKt_wFN-gGvffO96K4tVoaD4cfC0pNlEI9tNydsW_PfuUhE8zQzMzOEh5JLBNVMVzICBKLSUwIGVwFnFj8hkcLqQRsMxmfwVTskZ4hcMRSmqCelednkf97a7os_eYuqRhpTpwsZulz21fUvrLvbR2Y7WnzZbt_U54jY6pCnQeT_GlGdPCQ-O1mm9SRi3Hm9oWbx7O7zFvo39B56Tk2A79Be_OiVvi9vX-r5YPt491PNl4bgpeeEUL6UMzgtldMWNdEatgvBMrgCCaeVKeKeYDmXJlDdOu1ZXVgVnhjVoI6aEH35dTojZh2aT49rm74ZBM_JqRhzNP17iB8aeXew</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Montagner, Anelise Fernandes</creator><creator>Sande, Francoise Helene van de</creator><creator>Müller, Clecila</creator><creator>Cenci, Maximiliano Sérgio</creator><creator>Susin, Alexandre Henrique</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20181201</creationdate><title>Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings</title><author>Montagner, Anelise Fernandes ; Sande, Francoise Helene van de ; Müller, Clecila ; Cenci, Maximiliano Sérgio ; Susin, Alexandre Henrique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2782-c52844fce35769274c75bf3e14b00f7d4b3ec516f8815e7c6cd69a5fc77820673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montagner, Anelise Fernandes</creatorcontrib><creatorcontrib>Sande, Francoise Helene van de</creatorcontrib><creatorcontrib>Müller, Clecila</creatorcontrib><creatorcontrib>Cenci, Maximiliano Sérgio</creatorcontrib><creatorcontrib>Susin, Alexandre Henrique</creatorcontrib><collection>CrossRef</collection><jtitle>Brazilian dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montagner, Anelise Fernandes</au><au>Sande, Francoise Helene van de</au><au>Müller, Clecila</au><au>Cenci, Maximiliano Sérgio</au><au>Susin, Alexandre Henrique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings</atitle><jtitle>Brazilian dental journal</jtitle><date>2018-12-01</date><risdate>2018</risdate><volume>29</volume><issue>6</issue><spage>547</spage><epage>554</epage><pages>547-554</pages><issn>0103-6440</issn><eissn>1806-4760</eissn><abstract><![CDATA[Abstract This retrospective study aimed to compare the annual failure rate (AFR), reasons for failure and factors influencing survival of posterior and anterior composite restorations placed by undergraduate students. Composite restorations placed by undergraduate students were evaluated. The restorations should be in occlusion, with at least one adjacent tooth; and patients should have been present for check-up, with at least 1 annual recall. The investigation was performed in two separate analysis: 1) dental electronic records of 100 patients (n=333 restorations) were selected to assess factors influencing survival; 2) clinical evaluation of 30 patients by examining restorations (n=123) to assess clinical characteristics and failure type distribution. Data were subjected to Kaplan-Meier method, Log-rank test, Cox regression and Fisher’s Exact test (p<0.05). After 8-year period, the AFR was 2.62%. There was difference between anterior and posterior restorations (p=0.005), with anterior showing a higher AFR. The patient caries-risk (p<0.001) and the number of surfaces restored (p=0.010) affected restoration survival. The superficial brightness (p=0.029), fracture (p=0.025) and retention (p=0.011) were clinical criteria with differences between anterior and posterior restorations. Income (p<0.001), caries activity (p<0.001), caries risk (p<0.001) and oclusal risk (p<0.001) also influenced on the restorations survival. After 8-year, the AFR of restorations placed by undergraduate students was acceptable and affected by patient risk factors and the position of the tooth in the arch: anterior restorations failed more than posterior. Resumo Este estudo retrospectivo comparou a taxa de falha anual (TFA), razões para falha e fatores influenciadores da sobrevida de restaurações posteriores e anteriores de resina composta realizadas por estudantes de graduação. As restaurações deveriam estar em oclusão, com pelo menos um dente adjacente, e os pacientes deveriam ter comparecido a pelo menos 1 consulta anual de retorno. A investigação foi realizada em 2 analises separadas: 1) dados odontológicos de prontuário eletrônico de pacientes (n=333 restaurações) foram selecionados para avaliar os fatores influenciadores na sobrevida; 2) avaliação de 30 pacientes por exame clinico das restaurações (n=123) para verificar as características clinicas e a distribuição do tipo de falha. Os dados foram submetidos a Kaplan-Meier método, Log-rank teste, regressão de Cox e Teste Exato de Fisher (p<0,05). Após o período de 8 anos, a TFA foi 2,62%. Houve diferença entre restaurações anteriores e posteriores (p=0,005), sendo que anteriores mostraram maior TFA. Os fatores de risco à carie (p<0,001) e o número de superfícies restauradas (p=0,010) influenciaram a sobrevida de restaurações. Brilho superficial (p=0,029), fratura (p=0,025) e retenção (p=0,011) foram critérios clínicos com diferenças entre restaurações anteriores e posteriores. Renda (p<0,001), atividade de cárie (p<0,001), risco à cárie (p<0,001) e risco oclusal (p<0,001) também influenciaram a sobrevida. Após 8 anos, a TFA das restaurações realizadas por estudantes de graduação foram clinicamente aceitáveis e afetadas pelos fatores de risco associados ao pacientes e a posição do dente na arcada; restaurações anteriores falham mais do que posteriores.]]></abstract><doi>10.1590/0103-6440201802192</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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title Survival, Reasons for Failure and Clinical Characteristics of Anterior/Posterior Composites: 8-Year Findings
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