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Survival and Associated Risk Factors of Atraumatic Restorative Treatment Restorations in Children with Early Childhood Caries

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Purpose: To assess the survival and risk factors associated with the failure of atraumatic restorative treatment (ART) restorations placed in children with early child-hood caries (ECC).
Methods: The sample consisted of 286 restorations from the records of 137 children treated in a university dental clinic. The date of restoration placement, any reintervention (failure), and the patient's last checkup were recorded. Restoration longevity up to one year of follow-up was assessed via the Kaplan-Meier survival test. Multi-variate Cox regression analysis with shared frailty was used to evaluate the factors associated with failures (P <0.05).
Results: The mean age of the children was 2.3±0.6 years, presenting a decayed, missing, and filled teeth (dmft) mean of 6.3±3.2. Mean survival time was 11.1 months (95 percent confidence interval = 10.8 to 11.4), with 85 percent of the restorations surviving after one year. Caries experience was associated with risk of restoration failure in crude analysis. ART restorations done in children with high caries experience had 2.71 times more risk of failure than those placed in children with moderate caries experience (P=0.03). However, the association lost its significance in the adjusted model (P=0.07).
Conclusion: ART is a patient-friendly approach to manage ECC that promotes satisfactory restoration survival after one year.
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Keywords: ATRAUMATIC RESTORATIVE TREATMENT; EARLY CHILDHOOD CARIES; PEDIATRIC DENTISTRY; SURVIVAL ANALYSIS

Document Type: Research Article

Affiliations: 1: Ms. da Silva is a dental student, Department of Surgery and Orthopedics, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil 2: Dr. Figueiredo, Department of Surgery and Orthopedics, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil 3: Dr. Casagrande are associate professors, Department of Surgery and Orthopedics, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil 4: Dr. Lenzi is an assistant professor, Department of Surgery and Orthopedics, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil;, Email: [email protected]

Publication date: January 1, 2020

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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