A multicenter trial on the long-term performance of direct composite buildups in the anterior dentition

• Verfasst von: Hahn, Britta [VerfasserIn]
• Verfasst von: Wohlrab, Theresa Friederike [VerfasserIn]
• Verfasst von: Frese, Cornelia [VerfasserIn]
• Verfasst von: Wolff, Diana [VerfasserIn]
• Verfasst von: Krastl, Gabriel [VerfasserIn]
• Verfasst von: Büsch, Christopher [VerfasserIn]
• Verfasst von: Babai, Arian [VerfasserIn]
• Verfasst von: Schlagenhauf, Ulrich [VerfasserIn]
• Verfasst von: Soliman, Sebastian [VerfasserIn]
• Titel: A multicenter trial on the long-term performance of direct composite buildups in the anterior dentition
• Verf.angabe: Britta Hahn, Theresa Wohlrab, Cornelia Frese, Diana Wolff, Gabriel Krastl, Christopher Büsch, Arian Babai, Ulrich Schlagenhauf, Sebastian Soliman
• Jahr: 2020
• Umfang: 10 S.
• Fussnoten: Gesehen am 26.11.2020
• Titel Quelle: Enthalten in: The journal of adhesive dentistry
• Ort Quelle: Berlin : Quintessence Verlags-GmbH, 1999
• Jahr Quelle: 2020
• Band/Heft Quelle: 22(2020), 5, Seite 465-474
• ISSN Quelle: 1757-9988
• DOI: doi:10.3290/j.jad.a45177
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: closing diastemas
• Sach-SW: direct composite buildups
• Sach-SW: esthetical reshaping
• Sach-SW: gingivitis
• Sach-SW: health
• Sach-SW: multicenter study
• Sach-SW: periodontal health
• Sach-SW: periodontal destruction
• Sach-SW: recontouring
• Sach-SW: recontouring teeth
• Sach-SW: restorations
• Sach-SW: survival
• K10plus-PPN: 1741164605

Abstract

Purpose: This sub-analysis of our multicenter trial was to assess the long-term periodontal health (PH) of teeth, esthetically reshaped by means of direct composite buildups. Materials and Methods: 198 patients who received 667 direct composite buildups on 585 treated teeth (TT) between 01/2001 and 12/2013 were included. PH was assessed for each TT and for an untreated control tooth (CT) by recording the pocket probing depths (PPD), clinical attachment level (CAL), sulcus bleeding index (SBI), and Turesky's modification of the Quigley Hein plaque index (PI). Statistical analysis was performed using the two-sample Student's t-test and Mann-Whitney U-test. Regression models were performed to check for associations between PH and patients' age, gender, age of the buildups, enlargement range, jaw, and tooth type. The level of significance was set at alpha = 0.05. Results: PI scores were significantly (p < 0.001) higher in TT (1.60 +/- 0.81) than in CT (1.41 +/- 0.81). Differences between TT and CT regarding PPD (TT: 2.14 +/- 0.56/CT: 2.18 +/- 0.56), CAL (TT: 2.34 +/- 1.05/CT: 2.33 +/- 0.92), and SBI (TT: 0.41 +/- 0.60/CT: 0.41 +/- 0.65) were not statistically significant (p > 0.05). The enlargement range of the TT and the tooth type were not associated with PH. Male patients had significantly higher PPDs, CAL, and SBI values than did female patients. CAL and SBI values increased over time for both the TT and CT. CAL, SBI, and PI values were significantly higher in the mandible and the PPD values in the maxilla. Conclusion: Direct composite buildups made for reshaping, change of color or position of teeth did not impair PH in the long term.