Survival of extensive restorations in primary molars: 15‐year practice‐based study
Background Caries decline in the western world is accompanied by strong polarization among children; 8% of Finnish 5‐year‐olds having 76% of untreated caries. This high caries risk group needs preventive and restorative strategies. Aim To explore survival of extensive restorations in primary molars....
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Veröffentlicht in: | International journal of paediatric dentistry 2018-03, Vol.28 (2), p.249-256 |
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Sprache: | eng |
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Zusammenfassung: | Background
Caries decline in the western world is accompanied by strong polarization among children; 8% of Finnish 5‐year‐olds having 76% of untreated caries. This high caries risk group needs preventive and restorative strategies.
Aim
To explore survival of extensive restorations in primary molars.
Design
This study was based on health records from 2002 to 2016 of children under 18 years.
Results
Of severely affected primary molars (n = 1061), 41% were restored with preformed metal crowns (PMCs), 38% with glass‐ionomer cement (GIC)/polyacid‐modified resin composite (PAMRC)/resin‐modified GIC (RMGIC), and 21% with resin composites (RC). Younger children (3–8) received 97% of the PMCs and 86% of GIC/PAMRC/RMGIC; older ones (≥9) 91% of the RC restorations. Neither amalgam nor indirect restorations were registered. General dentists (GDs) engaged in primary care restored with GIC/PAMRC/RMGIC (52%) or RC (48%). GDs in general anesthesia care service placed 66% and specializing/specialized dentists 31% of PMCs. PMCs had lower failure rate (1.4% vs 3.0%) than GIC/PAMRC/RMGIC (P = 0.001). Choosing PMCs reduced patient visits compared to other restorations (P < 0.001).
Conclusions
Severely affected primary molars of children at high caries risk are better managed, using PMCs to optimize the resources in public oral health services. |
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ISSN: | 0960-7439 1365-263X |
DOI: | 10.1111/ipd.12348 |