Stability of retreated defective restorations in food-impacted patients

| Posted in: Science Health Sciences

Journal name: Journal of Indian Society of Periodontology
Original article title: Long-term stability of retreated defective restorations in patients with vertical food impaction
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Golpar Radafshar, Fahimeh Khaghani, Samar Rahimpoor, Arshia Shad


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Long-term stability of retreated defective restorations in patients with vertical food impaction

Year: 2020 | Doi: 10.4103/jisp.jisp_585

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Vertical food impaction (VFI) is a common issue faced by patients with interproximal restorations, leading to discomfort and potential periodontal complications. This study investigates the long-term stability of retreated defective restorations over a 10-year period in patients diagnosed with VFI. It aims to bridge the gap in existing literature regarding the outcomes of treating defective restorations and provide insights into the factors influencing restoration stability.

Impact of Age and Occlusal Relationship on Stability

One significant finding from the study is the impact of patient age and occlusal relationship on the stability of reconstructed dental contacts. The results indicated that contacts of individuals over the age of 40 had significantly lower stability rates compared to younger patients. Additionally, the type of occlusal relationship—specifically, those classified as cusp-to-marginal ridge—was found to be a strong predictor of contact failure, with a raised risk factor of 3.93. These insights underscore the importance of considering demographic variables and existing occlusal dynamics when planning restorative treatments, suggesting a tailored approach to individualized patient care.

Conclusion

The study concludes that the long-term stability of retreated defective restorations in patients suffering from VFI ranges from 66% to 89%. Significant predictors of contact failure include patient age and occlusal contact type. These findings highlight the necessity for continuous evaluation of dental restorations, especially in older patients, and suggest that restorative strategies should be adjusted in response to specific patient characteristics and occlusal patterns to enhance treatment outcomes.

FAQ section (important questions/answers):

What is vertical food impaction and its common causes?

Vertical food impaction (VFI) occurs when food gets wedged between teeth. Common causes include weak tooth contacts after restoration, improper shaping of restorations, and anatomical issues like uneven occlusal wear or mobility of teeth.

What was the stability rate of restored contacts over 10 years?

The study found that the stability of retreated defective restorations was approximately 66% to 89% at various time points over a 10-year period, indicating a gradual decline in contact stability.

How does age affect the stability of dental restorations?

Patients over 40 years showed significantly less contact stability, likely due to natural tooth movement and changes in alveolar bone density affecting the stability of dental contacts.

What factors predicted contact failure in the study?

The study identified cusp-marginal ridge occlusal relationships and patient age as predictive factors for contact failure, highlighting the importance of these aspects in dental restoration management.

What is the significance of proper tooth contact in dentistry?

Proper tooth contact is crucial for maintaining functionality and periodontal health. It prevents complications like food impaction and associated issues such as gingival inflammation or periodontal disease.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Stability of retreated defective restorations in food-impacted patients”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In research, tables are crucial for organizing data and presenting results clearly. They summarize complex information to facilitate understanding and comparison of variables across different categories. In the context of the study mentioned, tables display findings related to dental restoration stability, periodontal variables, and recurrence of food impaction symptoms, aiding in data interpretation.

2) Study (Studying):
A study represents a systematic investigation aimed at discovering new information or confirming existing knowledge. In this context, the study assesses long-term outcomes of retreated dental restorations related to vertical food impaction. Such studies are essential for improving clinical practices and patient care in dentistry by identifying effective treatment strategies.

3) Food:
Food in this context refers to substances consumed that can lead to dental issues like vertical food impaction (VFI). Understanding how food interacts with dental restorations helps in designing effective solutions to prevent impaction, which can cause patient discomfort and complications. This variable is pivotal in assessing treatment outcomes.

4) Surface:
The term surface primarily refers to the external aspects of teeth where restorations are applied. Dental surfaces directly influence the quality of interactions during chewing and are essential in ensuring proper contact points. Poorly designed surfaces can lead to problems like food impaction, making surface quality critical in restoration therapies.

5) Composite:
Composite refers to a type of dental restoration material made from a mixture of resin and filler to mimic tooth appearance and function. Composites are commonly used in restorative dentistry due to their aesthetic appeal and bonding capabilities. Their effectiveness impacts treatment outcomes for conditions like VFI, which the study addresses.

6) Repair:
Repair involves clinical processes to restore functionality and aesthetics to damaged teeth. In the study, redoing faulty restorations was necessary to alleviate issues related to VFI. Repair techniques play a vital role in maintaining oral health, as successful repairs can prevent complications like secondary caries and periodontal disease.

