Catarina Borges da Fonseca Cumerlato1, Flávio Fernando Demarco2, Aluísio J D Barros2, Marco Aurélio Peres3, Karen Glazer Peres4, Andreia Morales Cascaes1, Maria Beatriz Junqueira de Camargo1, Iná da Silva Dos Santos2, Alicia Matijasevich5, Marcos Britto Corrêa6. 1. Federal University of Pelotas, Graduate Program in Dentistry, Gonçalves Chaves, 457, 5th floor, Pelotas, RS, 96015560, Brazil. 2. Federal University of Pelotas, Graduate Program in Epidemiology, Marechal Deodoro, 1160, 3rd floor, Pelotas, RS, 96020220, Brazil. 3. Griffith University, Menzies Health Institute Queensland and School of Dentistry and Oral Health, Gold Coast campus, Australia. 4. Griffith University, Menzies Health Institute Queensland and School of Dentistry and Oral Health, Gold Coast campus, Australia; Griffith University, School of Dentistry and Oral Health, Gold Coast, Australia. 5. Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, SP, Brazil. 6. Federal University of Pelotas, Graduate Program in Dentistry, Gonçalves Chaves, 457, 5th floor, Pelotas, RS, 96015560, Brazil. Electronic address: marcos.britto@ufpel.edu.br.
Abstract
OBJECTIVES: The aim of this study was to assess the prevalence of direct restorations in posterior teeth in children aged 12, from a birth cohort, and to test the association between the quality of the restorations and individual variables experienced in the life cycle. METHODS: All live-born children in Pelotas, in 2004, were prospectively investigated and a representative sample was assessed for oral conditions at ages 5 and 12. The outcome was the quality of the restoration (satisfactory/unsatisfactory). Independent variables included socioeconomic, behavioral and oral health characteristics at the individual level and the size of cavity and material at the tooth level. Associations were tested using multilevel logistic regression models. RESULTS: A total of 1,000 participants and 249 restorations in the permanent dentition were examined. Most of the restorations were composites (73.5%), while only 6.8% were amalgam. After adjusted analyses, children whose parents received information on how to prevent their child from developing caries before reaching 5 years of age had 91.0% less chance of having an unsatisfactory restoration compared to children whose parents never received information (OR = 0.09; 95% CI 0.01-0.59). Also, the chances of presenting unsatisfactory restorations were 5.3 higher in children at high-risk for untreated dental caries in the permanent dentition, in comparison with children at low risk (OR = 5.32; 95% CI 1.07-26.6). CONCLUSIONS: Low-risk for untreated dental caries and having received information on preventing dental caries, reduced the chance of presenting failed restorations, showing that factors related to individuals play an important role in the quality of restorations. CLINICAL SIGNIFICANCE: Our findings highlight the role that individual-related factors play in restoration longevity in children, reinforcing the need for a patient-centered approach in restorative dentistry.
OBJECTIVES: The aim of this study was to assess the prevalence of direct restorations in posterior teeth in children aged 12, from a birth cohort, and to test the association between the quality of the restorations and individual variables experienced in the life cycle. METHODS: All live-born children in Pelotas, in 2004, were prospectively investigated and a representative sample was assessed for oral conditions at ages 5 and 12. The outcome was the quality of the restoration (satisfactory/unsatisfactory). Independent variables included socioeconomic, behavioral and oral health characteristics at the individual level and the size of cavity and material at the tooth level. Associations were tested using multilevel logistic regression models. RESULTS: A total of 1,000 participants and 249 restorations in the permanent dentition were examined. Most of the restorations were composites (73.5%), while only 6.8% were amalgam. After adjusted analyses, children whose parents received information on how to prevent their child from developing caries before reaching 5 years of age had 91.0% less chance of having an unsatisfactory restoration compared to children whose parents never received information (OR = 0.09; 95% CI 0.01-0.59). Also, the chances of presenting unsatisfactory restorations were 5.3 higher in children at high-risk for untreated dental caries in the permanent dentition, in comparison with children at low risk (OR = 5.32; 95% CI 1.07-26.6). CONCLUSIONS: Low-risk for untreated dental caries and having received information on preventing dental caries, reduced the chance of presenting failed restorations, showing that factors related to individuals play an important role in the quality of restorations. CLINICAL SIGNIFICANCE: Our findings highlight the role that individual-related factors play in restoration longevity in children, reinforcing the need for a patient-centered approach in restorative dentistry.