Close to 9% of Teeth That Receive Large Restorations Might End Up With Pulpal Disease
Close to 9% of Teeth That Receive Large Restorations Might End Up With Pulpal Disease suggests a new study published in the Journal Of endodontics
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.
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