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A 24-month evaluation of amalgam and resin-based composite restorations: Findings from The National Dental Practice-Based Research Network.

https://arctichealth.org/en/permalink/ahliterature113423
Source
J Am Dent Assoc. 2013 Jun;144(6):583-93
Publication Type
Article
Date
Jun-2013
Author
Michael S McCracken
Valeria V Gordan
Mark S Litaker
Ellen Funkhouser
Jeffrey L Fellows
Douglass G Shamp
Vibeke Qvist
Jeffrey S Meral
Gregg H Gilbert
Author Affiliation
Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, AL, USA.
Source
J Am Dent Assoc. 2013 Jun;144(6):583-93
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Child
Child, Preschool
Cohort Studies
Community-Based Participatory Research
Composite Resins - standards
Dental Amalgam - standards
Dental Materials - standards
Dental Prosthesis Repair - statistics & numerical data
Dental Restoration Failure - statistics & numerical data
Dental Restoration, Permanent - classification - standards
Dentists - statistics & numerical data
Female
Follow-Up Studies
Forecasting
Humans
Male
Middle Aged
Prospective Studies
Risk factors
Scandinavia
Sex Factors
Surface Properties
United States
Workload
Young Adult
Abstract
Knowing which factors influence restoration longevity can help clinicians make sound treatment decisions. The authors analyzed data from The National Dental Practice-Based Research Network to identify predictors of early failures of amalgam and resin-based composite (RBC) restorations.
In this prospective cohort study, the authors gathered information from clinicians and offices participating in the network. Clinicians completed a baseline data collection form at the time of restoration placement and annually thereafter. Data collected included patient factors, practice factors and dentist factors, and the authors analyzed them by using mixed-model logistic regression.
A total of 226 practitioners followed up 6,218 direct restorations in 3,855 patients; 386 restorations failed (6.2 percent) during the mean (standard deviation) follow-up of 23.7 (8.8) months. The number of tooth surfaces restored at baseline helped predict subsequent restoration failure; restorations with four or more restored surfaces were more than four times more likely to fail. Restorative material was not associated significantly with longevity; neither was tooth type. Older patient age was associated highly with failure (P
Notes
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Comment In: J Am Dent Assoc. 2013 Nov;144(11):1220, 122224177394
Comment In: J Am Dent Assoc. 2013 Nov;144(11):122024177393
PubMed ID
23729455 View in PubMed
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