Association between Composite Restoration in Anterior Teeth and Secondary Caries

Authors

  • Nurul Syamimi binti Mohd Azlan Sunil1 , Iffat Nasim2 , Revathi Duraisamy3

DOI:

https://doi.org/10.37506/ijfmt.v14i4.12538

Keywords:

Anterior restoration, class III restoration, composite restoration, recurrent caries, secondary caries

Abstract

Composite resin is one of the most commonly used restorative material during the past decade as it provides
desirable esthetics, easy to manipulate and minimal cavity preparation required. Despite numerous benefits
provided by composites, several clinical studies have reported short longevity and higher rate of failure in
composite restoration. One of the main reasons for failure was due to recurrent or secondary caries. The aim
of this study was to evaluate the association between composite restoration in anterior teeth and secondary
caries. This study included patients above 18 years with composite restoration filled anterior teeth who
reported to dental hospital from June 2019 to March 2020. Patients below 18 years, medically compromised
patients and patients without anterior composite restorations were excluded from the study. A total of around
86000 patient records were reviewed and analysed for the inclusion criteria and the following parameters
were extracted; (i) Patient’s gender, (ii) teeth involved, (iii) presence of secondary caries and (iv) types
of restoration. Data was recorded into Microsoft Office Excel (2013) and analysed using SPSS software
Version 26.0. Chi-square test was done to find out correlation of presence of secondary caries between
variables such as patient’s gender, teeth involved and types of restoration. Significant test level was set at
p<0.05. A total of 1062 teeth presented with composite restoration in anterior teeth. 17.6% of composite
filled anteriors presented with secondary caries. Class III restoration had the highest prevalence of secondary
caries (61%) and was found to be statistically significant (p<0.05). Females (18.3%) had higher incidence
of secondary caries than compared to males (16.6%). Maxillary central incisors had the highest presence
of secondary caries (64.2%). Within the limits of this study, it was observed that less number of composite
filled anterior teeth had secondary caries and females presented with more number of anterior composite
restoration with secondary caries compared to males. Class III restorations demonstrated higher presence of
secondary caries than other types of restoration.

Author Biography

  • Nurul Syamimi binti Mohd Azlan Sunil1 , Iffat Nasim2 , Revathi Duraisamy3

    1
    Research Associate, Dental Research Cell, 2Professor, Head of the Department, Department of Conservative
    Dentistry and Endodontics,3
    Senior Lecturer, Department of Prosthodontics, Saveetha Dental College and
    Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India,

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Published

2020-10-29

How to Cite

Association between Composite Restoration in Anterior Teeth and Secondary Caries. (2020). Indian Journal of Forensic Medicine & Toxicology, 14(4), 5981-5988. https://doi.org/10.37506/ijfmt.v14i4.12538