Close to 9% of Teeth That Receive Large Restorations Might End Up With Pulpal Disease

Over the course of the study, 8.77% (n = 191) of patients developed pulpal disease. Pulpal disease was slightly more common in the large noncrown group than the full-coverage group (9.05% vs 7.54%, respectively). For patients who received large fillings, there was not a statistically significant difference based on operative material (amalgam vs composite: odds ratio = 1.32 [95% confidence interval, 0.94–1.85], P > .05) or the number of surfaces involved (3 vs 4: odds ratio = 0.78 [95% confidence interval, 0.54–1.12], P > .05). The association between the restoration type and the pulpal disease treatment performed was statistically significant (P < .001). The full-coverage group more frequently underwent endodontic treatment than extraction (5.78% vs 3.37%, respectively). Only 1.76% (n = 7) of teeth in the full-coverage group were extracted compared with 5.68% (n = 101) in the large noncrown group.

It appears that ∼9% of patients who receive large restorations will go on to develop pulpal disease. The risk of pulpal disease tended to be highest in older patients who receive large (4 surface) amalgam restorations. However, teeth with full-coverage restorations were less likely to be extracted.

Reference:

Devon M. Ptak, Anika Solanki, Lauren Andler, Deborah Tung, Shruti Jain, Elinor Alon. The Pulpal Response to Crown Preparation and Cementation. Published:March 08, 2023DOI:https://doi.org/10.1016/j.joen.2023.02.013

Keywords:

Close, 9%, Teeth, Receive, Large, Restorations, Might, End Up, Pulpal Disease,Journal Of endodontics, Devon M. Ptak, Anika Solanki, Lauren Andler, Deborah Tung, Shruti Jain, Elinor Alon, Chart review, crown, endodontic outcomes, pulpal response