Influence of different clinical criteria on the decision to replace restorations in primary teeth

Moro, Bruna Lorena Pereira, Freitas, Raiza Dias, Pontes, Laura Regina Antunes, Pássaro, Ana Laura, Lenzi, Tathiane Larissa, Tedesco, Tamara Kerber, Ekstrand, Kim Rud, Braga, Mariana Minatel, Raggio, Daniela Prócida ORCID: https://orcid.org/0000-0002-0048-2068, Cenci, Maximiliano Sérgio and Mendes, Fausto Medeiros 2020. Influence of different clinical criteria on the decision to replace restorations in primary teeth. Journal of Dentistry 101 , 103421. 10.1016/j.jdent.2020.103421

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Abstract

Objectives This cross-sectional study is nested in a randomized clinical trial. It was designed to evaluate the influence of using two different clinical criteria to assess caries lesion around restorations on the decision to replace restorations in primary posterior teeth. Variables that might influence this decision were also considered. Methods One trained and calibrated examiner assessed 550 restorations of 160 children (3–10 years old). Children were randomized to have their restorations evaluated and subsequently treated according to World Dental Federation (FDI) or Caries Associated with Restorations and Sealants (CARS) criteria. After reaching the treatment decision, the same examiner performed another evaluation using the other criteria. Spearman’s correlation coefficients and 95 % confidence intervals (95 %CI) between the scores obtained with both criteria and respective treatment decisions were calculated. Poisson multilevel regression analysis were performed between the exploratory variables related to children, restored tooth and restoration assessment; the outcome variables were decisions related to restoration replacement, any operative intervention and presence of secondary caries. Results The strongest correlation observed between the methods was for recurrence of caries. A total of 94 restorations (17.1 %) were indicated for replacement with FDI criteria and 30 (5.5 %) were indicated for replacement with CARS. Besides the diagnostic method used, number of decayed teeth and restorations with two and three restored surfaces were associated with the decision of replacement and presence of recurrent caries lesions. Conclusions The decision to replace posterior restorations in primary teeth is influenced by the criteria used for the restorations assessment and also by the children's caries experience and multisurface restorations. The restoration material did not influence the decision of restorations replacement. Clinical significance The decision to replace posterior restoration in primary teeth is strongly related to the evaluation method and not only by patients' risk factors.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Elsevier
ISSN:	0300-5712
Date of Acceptance:	26 June 2020
Last Modified:	10 Nov 2022 10:59
URI:	https://orca.cardiff.ac.uk/id/eprint/148873

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