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

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...

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Main Authors: Hahn, Britta (Author) , Wohlrab, Theresa Friederike (Author) , Frese, Cornelia (Author) , Wolff, Diana (Author) , Krastl, Gabriel (Author) , Büsch, Christopher (Author) , Babai, Arian (Author) , Schlagenhauf, Ulrich (Author) , Soliman, Sebastian (Author)
Format: Article (Journal)
Language:English
Published: 2020
In: The journal of adhesive dentistry
Year: 2020, Volume: 22, Issue: 5, Pages: 465-474
ISSN:1757-9988
DOI:10.3290/j.jad.a45177
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3290/j.jad.a45177
Verlag, lizenzpflichtig, Volltext: https://jad.quintessenz.de/index.php?doc=abstract&abstractID=45177
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Author Notes:Britta Hahn, Theresa Wohlrab, Cornelia Frese, Diana Wolff, Gabriel Krastl, Christopher Büsch, Arian Babai, Ulrich Schlagenhauf, Sebastian Soliman
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Summary: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.
Item Description:Gesehen am 26.11.2020
Physical Description:Online Resource
ISSN:1757-9988
DOI:10.3290/j.jad.a45177

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