Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities
2021-01-15 | journal article; research paper. A publication with affiliation to the University of Göttingen.
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Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities
Maes, M. S.; Kanzow, P. ; Hrasky, V. & Wiegand, A. (2021)
Clinical Oral Investigations, 25(7) pp. 4563-4569. DOI: https://doi.org/10.1007/s00784-020-03770-y
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- Authors
- Maes, Mona Shaghayegh; Kanzow, Philipp ; Hrasky, Valentina; Wiegand, Annette
- 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.
- Issue Date
- 15-January-2021
- Journal
- Clinical Oral Investigations
- Organization
- Poliklinik für Präventive Zahnmedizin, Parodontologie und Kariologie
- ISSN
- 1432-6981
- eISSN
- 1436-3771
- Language
- English
- Subject(s)
- Composite; Disability; Kaplan-Meier statistics; Longevity; Restoration