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

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-05-29T20:00:48+05:30 | Updated On 30 May 2023 2:17 PM IST

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

This study aimed to evaluate the risk factors and occurrence of pulpal disease in patients who received either full-coverage (crowns) or large noncrown restorations (fillings, inlays, or onlays involving ≥3 surfaces).

A retrospective chart review identified 2177 cases of large restorations placed on vital teeth. Based on the restoration type, patients were stratified into various groups for statistical analysis. After restoration placement, those who required endodontic intervention or extraction were classified as having pulpal disease.

Results

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:

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TeethReceiveLargeRestorationsEnd UpPulpal DiseaseJournal Of endodontics

Source : Journal Of endodontics

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751