The survival and clinical performance of resin-based composite restorations used to treat localised anterior tooth wear.
OBJECTIVE
To examine the clinical performance of resin-based composite restorations placed at an increased vertical dimension when used to manage localised anterior tooth wear.


METHODS
A retrospective analysis of cases treated at a single centre.


METHODS
UK Hospital setting in the year 2000.


METHODS
Two hundred and twenty five restorations placed in 31 subjects were included. Assessment was made following examination of study casts and projected slides. Modified United States Public Health Services criteria were used and data analysed using the software Statistical Programme for Social Sciences (SPSS). Survival analysis was carried out at two levels, major failure only and all types of failure. Kaplan-Meier survival plots were produced against different variables and modes of failure were also noted.


RESULTS
Major failure requiring replacement of the restoration was uncommon within the first five years. Minor failure requiring repair or refinishing presented mainly as wear, marginal discolouration or marginal fracture. Median survival was 4 years 9 months when all types of failure were considered. The restorations have good appearance and are well tolerated.


CONCLUSIONS
Placement of resin-based composite restorations at an increased vertical dimension to treat localised anterior tooth wear, has good short to medium term survival. The technique is conservative and relatively easy to maintain.
Redman
C D J
CD
Defence Dental Agency Post Graduate Institute, RAF Halton, Aylesbury, Buckinghamshire HP22 5PG. dda-8crdclinadvisor@defence.mod.uk
Hemmings
K W
KW
Good
J A
JA
D000293:Adolescent; D000328:Adult; D000368:Aged; D003188:Composite Resins / Q000737:chemistry*; D017269:Dental Prosthesis Repair; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent; D005260:Female; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008297:Male; D008875:Middle Aged; D019279:Resin Cements / Q000737:chemistry; D012189:Retrospective Studies; D012823:Silicate Cement / Q000737:chemistry; D013499:Surface Properties; D016019:Survival Analysis; D019217:Tooth Attrition / Q000628:therapy*
D003188:Composite Resins; D005899:Glass Ionomer Cements; D019279:Resin Cements; C111282:dental polyglass; C065770:Herculite XR; D012823:Silicate Cement; C039734:Durafill