Long-Term Evaluation of Direct Composite Resin Restoration for Traumatic Anterior Crown Fractures in Children and Adolescents
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Direct composite resin restorations are often the first choice in children and adolescents with anterior crown fractures. This study aimed to assess the longterm outcomes of direct composite resin restoration in children and adolescents with traumatic dental injuries. Patients with anterior crown fractures treated with direct composite resin restoration at the Department of Dentistry of Wonju Severance Hospital between March 2011 and February 2022 were included. A total of 86 teeth from 59 patients were evaluated. The survival rate according to the sex, age, history of pulp treatment, and ratio of the resin restoration to the clinical crown were statistically calculated using chi-square test, Fisher’s exact, and Kaplan- Meier methods. Factors associated with failure were evaluated using Cox regression analysis. Survival rates during the follow-up period were significantly different according to the patient’s age at the time of trauma (p = 0.036). The survival rate was not significantly different between the sexes (p = 0.632). The survival rate was not influenced by pulp treatment before resin restoration (p = 0.617). Based on the Kaplan-Meier method, the mean retention time of teeth with and without pulp treatment was 99.35 ± 9.98 and 79.68 ± 9.07 months, respectively. Additionally, there was no significant difference between both survival curves (p = 0.215). Furthermore, the survival rate was not significantly different according to the ratio of the resin restoration to the clinical crown (p = 0.334). Similar to the results from Fisher’s exact test, there was no significant difference in survival rates between Group I (ratio of the resin restoration to the clinical crown < 0.5) and Group II (ratio of the resin restoration to the clinical crown ≥ 0.5) (p = 0.228). This study demonstrates the clinical efficacy of direct composite resin restorations for anterior crown fractures in children and adolescents, with favorable survival rates observed over 10 years of follow-up suggesting it as a conservative and effective primary treatment option across various clinical conditions.
Abstract
Direct composite resin restorations are often the first choice in children and adolescents with anterior crown fractures. This study aimed to assess the longterm outcomes of direct composite resin restoration in children and adolescents with traumatic dental injuries. Patients with anterior crown fractures treated with direct composite resin restoration at the Department of Dentistry of Wonju Severance Hospital between March 2011 and February 2022 were included. A total of 86 teeth from 59 patients were evaluated. The survival rate according to the sex, age, history of pulp treatment, and ratio of the resin restoration to the clinical crown were statistically calculated using chi-square test, Fisher’s exact, and Kaplan- Meier methods. Factors associated with failure were evaluated using Cox regression analysis. Survival rates during the follow-up period were significantly different according to the patient’s age at the time of trauma (p = 0.036). The survival rate was not significantly different between the sexes (p = 0.632). The survival rate was not influenced by pulp treatment before resin restoration (p = 0.617). Based on the Kaplan-Meier method, the mean retention time of teeth with and without pulp treatment was 99.35 ± 9.98 and 79.68 ± 9.07 months, respectively. Additionally, there was no significant difference between both survival curves (p = 0.215). Furthermore, the survival rate was not significantly different according to the ratio of the resin restoration to the clinical crown (p = 0.334). Similar to the results from Fisher’s exact test, there was no significant difference in survival rates between Group I (ratio of the resin restoration to the clinical crown < 0.5) and Group II (ratio of the resin restoration to the clinical crown ≥ 0.5) (p = 0.228). This study demonstrates the clinical efficacy of direct composite resin restorations for anterior crown fractures in children and adolescents, with favorable survival rates observed over 10 years of follow-up suggesting it as a conservative and effective primary treatment option across various clinical conditions.
