Restorative
Purpose: The purpose of this study is to assess various factors associated with recurrent decay in first permanent molars after oral rehabilitation under GA in children 7 to 14 years of age. Methods: In this retrospective study, the charts of electronic record at Franciscan Children’s Hospital were reviewed. Children who underwent at least one dental general anesthesia between January 2017 to December 2020 were included. The records regarding the first permanent molar treatment modality under general anesthesia and follow-up information within 24 months after the treatment was collected. Patients’ information pertaining to age, date of birth, date of OR admission, type of insurance coverage, OR readmission, diagnosis and treatment of 6-year molars, findings of recall visit (recurrent caries on 6-year-old molars, oral hygiene) were obtained. Results: 123 eligible patients had treatment on their 6-year-old molars and follow up within 24 months. A total of 395 permanent first molars received restorative treatment. Overall, results showed a 15.7% relapse rate. Failure rates for each restorative treatment modality was as follows: 15.8% for sealants,7.8% for multi surface amalgams, 20.0% for 1-surface composite, 20.5% for multi surface composite, and 0% for SSCs, RCTs, and 1 surface amalgams.
Conclusion: Success rate varies across the different types of restorative treatments with composites showing the highest failure rate in treatment on 6-year-old molars among children ages 7 to 14 receiving oral rehabilitation.