Dental Restoration Longevity among Geriatric and Special Needs Patients

D J Caplan; Y Li; W Wang; S Kang; L Marchini; H J Cowen; J Yan

doi:10.1177/2380084418799083

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Dental Restoration Longevity among Geriatric and Special Needs Patients

Journal article

Open access

Peer reviewed

Dental Restoration Longevity among Geriatric and Special Needs Patients

D J Caplan, Y Li, W Wang, S Kang, L Marchini, H J Cowen and J Yan

JDR clinical and translational research, Vol.4(1), pp.41-48

01/2019

DOI: 10.1177/2380084418799083

PMID: 30931764

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https://doi.org/10.1177/2380084418799083View

Published (Version of record)JDR Clinical & Translational Research 4(1): 41-48

Abstract

Although the population is aging and retaining more teeth, there is a lack of studies that address the longevity of dental restorations placed among older adults. This study aimed to describe the survival trajectory of dental restorations placed in an outpatient population of geriatric and adult special needs patients over a 15-y span, with particular interest in the longevity of subsequent restorations in teeth that received multiple restorations over time. Dental restorations of different types and sizes in patients aged ≥65 y treated between 2000 and 2014 at the University of Iowa College of Dentistry were followed until they incurred an event (i.e., restoration replacement, extraction of the tooth, or endodontic treatment of the tooth). Survival analysis and extended Cox regression models were used to generate hazard ratios for selected predictor variables. A total of 9,184 restorations were followed among 1,551 unique patients. During the follow-up period, 28.7% of these restorations incurred an event, and overall the restorations had a median life span of 6.2 y. In multivariable regression models, after controlling for sex and age, a greater number of restoration surfaces were associated with higher risks of failure, and the initial restoration recorded in the database for each participant tended to have a lower risk of failure than that of restorations that included any of those same surfaces that were placed later. This information could be helpful to older adult patients considering various restorative treatment options during the dental treatment-planning and informed consent process. Informed decision making with regard to potential treatment options is an important component of health and well-being. The present study could contribute to the improved health of older adult dental patients by providing baseline information that clinicians can use as they discuss different restorative treatment options with these patients and their caregivers during the informed consent process.

dental care for aged

survival analysis

dental care for disabled

treatment failure

life span

dental materials

Details

Title: Subtitle: Dental Restoration Longevity among Geriatric and Special Needs Patients
Creators: D J Caplan - University of Iowa, Preventive and Community Dentistry
Y Li - University of Connecticut
W Wang - University of Connecticut
S Kang - Yonsei University
L Marchini - University of Iowa, Preventive and Community Dentistry
H J Cowen - University of Iowa, Preventive and Community Dentistry
J Yan - University of Connecticut
Resource Type: Journal article
Publication Details: JDR clinical and translational research, Vol.4(1), pp.41-48
DOI: 10.1177/2380084418799083
PMID: 30931764
NLM abbreviation: JDR Clin Trans Res
ISSN: 2380-0844
eISSN: 2380-0852
Publisher: International & American Associations for Dental Research; United States
Language: English
Date published: 01/2019
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983763591802771

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