7) Rules:
Rules in this context refer to the established guidelines or criteria that govern the procedures for assessing and treating dental restorations. These rules ensure consistency in the evaluation of treatment outcomes, contributing to improved clinical practices and patient safety in managing dental conditions like VFI.

8) Inflammation:
Inflammation signifies the body's response to injury or irritation, particularly in periodontal tissues. Increased inflammation around dental restorations can lead to complications such as bleeding and pain, which are commonly reported by patients. Monitoring inflammation is vital for evaluating the success of restorative procedures and patient comfort.

9) Bleeding:
Bleeding is a concerning symptom indicating potential periodontal issues or complications arising from food impaction. Its presence often signals inflammation or disease around dental restorations. Understanding the relationship between bleeding and dental restoration stability is crucial for effective treatment and patient management in dentistry.

10) Relative:
Relative refers to the comparative aspect of assessing variables in research. In the study context, relative comparisons between stable and unstable dental contacts help determine the factors influencing the success of restorations. This comparative analysis aids clinical decision-making to improve patient outcomes in restorative dentistry.

11) Science (Scientific):
Science is the systematic study of phenomena, providing a structured approach to inquiry and knowledge expansion. In the context of dental restorations and VFI, scientific methods ensure that treatments are based on evidence, promoting effective practices and advancing understanding of dental health issues within scientific frameworks.

12) Pain:
Pain is a significant indicator of underlying dental issues and can arise from unaddressed vertical food impaction or faulty restorations. The study emphasizes the importance of managing pain effectively through intervention strategies, as chronic discomfort significantly affects patients' overall oral health and quality of life.

13) Discussion:
Discussion in a research context facilitates the interpretation and implications of findings. It allows for the analysis of results within the broader framework of existing literature and clinical practices. The study's discussion emphasizes the relevance of the observed data and its applicability in improving patient management in dentistry.

14) Irritation:
Irritation refers to discomfort experienced due to dental problems, often leading to complaints such as pain or sensitivity. In the context of VFI, irritative symptoms underline the importance of effective restorative techniques. Recognizing the causes of irritation helps clinicians devise better strategies for patient care.

15) Knowledge:
Knowledge encompasses the information and understanding gained through study and experience. In dental sciences, knowledge of restoration techniques, patient demographics, and the interplay of factors influencing conditions like VFI is essential for making informed decisions that improve dental treatment outcomes and patient satisfaction.

16) Suffering:
Suffering indicates the physical or emotional distress experienced by patients owing to dental issues like VFI. Assessing suffering plays a vital role in dental practice, guiding treatment approaches aimed at alleviating discomfort and improving the overall wellbeing of patients through effective restorative therapies.

17) Entering:
Entering suggests the initiation of a process or protocol, particularly in clinical settings. In this study, it refers to the enrollment of patients into research protocols. Proper entering procedures ensure accurate data collection, which is essential for assessing treatment outcomes effectively and ethically.

18) Disease:
Disease refers to pathological conditions affecting bodily functions. In the context of this study, diseases like periodontal disease can complicate dental restorations and impact patient outcomes. Understanding the relationship between disease and restoration stability is crucial for effective treatment practices and patient management in dentistry.

19) Water:
Water represents the simplest form of a solvent crucial for maintaining oral hygiene. In the clinical setting, rinsing with water before examinations helps dentists assess the actual condition of interproximal areas. This basic hygiene practice is important for accurate diagnosis and effective treatment planning.

20) Visit:
Visit denotes patient appointments for dental evaluations and treatments. Regular visits are essential for monitoring the status of restorations and addressing issues like VFI promptly. The frequency and nature of these visits significantly influence treatment outcomes and overall patient satisfaction in dental practice.

21) Line:
Line can refer to a boundary or a standard in measuring clinical outcomes or patient responses. In this study, establishing clear lines helps to maintain consistency in evaluating treatment efficacy and stability of restorations. Clarity in assessment criteria is essential for effective dental practice.

22) Hand:
Hand may refer to the manual skills required by dental professionals when performing restorations and repairs. The quality of hands-on techniques directly affects the success of dental treatments, highlighting the importance of skilled practitioners in achieving optimal patient outcomes and adhering to recommended guidelines.

23) Gold (Golden):
Gold is a material used in dental restorations known for its durability and biocompatibility. In the study, the inclusion of gold restorations highlights the variety of materials dentists can use to address different cases of VFI. Understanding material properties is crucial for selecting effective restorative solutions.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Stability of retreated defective restorations in food-impacted patients’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Study population, Ethics committee, Recurrence of symptoms, Periodontal health, Patient complaints, Occlusal force, Interproximal spaces, Masticatory function, Cox regression model.

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