Longevity of posterior composite and compomer restorations in children placed under different types of anesthesia: a retrospective 5-year study

Abstract

Objectives The aims of this study were (i) to assess cumulative survival rates of class II resin-based composite and compomer restorations in primary molars with a 5-year observation period and (ii) to analyze the influence of different types of anesthesia and different localizations of the restorations in the teeth. Methods Patient charts of a private practice for pediatric dentistry were screened for class II resin-based composite (Spectrum TPH3) and compomer (Dyract Posterior; both Dentsply DeTrey) restorations in primary molars with a 5-year observation period used with Adper Prompt L-Pop (3M-ESPE). One restoration per patient (age ≤ 6 years at placement) was randomly selected. Results Two hundred sixty restorations were included (43% resin-based composites, 57% compomers). After 5 years, cumulative survival rates were 43% for resin-based composite and 49% for compomer restorations with no statistically significant differences. There was a tendency for higher survival rates for restorations placed under N 2 O inhalation sedation or general anesthesia. Distal-occlusal compomer restorations showed significantly lower survival rates (p = 0.003) as compared to mesial-occlusal compomer restorations. Conclusion Within the limitations of the study, we conclude that type of restorative material as well as the type of anesthesia do not influence restoration survival rates, although restorations placed in patients receiving N 2 O inhalation sedation or general anesthesia tend to perform better as compared with patients receiving no anesthesia or only local infiltration. Clinical relevance Resin-based composite and compomer restorations show similar survival rates of more than 43% (annual failure rates less than 11.5%) after 5 years for restoration of primary molars.

Retrospective Cohort Study on Potential Risk Factors for Repeated Need of Dental Rehabilitation under General Anesthesia in a Private Pediatric Dental Practice

“…As reported in previous studies [ 11 , 20 , 26 , 36 ], the treatments performed during the first DRGA mainly comprised direct restorations, stainless steel or all-ceramic crowns, pulpotomies, and extractions, while root canal treatments were performed in less than 10% of the DRGAs. For direct restorations, resin-based composites or compomers were employed, which previously showed no significant differences in survival rates for restoration of class II cavities in primary molars, while there was a tendency for higher survival when the restorations were placed in GA as compared to local anesthesia [ 40 ].…”

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

“…• Insufficient information on evaluation of material performance: 14 10,19,[52][53][54][55][56][57][58][59][60][61][62][63] .…”

Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities

“…Thus, using drug behavioral therapies, such as intravenous sedation, can effectively facilitate precise prosthetic treatments. 27 We believe that these advantages outweigh the shortcomings of sedation (e.g., difficulty for the patient to achieve optimal occlusion). Although prosthesis survival rates did not differ between anesthesia methods in the present study, Intravenous sedation is a safer alternative to general anesthesia.…”

“…In conjunction with this, dental treatments performed under intravenous anesthesia have been shown to prolong the longevity of prosthesis in ID patients (with an HR that was 0.49 times that of conventional treatments with no drug therapy). Thus, using drug behavioral therapies, such as intravenous sedation, can effectively facilitate precise prosthetic treatments 27 . We believe that these advantages outweigh the shortcomings of sedation (e.g., difficulty for the patient to achieve optimal occlusion).…”