Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities
Objectives This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities. Materials and methods Survival of composite restorations placed under general anesthesia in adult patients with intell...
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| Veröffentlicht in: | Clinical oral investigations 2021-07, Vol.25 (7), p.4563-4569 |
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| creator | Maes, Mona Shaghayegh Kanzow, Philipp Hrasky, Valentina Wiegand, Annette |
| description | Objectives
This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.
Materials and methods
Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (
α
= 5%).
Results
A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR: 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR: 50.932,
p
= 0.001) and combined intellectual/physical disability (HR: 3.145,
p
= 0.016) compared with intellectual disability only, presence of a removable partial denture (HR: 3.013, p < 0.001), and restorations in incisors (HR: 2.281,
p
= 0.013) or molars (HR: 1.693,
p
= 0.017) compared with premolars to increase the risk for failure.
Conclusion
Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years.
Clinical relevance
Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520 |
| doi_str_mv | 10.1007/s00784-020-03770-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8310491</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2478590675</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-1838a696f4e3a692dec3a8a86480df7854d752c1b043aee3e9f9f4a6154e1c3e3</originalsourceid><addsrcrecordid>eNp9UctuFDEQtBCIhMAPcECWuHAZYo89Hs8FCUUkIEXiAJwtr92z62jWHmzPRvsLfDWd3RAeBy5-dVW5q4uQl5y95Yz15wUXLRvWsoaJvmfN_hE55VKoBm_88eHcNmrQ_IQ8K-WGMS5VL56SEyGkHPggTsmPL0vehZ2daBqpDxlcpS5t51RCBZqh1JRtDSkWOk_WgadL9JDpGiJkZNmIkA2UYGmI1PplqnRGAsRa6G2oG3yuME2ouxzg_jxlOm_2JTi8-1DsKkwBCeU5eTLaqcCL-_2MfLv88PXiY3P9-erTxfvrxsle1oZroa0a1ChB4N56cMJqq5XUzI-97qTvu9bxFZPCAggYxmGUVvFOAncCxBl5d9Sdl9UWvMNW0YmZc9javDfJBvN3JYaNWaed0YIzHBsKvLkXyOn7gv7NNhSHJnEYaSmmldjFwFTfIfT1P9CbtOSI9kzbdVJ1qhN3qPaIcjmVkmF8aIYzcxe1OUZtMGpziNrskfTqTxsPlF_ZIkAcAQVLcQ3599__kf0JTQi5kA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2554656535</pqid></control><display><type>article</type><title>Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Maes, Mona Shaghayegh ; Kanzow, Philipp ; Hrasky, Valentina ; Wiegand, Annette</creator><creatorcontrib>Maes, Mona Shaghayegh ; Kanzow, Philipp ; Hrasky, Valentina ; Wiegand, Annette</creatorcontrib><description>Objectives
This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.
Materials and methods
Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (
α
= 5%).
Results
A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR: 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR: 50.932,
p
= 0.001) and combined intellectual/physical disability (HR: 3.145,
p
= 0.016) compared with intellectual disability only, presence of a removable partial denture (HR: 3.013, p < 0.001), and restorations in incisors (HR: 2.281,
p
= 0.013) or molars (HR: 1.693,
p
= 0.017) compared with premolars to increase the risk for failure.
Conclusion
Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years.
Clinical relevance
Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-020-03770-y</identifier><identifier>PMID: 33449193</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Anesthesia ; Anesthesia, General ; Composite Resins ; Dental Restoration Failure ; Dental Restoration, Permanent ; Dental restorative materials ; Dentistry ; Dentures ; Disability ; General anesthesia ; Humans ; Incisors ; Intellectual disabilities ; Medicine ; Molars ; Original ; Original Article ; Patients ; Premolars ; Regression analysis ; Retrospective Studies ; Risk factors ; Statistical analysis ; Survival ; Teeth</subject><ispartof>Clinical oral investigations, 2021-07, Vol.25 (7), p.4563-4569</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-1838a696f4e3a692dec3a8a86480df7854d752c1b043aee3e9f9f4a6154e1c3e3</citedby><cites>FETCH-LOGICAL-c474t-1838a696f4e3a692dec3a8a86480df7854d752c1b043aee3e9f9f4a6154e1c3e3</cites><orcidid>0000-0001-5640-8775</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-020-03770-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-020-03770-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33449193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maes, Mona Shaghayegh</creatorcontrib><creatorcontrib>Kanzow, Philipp</creatorcontrib><creatorcontrib>Hrasky, Valentina</creatorcontrib><creatorcontrib>Wiegand, Annette</creatorcontrib><title>Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.
Materials and methods
Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (
α
= 5%).
