Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors
Purpose: This integrated review aims to identify and analyze the multifactorial contributors to the longevity of direct restorations, focusing on tooth-, patient-, and dentist-related factors. Materials and Methods: A search of the literature was performed using an electronic database, PubMed/Medlin...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-09-01
|
| Series: | Dentistry Journal |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2304-6767/12/9/291 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850261535334596608 |
|---|---|
| author | Maria Jacinta Moraes Coelho Santos Elham Zare Peter McDermott Gildo Coelho Santos Junior |
| author_facet | Maria Jacinta Moraes Coelho Santos Elham Zare Peter McDermott Gildo Coelho Santos Junior |
| author_sort | Maria Jacinta Moraes Coelho Santos |
| collection | DOAJ |
| description | Purpose: This integrated review aims to identify and analyze the multifactorial contributors to the longevity of direct restorations, focusing on tooth-, patient-, and dentist-related factors. Materials and Methods: A search of the literature was performed using an electronic database, PubMed/Medline, Web of Science, and Scopus, on papers published between 1980 and 2024. The titles and abstracts of papers that evaluated aspects categorized into tooth-related, patient-related, and dentist-related factors influencing restoration failure were selected and screened. Full-text assessments were conducted, and the extracted data were compiled, summarized, and synthesized. The reference lists of the collected papers were also screened, and relevant citations were included in this review. Data were gathered from clinical and laboratorial studies, systematic reviews, and meta-analyses to provide a comprehensive understanding of restoration longevity. Results: Among the tooth-related factors, multiple-surface restorations, deep margins, tooth location, and tooth vitality significantly impact restoration survival. Patient-related factors such as medical conditions, risk predictors of caries, age, sex, parafunctional habits, smoking, periodontal health, number of restorations, and socioeconomic status all play crucial roles. Regarding dentist-related factors, the decision-making process, age, experience, and dentist manual dexterity are vital aspects. Furthermore, the technique used, including isolation methods for moisture control, as well as the type of dental practice (large group vs. small practice), notably influenced the restoration survival. Conclusions: The longevity of dental restorations is influenced by a complex interplay of tooth-related, patient-related, and dentist-related factors. Strategies to improve restoration outcomes should consider all these multifactorial contributors. Continuing professional education, diligent patient guidance on the factors that influence restoration survival, careful material selection and restorative technique, and tailored individual treatment are crucial factors to reduce failure rates and improve the lifespan of restorations. |
| format | Article |
| id | doaj-art-08c05fd803e849d7bd5eabeeca67c80e |
| institution | OA Journals |
| issn | 2304-6767 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj-art-08c05fd803e849d7bd5eabeeca67c80e2025-08-20T01:55:22ZengMDPI AGDentistry Journal2304-67672024-09-0112929110.3390/dj12090291Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related FactorsMaria Jacinta Moraes Coelho Santos0Elham Zare1Peter McDermott2Gildo Coelho Santos Junior3Schulich School of Medicine and Dentistry, Western University London, London, ON N6A 3K7, CanadaInterdisciplinary Medical Science, Schulich School of Medicine and Dentistry, London, ON N6A 3K7, CanadaSchulich School of Medicine and Dentistry, Western University London, London, ON N6A 3K7, CanadaSchulich School of Medicine and Dentistry, Western University London, London, ON N6A 3K7, CanadaPurpose: This integrated review aims to identify and analyze the multifactorial contributors to the longevity of direct restorations, focusing on tooth-, patient-, and dentist-related factors. Materials and Methods: A search of the literature was performed using an electronic database, PubMed/Medline, Web of Science, and Scopus, on papers published between 1980 and 2024. The titles and abstracts of papers that evaluated aspects categorized into tooth-related, patient-related, and dentist-related factors influencing restoration failure were selected and screened. Full-text assessments were conducted, and the extracted data were compiled, summarized, and synthesized. The reference lists of the collected papers were also screened, and relevant citations were included in this review. Data were gathered from clinical and laboratorial studies, systematic reviews, and meta-analyses to provide a comprehensive understanding of restoration longevity. Results: Among the tooth-related factors, multiple-surface restorations, deep margins, tooth location, and tooth vitality significantly impact restoration survival. Patient-related factors such as medical conditions, risk predictors of caries, age, sex, parafunctional habits, smoking, periodontal health, number of restorations, and socioeconomic status all play crucial roles. Regarding dentist-related factors, the decision-making process, age, experience, and dentist manual dexterity are vital aspects. Furthermore, the technique used, including isolation methods for moisture control, as well as the type of dental practice (large group vs. small practice), notably influenced the restoration survival. Conclusions: The longevity of dental restorations is influenced by a complex interplay of tooth-related, patient-related, and dentist-related factors. Strategies to improve restoration outcomes should consider all these multifactorial contributors. Continuing professional education, diligent patient guidance on the factors that influence restoration survival, careful material selection and restorative technique, and tailored individual treatment are crucial factors to reduce failure rates and improve the lifespan of restorations.https://www.mdpi.com/2304-6767/12/9/291dental restorationslongevitytooth-related factorspatient-related factorsdentist-related factorsrestoration failure |
| spellingShingle | Maria Jacinta Moraes Coelho Santos Elham Zare Peter McDermott Gildo Coelho Santos Junior Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors Dentistry Journal dental restorations longevity tooth-related factors patient-related factors dentist-related factors restoration failure |
| title | Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors |
| title_full | Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors |
| title_fullStr | Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors |
| title_full_unstemmed | Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors |
| title_short | Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors |
| title_sort | multifactorial contributors to the longevity of dental restorations an integrated review of related factors |
| topic | dental restorations longevity tooth-related factors patient-related factors dentist-related factors restoration failure |
| url | https://www.mdpi.com/2304-6767/12/9/291 |
| work_keys_str_mv | AT mariajacintamoraescoelhosantos multifactorialcontributorstothelongevityofdentalrestorationsanintegratedreviewofrelatedfactors AT elhamzare multifactorialcontributorstothelongevityofdentalrestorationsanintegratedreviewofrelatedfactors AT petermcdermott multifactorialcontributorstothelongevityofdentalrestorationsanintegratedreviewofrelatedfactors AT gildocoelhosantosjunior multifactorialcontributorstothelongevityofdentalrestorationsanintegratedreviewofrelatedfactors |