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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| container_title | International journal of paediatric dentistry |
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| creator | Tseveenjav, Battsetseg Furuholm, Jussi Mulic, Aida Valen, Håkon Maisala, Tuomo Turunen, Seppo Varsio, Sinikka Auero, Merja Tjäderhane, Leo |
| description | 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. |
| doi_str_mv | 10.1111/ipd.12348 |
| format | Article |
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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.</description><identifier>ISSN: 0960-7439</identifier><identifier>EISSN: 1365-263X</identifier><identifier>DOI: 10.1111/ipd.12348</identifier><identifier>PMID: 29205613</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Age Factors ; Anesthesia ; Child ; Child, Preschool ; Children ; Dental caries ; Dental Caries - epidemiology ; Dental Caries - surgery ; Dental cement ; Dental crowns ; Dental Restoration Failure - statistics & numerical data ; Dental Restoration, Permanent - adverse effects ; Dental Restoration, Permanent - statistics & numerical data ; Dental restorative materials ; Dentistry ; Female ; Finland - epidemiology ; Humans ; Male ; Molar - surgery ; Molars ; Retrospective Studies ; Survival ; Teeth ; Tooth, Deciduous - surgery</subject><ispartof>International journal of paediatric dentistry, 2018-03, Vol.28 (2), p.249-256</ispartof><rights>2017 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2017 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>International Journal of Paediatric Dentistry © 2018 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-266ab7b2ac265ad6b9ab3fe42a1aaed6b08db6af0e3dc80a4a02dcab53b501d33</citedby><cites>FETCH-LOGICAL-c3538-266ab7b2ac265ad6b9ab3fe42a1aaed6b08db6af0e3dc80a4a02dcab53b501d33</cites><orcidid>0000-0002-1749-6001</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fipd.12348$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fipd.12348$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29205613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tseveenjav, Battsetseg</creatorcontrib><creatorcontrib>Furuholm, Jussi</creatorcontrib><creatorcontrib>Mulic, Aida</creatorcontrib><creatorcontrib>Valen, Håkon</creatorcontrib><creatorcontrib>Maisala, Tuomo</creatorcontrib><creatorcontrib>Turunen, Seppo</creatorcontrib><creatorcontrib>Varsio, Sinikka</creatorcontrib><creatorcontrib>Auero, Merja</creatorcontrib><creatorcontrib>Tjäderhane, Leo</creatorcontrib><title>Survival of extensive restorations in primary molars: 15‐year practice‐based study</title><title>International journal of paediatric dentistry</title><addtitle>Int J Paediatr Dent</addtitle><description>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.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Anesthesia</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Dental caries</subject><subject>Dental Caries - epidemiology</subject><subject>Dental Caries - surgery</subject><subject>Dental cement</subject><subject>Dental crowns</subject><subject>Dental Restoration Failure - statistics & numerical data</subject><subject>Dental Restoration, Permanent - adverse effects</subject><subject>Dental Restoration, Permanent - statistics & numerical data</subject><subject>Dental restorative materials</subject><subject>Dentistry</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Molar - surgery</subject><subject>Molars</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Teeth</subject><subject>Tooth, Deciduous - surgery</subject><issn>0960-7439</issn><issn>1365-263X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKAzEUhoMotlYXvoAMuNHFtLlM0o47qbdCQcEL7sLJJAMp05mazFS78xF8Rp_E1KkuBLMJh3z8-c-H0CHBfRLOwC50n1CWjLZQlzDBYyrY8zbq4lTgeJiwtIP2vJ9hTDimeBd1aEoxF4R10dN945Z2CUVU5ZF5q03p7dJEzvi6clDbqvSRLaOFs3Nwq2heFeD8WUT45_vHyoALL5DVNjNhVuCNjnzd6NU-2smh8OZgc_fQ49Xlw_gmnt5eT8bn0zhjnI1CTwFqqChkVHDQQqWgWG4SCgTAhBmPtBKQY8N0NsKQAKY6A8WZ4phoxnropM1duOqlCaXl3PrMFAWUpmq8JOmQYUpZ-K2Hjv-gs6pxZWgnaTBDuRDJmjptqcxV3juTy83qkmC5li2DbPktO7BHm8RGzY3-JX_sBmDQAq-2MKv_k-Tk7qKN_ALOj4uB</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Tseveenjav, Battsetseg</creator><creator>Furuholm, Jussi</creator><creator>Mulic, Aida</creator><creator>Valen, Håkon</creator><creator>Maisala, Tuomo</creator><creator>Turunen, Seppo</creator><creator>Varsio, Sinikka</creator><creator>Auero, Merja</creator><creator>Tjäderhane, Leo</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1749-6001</orcidid></search><sort><creationdate>201803</creationdate><title>Survival of extensive restorations in primary molars: 15‐year practice‐based study</title><author>Tseveenjav, Battsetseg ; Furuholm, Jussi ; Mulic, Aida ; Valen, Håkon ; Maisala, Tuomo ; Turunen, Seppo ; Varsio, Sinikka ; Auero, Merja ; Tjäderhane, Leo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-266ab7b2ac265ad6b9ab3fe42a1aaed6b08db6af0e3dc80a4a02dcab53b501d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Anesthesia</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Dental caries</topic><topic>Dental Caries - epidemiology</topic><topic>Dental Caries - surgery</topic><topic>Dental cement</topic><topic>Dental crowns</topic><topic>Dental Restoration Failure - statistics & numerical data</topic><topic>Dental Restoration, Permanent - adverse effects</topic><topic>Dental Restoration, Permanent - statistics & numerical data</topic><topic>Dental restorative materials</topic><topic>Dentistry</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Molar - surgery</topic><topic>Molars</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Teeth</topic><topic>Tooth, Deciduous - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tseveenjav, Battsetseg</creatorcontrib><creatorcontrib>Furuholm, Jussi</creatorcontrib><creatorcontrib>Mulic, Aida</creatorcontrib><creatorcontrib>Valen, Håkon</creatorcontrib><creatorcontrib>Maisala, Tuomo</creatorcontrib><creatorcontrib>Turunen, Seppo</creatorcontrib><creatorcontrib>Varsio, Sinikka</creatorcontrib><creatorcontrib>Auero, Merja</creatorcontrib><creatorcontrib>Tjäderhane, Leo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of paediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tseveenjav, Battsetseg</au><au>Furuholm, Jussi</au><au>Mulic, Aida</au><au>Valen, Håkon</au><au>Maisala, Tuomo</au><au>Turunen, Seppo</au><au>Varsio, Sinikka</au><au>Auero, Merja</au><au>Tjäderhane, Leo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival of extensive restorations in primary molars: 15‐year practice‐based study</atitle><jtitle>International journal of paediatric dentistry</jtitle><addtitle>Int J Paediatr Dent</addtitle><date>2018-03</date><risdate>2018</risdate><volume>28</volume><issue>2</issue><spage>249</spage><epage>256</epage><pages>249-256</pages><issn>0960-7439</issn><eissn>1365-263X</eissn><abstract>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.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>29205613</pmid><doi>10.1111/ipd.12348</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1749-6001</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-7439 |
| ispartof | International journal of paediatric dentistry, 2018-03, Vol.28 (2), p.249-256 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Age Factors Anesthesia Child Child, Preschool Children Dental caries Dental Caries - epidemiology Dental Caries - surgery Dental cement Dental crowns Dental Restoration Failure - statistics & numerical data Dental Restoration, Permanent - adverse effects Dental Restoration, Permanent - statistics & numerical data Dental restorative materials Dentistry Female Finland - epidemiology Humans Male Molar - surgery Molars Retrospective Studies Survival Teeth Tooth, Deciduous - surgery |
| title | Survival of extensive restorations in primary molars: 15‐year practice‐based study |
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