Top

Clinical Oral Investigations

Published in:

01-07-2017 | Original Article

Risk factors for failure in the management of cervical caries lesions

Authors: R. J. Wierichs, E. J. Kramer, H. Meyer-Lueckel

Published in: Clinical Oral Investigations | Issue 6/2017

Abstract

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).

Griffin SO, Griffin PM, Swann JL, Zlobin N (2004) Estimating rates of new root caries in older adults. J Dent Res 83:634–638. doi:10.1177/154405910408300810 CrossRefPubMed

US Department of Health and Human Services (2000) Oral health in America: a report of the surgeon general. US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, Rockville Book title

Michaelis W, Schiffner U (2006) The Fourth German Oral Health Study (DMS IV). Book title. Institute of German Dentists (IDZ), Deutscher Zahnärzte Verlag, Köln

Marthaler TM, O’Mullane DM, Vrbic V (1996) The prevalence of dental caries in Europe 1990-1995. ORCA Saturday afternoon symposium 1995. Caries Res 30:237–255CrossRefPubMed

Wierichs RJ, Meyer-Lueckel H (2015) Systematic Review on Noninvasive Treatment of Root Caries Lesions. J Dent Res 94(2):261–271

Hayes M, Brady P, Burke FM, Allen PF (2014) Failure rates of class V restorations in the management of root caries in adults—a systematic review. Gerodontology. doi:10.1111/ger.12167 PubMed

Lo EC, Luo Y, Tan HP, Dyson JE, Corbet EF (2006) ART and conventional root restorations in elders after 12 months. J Dent Res 85:929–932CrossRefPubMed

McComb D, Erickson RL, Maxymiw WG, Wood RE (2002) A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients. Oper Dent 27:430–437PubMed

Wood RE, Maxymiw WG, McComb D (1993) A clinical comparison of glass ionomer (polyalkenoate) and silver amalgam restorations in the treatment of class 5 caries in xerostomic head and neck cancer patients. Oper Dent 18:94–102PubMed

10.

Levy SM, Jensen ME (1990) A clinical evaluation of the restoration of root surface caries. Spec Care Dentist 10:156–160CrossRefPubMed

11.

De Moor RJ, Stassen IG, van ’t Veldt Y, Torbeyns D, Hommez GM (2011) Two-year clinical performance of glass ionomer and resin composite restorations in xerostomic head- and neck-irradiated cancer patients. Clin Oral Investig 15:31–38. doi:10.1007/s00784-009-0355-4

12.

Hess DR (2004) Retrospective studies and chart reviews. Respir Care 49:1171–1174PubMed

13.

Vandenbroucke JP (2008) Observational research, randomised trials, and two views of medical science. PLoS Med 5:e67. doi:10.1371/journal.pmed.0050067 CrossRefPubMedPubMedCentral

14.

Euser AM, Zoccali C, Jager KJ, Dekker FW (2009) Cohort studies: prospective versus retrospective. Nephron Clin Pract 113:c214–c217. doi:10.1159/000235241 CrossRefPubMed

15.

Opdam NJ, Bronkhorst EM, Loomans BA, Huysmans MC (2010) 12-year survival of composite vs. amalgam restorations. J Dent Res 89:1063–1067. doi:10.1177/0022034510376071 CrossRefPubMed

16.

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Initiative S (2008) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 61:344–349. doi:10.1016/j.jclinepi.2007.11.008 CrossRef

17.

Nyvad B, Fejerskov O (1986) Active root surface caries converted into inactive caries as a response to oral hygiene. Scand J Dent Res 94:281–284PubMed

18.

Bratthall D, Hansel Petersson G (2005) Cariogram—a multifactorial risk assessment model for a multifactorial disease. Community Dent Oral Epidemiol 33:256–264. doi:10.1111/j.1600-0528.2005.00233.x CrossRefPubMed

19.

Paris S, Haak R, Meyer-Lueckel H (2013) Diagnostics, treatment decision, and documentation. In: Meyer-Lueckel H, Paris S, Ekstrand KR (eds) Book title. Georg Thieme Verlag KG, Stuttgart

20.

Chuang SK, Tian L, Wei LJ, Dodson TB (2001) Kaplan-Meier analysis of dental implant survival: a strategy for estimating survival with clustered observations. J Dent Res 80:2016–2020CrossRefPubMed

21.

Naumann M, Koelpin M, Beuer F, Meyer-Lueckel H (2012) 10-year survival evaluation for glass-fiber-supported postendodontic restoration: a prospective observational clinical study. J Endod 38:432–435. doi:10.1016/j.joen.2012.01.003 CrossRefPubMed

22.