Results
A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR: 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR: 50.932,
p
= 0.001) and combined intellectual/physical disability (HR: 3.145,
p
= 0.016) compared with intellectual disability only, presence of a removable partial denture (HR: 3.013, p < 0.001), and restorations in incisors (HR: 2.281,
p
= 0.013) or molars (HR: 1.693,
p
= 0.017) compared with premolars to increase the risk for failure.
Conclusion
Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years.
Clinical relevance
Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia, General</subject><subject>Composite Resins</subject><subject>Dental Restoration Failure</subject><subject>Dental Restoration, Permanent</subject><subject>Dental restorative materials</subject><subject>Dentistry</subject><subject>Dentures</subject><subject>Disability</subject><subject>General anesthesia</subject><subject>Humans</subject><subject>Incisors</subject><subject>Intellectual disabilities</subject><subject>Medicine</subject><subject>Molars</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Premolars</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>Teeth</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9UctuFDEQtBCIhMAPcECWuHAZYo89Hs8FCUUkIEXiAJwtr92z62jWHmzPRvsLfDWd3RAeBy5-dVW5q4uQl5y95Yz15wUXLRvWsoaJvmfN_hE55VKoBm_88eHcNmrQ_IQ8K-WGMS5VL56SEyGkHPggTsmPL0vehZ2daBqpDxlcpS5t51RCBZqh1JRtDSkWOk_WgadL9JDpGiJkZNmIkA2UYGmI1PplqnRGAsRa6G2oG3yuME2ouxzg_jxlOm_2JTi8-1DsKkwBCeU5eTLaqcCL-_2MfLv88PXiY3P9-erTxfvrxsle1oZroa0a1ChB4N56cMJqq5XUzI-97qTvu9bxFZPCAggYxmGUVvFOAncCxBl5d9Sdl9UWvMNW0YmZc9javDfJBvN3JYaNWaed0YIzHBsKvLkXyOn7gv7NNhSHJnEYaSmmldjFwFTfIfT1P9CbtOSI9kzbdVJ1qhN3qPaIcjmVkmF8aIYzcxe1OUZtMGpziNrskfTqTxsPlF_ZIkAcAQVLcQ3599__kf0JTQi5kA</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Maes, Mona Shaghayegh</creator><creator>Kanzow, Philipp</creator><creator>Hrasky, Valentina</creator><creator>Wiegand, Annette</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5640-8775</orcidid></search><sort><creationdate>20210701</creationdate><title>Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities</title><author>Maes, Mona Shaghayegh ; Kanzow, Philipp ; Hrasky, Valentina ; Wiegand, Annette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-1838a696f4e3a692dec3a8a86480df7854d752c1b043aee3e9f9f4a6154e1c3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia, General</topic><topic>Composite Resins</topic><topic>Dental Restoration Failure</topic><topic>Dental Restoration, Permanent</topic><topic>Dental restorative materials</topic><topic>Dentistry</topic><topic>Dentures</topic><topic>Disability</topic><topic>General anesthesia</topic><topic>Humans</topic><topic>Incisors</topic><topic>Intellectual disabilities</topic><topic>Medicine</topic><topic>Molars</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Premolars</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maes, Mona Shaghayegh</creatorcontrib><creatorcontrib>Kanzow, Philipp</creatorcontrib><creatorcontrib>Hrasky, Valentina</creatorcontrib><creatorcontrib>Wiegand, Annette</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maes, Mona Shaghayegh</au><au>Kanzow, Philipp</au><au>Hrasky, Valentina</au><au>Wiegand, Annette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>25</volume><issue>7</issue><spage>4563</spage><epage>4569</epage><pages>4563-4569</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.
Materials and methods
Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (
α
= 5%).
Results
A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR: 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR: 50.932,
p
= 0.001) and combined intellectual/physical disability (HR: 3.145,
p
= 0.016) compared with intellectual disability only, presence of a removable partial denture (HR: 3.013, p < 0.001), and restorations in incisors (HR: 2.281,
p
= 0.013) or molars (HR: 1.693,
p
= 0.017) compared with premolars to increase the risk for failure.
Conclusion
Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years.
Clinical relevance
Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33449193</pmid><doi>10.1007/s00784-020-03770-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5640-8775</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical oral investigations, 2021-07, Vol.25 (7), p.4563-4569 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anesthesia Anesthesia, General Composite Resins Dental Restoration Failure Dental Restoration, Permanent Dental restorative materials Dentistry Dentures Disability General anesthesia Humans Incisors Intellectual disabilities Medicine Molars Original Original Article Patients Premolars Regression analysis Retrospective Studies Risk factors Statistical analysis Survival Teeth |
| title | Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities |
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