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Association of indirect restorations with past caries history and present need for restorative treatment in the Northern Finland Birth Cohort 1966

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Abstract

Objectives

The objective of this study is to examine the prevalence of indirect restorations and their association with past caries history and present need for restorative treatment among adults in Northern Finland.

Materials and methods

The study population was a subsample of the Northern Finland Birth Cohort 1966 (n = 1961). The oral examinations were performed in 2012–2013. Indirect restorations (inlays/onlays and single crowns) were recorded tooth wise. Caries history was described with the sum of decayed, missing, and filled teeth (DMF). Caries was assessed using the International Caries Detection and Assessment System (ICDAS). The score of 4 was used as the cut off point for visible decay. Present need for restorative treatment was calculated by summing the decayed (D) and fractured (Fr) teeth. Need for restorative treatment was dichotomized to low [(D + Fr) ≤ 1] and high [(D + Fr) > 1].

Results

Altogether, 7.8% of the study population had indirect restorations. The prevalence of indirect restorations did not differ within DMF (p = 0.925), but it was higher among the subjects with a low need for restorative treatment (p < 0.001).

Conclusions

Indirect restorations were rare in the adult population and found mainly among the subjects with a low need for restorative treatment.

Clinical relevance

The results of the study can encourage dentists to consider more often indirect restorations for subjects with a need for restorative treatment.

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Acknowledgements

We thank the late professor Paula Rantakallio (launch of NFBC1966), the participants in the 46y study, and the NFBC project center. We also thank Mr. Jari Päkkilä for designing the software (electronic patient file) for this cohort study.

Funding

NFBC1966 has received financial support from the University of Oulu (Grant no. 24000692), Oulu University Hospital (Grant no. 24301140), and the European Regional Development Fund (Grant no. 539/2010 A31592).

Author information

Authors and Affiliations

  1. Department of Cariology, Endodontology and Pediatric Dentistry, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, P.O. Box 5281, FI-90014, Oulu, Finland

    Anne Laajala, Marja-Liisa Laitala & Vuokko Anttonen

  2. Medical Research Center, Oulu, Oulu University Hospital and University of Oulu, P.O. Box 21, FI-90029, Oulu, Finland

    Anne Laajala, Ritva Näpänkangas, Aune Raustia & Vuokko Anttonen

  3. Department of Prosthetic Dentistry and Stomatognathic Physiology, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, P.O. Box 5281, FI-90014, Oulu, Finland

    Pasi Karhatsu, Ritva Näpänkangas & Aune Raustia

  4. Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, P.O. Box 5281, FI-90014, Oulu, Finland

    Paula Pesonen

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  1. Anne Laajala
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Correspondence to Anne Laajala.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Laajala, A., Karhatsu, P., Pesonen, P. et al. Association of indirect restorations with past caries history and present need for restorative treatment in the Northern Finland Birth Cohort 1966. Clin Oral Invest 22, 1495–1501 (2018). https://doi.org/10.1007/s00784-017-2236-6

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  • DOI: https://doi.org/10.1007/s00784-017-2236-6

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