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Caries activity and the presence of adjacent caries lesions on resin composite restorations in primary teeth

机译:乳牙树脂复合材料修复体中的龋活性和邻近龋损的存在

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Purpose: To clinically evaluate the status of caries lesions adjacent to restorations (AdjCL) in primary molars, and its relationship to the child's carious activity and marginal restoration integrity. Methods: Three independent examiners (trained, calibrated and blinded) evaluated 64 randomly selected restorations (occlusal and occluso-proximal) by the AdjCL status (kappa= 0.844), the restoration marginal integrity (kappa= 1) and the radiographic presence of lesions in the occlusal restoration margins (kappa=l). One of the examiners also evaluated the child's carious activity (kappa=1). The variables were related to the outcome through Chi-square and Fisher's Exact analysis (α= 5%). Results: A prevalence of 40.63% AdjCL (88.46% inactive) was seen, with no significant association to the child's carious activity (P= 0.23). The association of the absence of AdjCL and the presence of marginal integrity was statistically significant (P= 0.013). Also, the presence of AdjCL occurred especially around older restorations.
机译:目的:临床评估原发磨牙中与修复体相邻的龋损(AdjCL)的状况及其与孩子的龋齿活动和边缘修复体完整性的关系。方法:三名独立的检查者(经过训练,校准和盲检查)通过AdjCL状态(kappa = 0.844),修复体边缘完整性(kappa = 1)和影像学的影像学表现评估了64个随机选择的修复体(咬合和近端)牙合修复边缘(kappa = 1)。一位检查员还评估了孩子的龋齿活动(kappa = 1)。通过卡方和费舍尔精确分析(α= 5%),变量与结果相关。结果:发现患病率为40.63%(不活跃的占88.46%),与孩子的龋齿活动没有显着相关性(P = 0.23)。缺乏AdjCL和存在边缘完整性的关联在统计学上具有统计学意义(P = 0.013)。此外,AdjCL的存在尤其在较旧的修复体周围发生。

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