Romanian Journal of Oral Rehabilitation (Oct 2023)
ASSESSMENT OF FACTORS INFLUENCING THE ESTHETIC, FUNCTIONAL AND BIOLOGICAL STATUS OF POSTERIOR COMPOSITE RESINS RESTORATIONS
Abstract
Aim. To determine factors influencing esthetic, functional and biologic criteria related to the status of the direct nanohybrid composite-based restorations. Materials and methods. The study group consisted of 45 patients (mean age: 24.88 ± 6.709 yr; gender: 24 males, 21 females) with dental caries in posterior dental group that were treated in Clinical Base of Faculty of Dental Medicine, U.M.F. Grigore T.Popa Iasi (Romania). The status of 241 direct nanohybrid composite-based restorations was analyzed by using FDI indices. Risk factors for unacceptable FDI scores (4-5) of nanohybrid composite-based direct occlusal and occlusal-proximal restorations were determined by using Pearson Chi-squared test and multivariate analysis. Results. 71,1% from all posterior composite resin restorations received scores FDI 1-3. Esthetic FDI scores 1-3 were recorded for 73,4% of all restorations, functional FDI scores 1-3 for 79,3% of all restorations, and biological FDI scores 1-3 for 86,25% of all restorations. Class II restorations had a 2.880 times higher risk of receiving FDI scores of 4-5 when compared to class I restorations, and composite restorations with an age of 3-5 years had a 2.081 times higher risk of receiving FDI scores of 4-5 when compared to restorations with an age of 1-2 years. Conclusions: Class II and age of restorations between 3-5 years are statistically significant predictors of unsatisfactory or unacceptable FDI scores for posterior composite resin restorations. Overall, high cariogenic risk is a risk factor for unsatisfactory or unacceptable FDI scores. Gender, class II, and restorations with age between 3-5 years are statistically significant predictors of unsatisfactory or unacceptable FDI esthetic scores. High cariogenic risk patients, class II, and restorations with age between 3-5 years are statistically significant predictors of unsatisfactory or unacceptable FDI functional scores. Class II and age of restorations between 3-5 years are statistically significant predictors of unsatisfactory or unacceptable FDI biological scores.