Peumans M, De Munck J, Mine A, Van Meerbeek B (2014) Clinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review. Dent Mater 30:1089–1103. doi:10.1016/j.dental.2014.07.007 CrossRefPubMed

23.

Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW (2014) Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res 93:943–949. doi:10.1177/0022034514544217 CrossRefPubMedPubMedCentral

24.

Carvalho JC, Thylstrup A, Ekstrand KR (1992) Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 20:187–192CrossRefPubMed

25.

Zenkner JE, Carvalho JC, Wagner MB, Alves LS, de Oliveira RS, Rocha RO, Maltz M (2016) One-year evaluation of inactive occlusal enamel lesions in children and adolescents. Clin Oral Investig 20:133–139. doi:10.1007/s00784-015-1490-8 CrossRefPubMed

26.

Wallace MC, Retief DH, Bradley EL Jr (1988) Prevalence of root caries in a population of older adults. Gerodontics 4:84–89PubMed

27.

Sumney DL, Jordan HV, Englander HR (1973) The prevalence of root surface caries in selected populations. J Periodontol 44:500–504. doi:10.1902/jop.1973.44.8.500 CrossRefPubMed

28.

Lucarotti PS, Holder RL, Burke FJ (2005) Analysis of an administrative database of half a million restorations over 11 years. J Dent 33:791–803. doi:10.1016/j.jdent.2005.06.011 CrossRefPubMed

29.

Burke FJ, Lucarotti PS (2009) How long do direct restorations placed within the general dental services in England and Wales survive? Br Dent J 206:E2 . doi:10.1038/sj.bdj.2008.1042discussion 26-7CrossRefPubMed

30.

Bader JD, Shugars DA, Rozier G, Lohr KN, Bonito AJ, Nelson JP, Jackman AM (2001) Diagnosis and management of dental caries. Evid Rep Technol Assess (Summ):1–4

31.

AI I (2004) Visual and visuo-tactile detection of dental caries. J Dent Res 83 Spec No C:C56–C66

32.

Nyvad B, Machiulskiene V, Baelum V (1999) Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 33:252–260CrossRefPubMed

33.

Brouwer F, Askar H, Paris S, Schwendicke F (2015) Detecting secondary caries lesions: a systematic review and meta-analysis. J Dent Res. doi:10.1177/0022034515611041

34.

Demarco FF, Correa MB, Cenci MS, Moraes RR, Opdam NJ (2012) Longevity of posterior composite restorations: not only a matter of materials. Dent Mater 28:87–101. doi:10.1016/j.dental.2011.09.003 CrossRefPubMed

35.

Opdam NJ, Bronkhorst EM, Roeters JM, Loomans BA (2007) Longevity and reasons for failure of sandwich and total-etch posterior composite resin restorations. J Adhes Dent 9:469–475PubMed

36.

van Dijken JW, Pallesen U (2013) A six-year prospective randomized study of a nano-hybrid and a conventional hybrid resin composite in class II restorations. Dent Mater 29:191–198. doi:10.1016/j.dental.2012.08.013 CrossRefPubMed

37.

Burke FJ, Lucarotti PS, Holder RL (2005) Outcome of direct restorations placed within the general dental services in England and Wales (part 2): variation by patients’ characteristics. J Dent 33:817–826. doi:10.1016/j.jdent.2005.03.007 CrossRefPubMed

Title: Risk factors for failure in the management of cervical caries lesions
Authors: R. J. Wierichs
E. J. Kramer
H. Meyer-Lueckel
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 6/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-016-2002-1

At a glance: The STEP trials

Springer Medicine

Risk factors for failure in the management of cervical caries lesions

Abstract

Objectives

Material and methods

Results

Conclusion

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Material and methods

Results

Conclusion

Clinical relevance

Please log in to get access to this content

Other articles of this Issue 6/2017

Management and outcomes of obstructive sleep apnea in children with Robin sequence, a cross-sectional study

Effect of supervised brushing with fluoride gel during primary school, taking into account the group prevention schedule in kindergarten

Impact of non-surgical periodontal therapy on saliva and serum levels of markers of oxidative stress

Growth and prevalence of feeding difficulties in children with Robin sequence: a retrospective cohort study

Retrospective case-control study of correlation between MTHFR gene and OSCC risk in North India

The effect of modified surgical flap design for removal of lower third molars on lingual nerve injury