Wiegand, Annette E.

[["dc.bibliographiccitation.firstpage","4563"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Clinical Oral Investigations"],["dc.bibliographiccitation.lastpage","4569"],["dc.bibliographiccitation.volume","25"],["dc.contributor.author","Maes, Mona Shaghayegh"],["dc.contributor.author","Kanzow, Philipp"],["dc.contributor.author","Hrasky, Valentina"],["dc.contributor.author","Wiegand, Annette"],["dc.date.accessioned","2021-04-14T08:30:39Z"],["dc.date.available","2021-04-14T08:30:39Z"],["dc.date.issued","2021-01-15"],["dc.description.abstract","Objectives: This study aimed to assess the survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities.\r\nMaterials and methods: Survival of composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities was retrospectively analyzed. Failure was defined as the need for replacement of at least one surface of the original restoration or extraction of the tooth. Individual-, tooth-, and restoration-related factors were obtained from dental records. Five-year mean annual failure rate (mAFR) and median survival time were calculated (Kaplan-Meier statistics). The effect of potential risk factors on failure was tested using univariate log-rank tests and multivariate Cox-regression analysis (α = 5%).\r\nResults: A total of 728 restorations in 101 patients were included in the analysis. The survival after 5 years amounted to 67.7% (5-year mAFR: 7.5%) and median survival time to 7.9 years. Results of the multivariate Cox-regression analysis revealed physical disability (HR: 50.932, p = 0.001) and combined intellectual/physical disability (HR: 3.145, p = 0.016) compared with intellectual disability only, presence of a removable partial denture (HR: 3.013, p < 0.001), and restorations in incisors (HR: 2.281, p = 0.013) or molars (HR: 1.693, p = 0.017) compared with premolars to increase the risk for failure.\r\nConclusion: Composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities showed a reasonable longevity as 67.7% survived at least 5 years.\r\nClinical relevance: Survival of composite restorations depends on risk factors that need to be considered when planning restorative treatment in patients with intellectual and/or physical disabilities. NCT04407520."],["dc.identifier.doi","10.1007/s00784-020-03770-y"],["dc.identifier.pmcid","PMC8310491"],["dc.identifier.pmid","33449193"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17859"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83321"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","1436-3771"],["dc.relation.issn","1432-6981"],["dc.relation.orgunit","Poliklinik für Präventive Zahnmedizin, Parodontologie und Kariologie"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.gro","Composite"],["dc.subject.gro","Disability"],["dc.subject.gro","Kaplan-Meier statistics"],["dc.subject.gro","Longevity"],["dc.subject.gro","Restoration"],["dc.title","Survival of direct composite restorations placed under general anesthesia in adult patients with intellectual and/or physical disabilities"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]