Risk factors for failure in the management of cervical caries lesions.

Wierichs, R J; Kramer, E J; Meyer-Lückel, Hendrik (2017). Risk factors for failure in the management of cervical caries lesions. Clinical oral investigations, 21(6), pp. 2123-2131. Springer 10.1007/s00784-016-2002-1

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OBJECTIVES The aim of this retrospective, non-interventional clinical study was to analyze factors influencing the survival of restorative treatments of active cervical (root) caries lesions (aCCLs) and the success of non-invasive treatment options of inactive cervical (root) caries lesions (iCCLs). MATERIAL AND METHODS Records from patients who visited a single private practice regularly were searched for the presence of solely buccal CCLs. Data from 345 aCCLs and 232 iCCLs being detected at least 6 months before the last recall visit in 295 patients were recorded. Kaplan-Meier analyses were used to analyze time to failure in both groups. Cox proportional hazards models were used to evaluate the association between clinical factors and time until failure. RESULTS Within 120 months, 20 aCCLs had received a second restorative follow-up treatment. For iCCLs, 35 lesions had to be restored within 120 months. Median survival/success time was 111 months for aCCLs (annual failure rate 1.7%) and 120 months for iCCLs (annual "restoration" rate 4.3%). In multivariate Cox regression, active and inactive CCLs being checked up more than twice a year showed significantly higher failure/restoration rates than CCLs being checked up less than twice a year (p < 0.001). CONCLUSION Low failure/restoration rates could be found for both treatment strategies for CCLs, and only the "number of check-ups per year" was significantly positively associated with failures. CLINICAL RELEVANCE Caries monitoring is a viable way to manage CCLs. However, individual check-up interval should be defined carefully, since higher rate of check-ups seems to lead to increased intervention rates in the management of CCLs. The study was registered in the German Clinical Trials Register (DRKS-ID: DRKS00010003).

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Meyer-Lückel, Hendrik

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer

Language:

English

Submitter:

Hendrik Meyer-Lückel

Date Deposited:

10 Jan 2018 15:56

Last Modified:

10 Jan 2018 15:56

Publisher DOI:

10.1007/s00784-016-2002-1

PubMed ID:

27834028

Uncontrolled Keywords:

Clinical studies/trials Geriatric dentistry Preventive dentistry Restorative dentistry Risk factor Root caries/resorption

BORIS DOI:

10.7892/boris.107811

URI:

https://boris.unibe.ch/id/eprint/107811

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