Repair or replacement of restorations
Open accessAbstract
OBJECTIVES (1) quantify 12-month failures of restorations that were repaired or replaced at baseline; (2) test the hypothesis that no significant differences exist in failure percentages between repaired and replaced restorations after 12 months; (3) test the hypothesis that certain dentist’s, patient’s and restoration’s characteristics are significantly associated with the incidence of restoration failure. METHODS This prospective cohort study included dentists in the National Dental Practice-Based Research Network. Dentists recorded data for 50 or more consecutive defective restorations. The restorations that were either repaired or replaced were recalled after 12 months and characterized for developing defects. RESULTS 195 dentists recorded data on 5,889 restorations. 378 restorations required additional treatment (74 repaired, 171 replaced, 84 teeth received endodontic treatment, and 49 were extracted). Multivariable logistic regression analysis indicated that additional treatment was more likely to occur if the original restoration had been repaired (7%) compared to replaced (5%)(OR = 1.6, p < .001; 95% CI: 1.2, 2.1), if a molar tooth was restored (7%) compared to pre-molar or anterior teeth (5%, 6% respectively)(OR = 1.4, p = .010; 95% CI: 1.1, 1.7), and if the primary reason was a fracture (8%) compared to other reasons (6%)(OR = 1.3, p = .033; 95% CI: 1.1, 1.6). CONCLUSION An additional treatment was more likely to occur within the first year if the original restoration had been repaired (7%) compared to being replaced (5%). However, repaired restorations were less likely to need an aggressive treatment (replacement, endodontic treatment, or extraction) than replaced restorations.
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Diagnostic Accuracy of Barium Enema for the Diagnosis of Hirsch-sprung Disease in Children
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Repair or Replacement of Direct Restorations: Clinical Guidelines
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Repair of Dental Restorations: A 10-year Retrospective Analysis of Clinical Data
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A retrospective, multi-center practice-based study on the longevity of full and facing cast crowns
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- Authors
- Gordan, V. V., Riley, J. L., Rindal, D. B., Qvist, V., Fellows, J. L., Dilbone, D. A., Brotman, S. G., & Gilbert, G. H.
- Affiliations
- University of Florida Health (US)
- HealthPartners (US)
- University of Copenhagen (DK)
- Kaiser Permanente Center for Health Research (US)
- University of Florida (US)
- University of Alabama at Birmingham (US)
- Corresponding author
- Gordan, Valeria V.
- Venue
- The Journal of the American Dental Association
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 146
- Issue
- 12
- Pages
- 895-903
- ISSN
- 0002-8177 (ISSN-L)
- PMC
- PMC4663659
- OpenAlex
- W2178994611
- Semantic Scholar
- e3f3b2fc5236780e85a8a31ecd5b45ea1d522827
- Cited by
- 56
- References
- 53
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 3
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of the American Dental Association (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (DE-16746, DE-16747, DE-22516)
- Topics
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- restoration failure, restoration repair, restoration replacement, defective restorations, restoration longevity, molar restoration, restoration fracture, endodontic treatment, tooth extraction, restorative dentistry outcomes
- MeSH terms
- Dental Restoration, Permanent, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Time Factors, United States, Dental Restoration Failure, Practice Patterns, Dentists', Dental Restoration Repair
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