참고문헌 (37)
- Lam R, "Epidemiology and outcomes of traumatic dental injuries : a review of the literature", Aust Dent J, 61(Suppl 1), pp.4~20 (2016)
- Glendor U, "Epidemiology of traumatic dental injuries-a 12 year review of the literature", Dent Traumatol, 24, pp.603~611 (2008)
- Nik-Hussein NN, "Traumatic injuries to anterior teeth among schoolchildren in Malaysia", Dent Traumatol, 17, pp.149~152 (2001)
- Brüllmann D, "The treatment of anterior dental trauma", Dtsch Arztebl Int, 108, pp.565~570 (2010)
- Malikaew P, "Prevalence and factors associated with traumatic dental injuries(TDI)to anterior teeth of 11-13 year old Thai children", Community Dent Health, 23, pp.222~227 (2006)
- Petti S, "World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries", Dent Traumatol, 34, pp.71~86 (2018)
- El-Kalla IH, "Impact of dental trauma on quality of life among 11-14 years schoolchildren", Contemp Clin Dent, 8, pp.538~544 (2017)
- dos Santos Letieri A, "Multidiscipilinary conservative management of dental fracture in young patient : case report", Revista Científica do CRO-RJ(Rio de Janeiro Dental Journal), 5, pp.87~91 (2020)
- Baldissera RA, "Are there universal restorative composites for anterior and posterior teeth?", J Dent, 41, pp.1027~1035 (2013)
- Demarco FF, "Anterior composite restorations in clinical practice : findings from a survey with general dental practitioners", J Appl Oral Sci, 21, pp.497~504 (2013)
- Blatz MB, "Evolution of aesthetic dentistry", J Dent Res, 98, pp.1294~1304 (2019)
- Dietschi D, "Shading concepts and layering techniques to master direct anterior composite restorations : an update", Br Dent J, 221, pp.765~771 (2016)
- Perheentupa U, "Increased lifetime prevalence of dental trauma is associated with previous non-dental injuries, mental distress and high alcohol consumption", Dent Traumatol, 17, pp.10~16 (2001)
- Lee IY, "Esthetic restoration of fractured immature permanent incisors", J Korean Acad Pediatr Dent, 36, pp.126~132 (2009)
- Olsburgh S, "Crown fractures in the permanent dentition : pulpal and restorative considerations", Dent Traumatol, 18, pp.103~115 (2002)
- van Dijken JWV, "Fracture frequency and longevity of fractured resin composite, polyacid-modified resin composite, and resin-modified glass ionomer cement class IV restorations : an up to 14 years of follow-up", Clin Oral Investig, 14, pp.217~222 (2010)
- Smales RJ, "Long-term survival of direct and indirect restorations placed for the treatment of advanced tooth wear", Eur J Prosthodont Restor Dent, 15, pp.2~6 (2007)
- Kwon JH, "Eruption time and sequence of permanent teeth in students from E-elementary school", J Korean Acad Pediatr Dent, 36, pp.253~261 (2009)
- Nolla CM, "The development of the permanent teeth", J Dent Child, 4, pp.254~266 (1960)
- Kim DW, "A study on the traumatic injury of patients in Department of Pediatric Dentistry, Kangnung National University Dental Hospital", J Korean Acad Pediatr Dent, 28, pp.247~254 (2001)
- Kim Y, "A retrospective study of the pattern and treatment of traumatic dental injury to primary and permanent teeth", J Korean Acad Pediatr Dent, 41, pp.314~321 (2014)
- Ranka M, "Trauma to the primary dentition and its sequelae", Dent Update, 40, pp.534~542 (2013)
- Rajab LD, "Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan, 1997-2000", Dent Traumatol, 19, pp.6~11 (2003)
- Varga S, "Maximum voluntary molar bite force in subjects with normal occlusion", Eur J Orthod, 33, pp.427~433 (2011)
- Helfer AR, "Determination of the moisture content of vital and pulpless teeth", Oral Surg Oral Med Oral Pathol, 34, pp.661~670 (1972)
- Asundi A, "Advanced digital photoelastic investigations on the tooth-bone interface", J Biomed Opt, 6, pp.224~230 (2001)
- Kishen A, "Photomechanical investigations on post endodontically rehabilitated teeth", J Biomed Opt, 7, pp.262~270 (2002)
- Bitter K, "Randomized clinical trial comparing the effects of post placement on failure rate of postendodontic restorations : preliminary results of a mean period of 32 months", J Endod, 35, pp.1477~1482 (2009)
- Collares K, "Longevity of anterior composite restorations in a general dental practice-based network", J Dent Res, 96, pp.1092~1099 (2017)
- Cho K, "Dental resin composites : A review on materials to product realizations", Compos B Eng, 230, pp.109495~ (2022)
- Da Rosa Rodolpho PA, "22-Year clinical evaluation of the performance of two posterior composites with different filler characteristics", Dent Mater, 27, pp.955~963 (2011)
- Ferracane JL, "Resin composite-state of the art", Dent Mater, 27, pp.29~38 (2011)
- Kubo S, "Factors associated with the longevity of resin composite restorations", Dent Mater J, 30, pp.374~383 (2011)
- Gümüş H, "Profiles of traumatic dental injuries among children aged 0-15 years in Cappadocia, Turkey : A retrospective cohort study", Dent Traumatol, 37, pp.419~429 (2021)
- de Freitas BN, "Clinical decision-making in anterior resin composite restorations : a multicenter evaluation", J Dent, 113, pp.103757~ (2021)
- Shah YR, "Long-term survival and reasons for failure in direct anterior composite restorations : A systematic review", J Conserv Dent, 24, pp.415~420 (2021)
- Moraes RR, "Clinical performance of resin composite restorations", Curr Oral Health Rep, 9, pp.22~31 (2022)