The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.

Shamir B. Mehta; Ewald M. Bronkhorst; Verônica P. Lima; Luuk Crins; Hilde Bronkhorst; Niek J.M. Opdam; Marie Charlotte D.N.J.M. Huysmans; Bas A.C. Loomans

doi:10.1016/j.jdent.2021.103712

The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.

Shamir B. Mehta^*, Ewald M. Bronkhorst, Verônica P. Lima, Luuk Crins, Hilde Bronkhorst, Niek J.M. Opdam, Marie Charlotte D.N.J.M. Huysmans, Bas A.C. Loomans

^*Corresponding author for this work

Centre for Dental Education

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

Abstract

Objectives: To investigate the effects of the level of pre-treatment tooth wear and increasing the VDO on the performance of direct resin composite restorations for the rehabilitation of pathological tooth wear. Methods: Full-mouth (pre-treatment) grading was performed on digital greyscale scan records for 34 participants (35.3 ± 8.4 years) with signs of moderate-to-severe generalised tooth wear, using the Tooth Wear Evaluation System and the Basic Erosive Wear Examination. Each participant received full-mouth direct resin composite restorations, with increased VDO. The post-treatment increase in the VDO was determined. Recalls were planned after 1 month, and after 1, 3, and 5 years. Three ‘levels’ of restoration failure were described. The effects of the variables on the frequencies of restoration failure were calculated with a multivariable Cox regression, (p < 0.05). Results: 1269 restorations were placed with a mean observation period of 62.4 months. Increasing the VDO by 1 mm significantly reduced the risks of all levels of anterior restoration failure (HR ≤ 0.62, p ≤ 0.025). A higher anterior BEWE surface score was associated with increased risks of Level 2- & 3- failures, (HR ≥ 1.29, p ≤ 0.019). Premolar restorations showed lower risks of Level 2- & 3- failure, compared to the molar restorations, (HR ≤ 0.5, p ≤ 0.005). Conclusion: Levels of pre-treatment wear and the applied change in the VDO significantly affected failure risk. Clinical relevance: Direct resin composite restorations for the rehabilitation of wear should be made as voluminous as possible, respecting the presenting biological, functional, and esthetic constraints.

Original language	English
Article number	103712
Journal	Journal of Dentistry
Volume	111
DOIs	https://doi.org/10.1016/j.jdent.2021.103712
Publication status	Published - Aug 2021

Keywords

BEWE
Clinical study
Composite resin restorations
Increase vertical dimension of occlusion
Interventions
Restorative treatment
Severe tooth wear
Survival
Tooth wear
TWES
TWES2.0

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Mehta, S. B., Bronkhorst, E. M., Lima, V. P., Crins, L., Bronkhorst, H., Opdam, N. J. M., Huysmans, M. C. D. N. J. M., & Loomans, B. A. C. (2021). The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations. Journal of Dentistry, 111, Article 103712. https://doi.org/10.1016/j.jdent.2021.103712

@article{b86c994f1ed14212ac6f616580a6d3f7,

title = "The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.",

abstract = "Objectives: To investigate the effects of the level of pre-treatment tooth wear and increasing the VDO on the performance of direct resin composite restorations for the rehabilitation of pathological tooth wear. Methods: Full-mouth (pre-treatment) grading was performed on digital greyscale scan records for 34 participants (35.3 ± 8.4 years) with signs of moderate-to-severe generalised tooth wear, using the Tooth Wear Evaluation System and the Basic Erosive Wear Examination. Each participant received full-mouth direct resin composite restorations, with increased VDO. The post-treatment increase in the VDO was determined. Recalls were planned after 1 month, and after 1, 3, and 5 years. Three {\textquoteleft}levels{\textquoteright} of restoration failure were described. The effects of the variables on the frequencies of restoration failure were calculated with a multivariable Cox regression, (p < 0.05). Results: 1269 restorations were placed with a mean observation period of 62.4 months. Increasing the VDO by 1 mm significantly reduced the risks of all levels of anterior restoration failure (HR ≤ 0.62, p ≤ 0.025). A higher anterior BEWE surface score was associated with increased risks of Level 2- & 3- failures, (HR ≥ 1.29, p ≤ 0.019). Premolar restorations showed lower risks of Level 2- & 3- failure, compared to the molar restorations, (HR ≤ 0.5, p ≤ 0.005). Conclusion: Levels of pre-treatment wear and the applied change in the VDO significantly affected failure risk. Clinical relevance: Direct resin composite restorations for the rehabilitation of wear should be made as voluminous as possible, respecting the presenting biological, functional, and esthetic constraints.",

keywords = "BEWE, Clinical study, Composite resin restorations, Increase vertical dimension of occlusion, Interventions, Restorative treatment, Severe tooth wear, Survival, Tooth wear, TWES, TWES2.0",

author = "Mehta, {Shamir B.} and Bronkhorst, {Ewald M.} and Lima, {Ver{\^o}nica P.} and Luuk Crins and Hilde Bronkhorst and Opdam, {Niek J.M.} and Huysmans, {Marie Charlotte D.N.J.M.} and Loomans, {Bas A.C.}",

note = "Funding Information: This study was financed in part by Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES) - Finance Code 001 and CAPES/PRINT, Brazil (88881.309861/2018?01). Funding Information: This study was financed in part by Coordena{\c c}{\~a}o de Aperfei{\c c}oamento de Pessoal de N{\'i}vel Superior - Brasil (CAPES) - Finance Code 001 and CAPES/PRINT, Brazil (88881.309861/2018–01). Publisher Copyright: {\textcopyright} 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = aug,

doi = "10.1016/j.jdent.2021.103712",

language = "English",

volume = "111",

journal = "Journal of Dentistry",

issn = "0300-5712",

publisher = "Elsevier",

}

Mehta, SB, Bronkhorst, EM, Lima, VP, Crins, L, Bronkhorst, H, Opdam, NJM, Huysmans, MCDNJM & Loomans, BAC 2021, 'The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.', Journal of Dentistry, vol. 111, 103712. https://doi.org/10.1016/j.jdent.2021.103712

TY - JOUR

T1 - The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.

AU - Mehta, Shamir B.

AU - Bronkhorst, Ewald M.

AU - Lima, Verônica P.

AU - Crins, Luuk

AU - Bronkhorst, Hilde

AU - Opdam, Niek J.M.

AU - Huysmans, Marie Charlotte D.N.J.M.

AU - Loomans, Bas A.C.

N1 - Funding Information: This study was financed in part by Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES) - Finance Code 001 and CAPES/PRINT, Brazil (88881.309861/2018?01). Funding Information: This study was financed in part by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001 and CAPES/PRINT, Brazil (88881.309861/2018–01). Publisher Copyright: © 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/8

Y1 - 2021/8

N2 - Objectives: To investigate the effects of the level of pre-treatment tooth wear and increasing the VDO on the performance of direct resin composite restorations for the rehabilitation of pathological tooth wear. Methods: Full-mouth (pre-treatment) grading was performed on digital greyscale scan records for 34 participants (35.3 ± 8.4 years) with signs of moderate-to-severe generalised tooth wear, using the Tooth Wear Evaluation System and the Basic Erosive Wear Examination. Each participant received full-mouth direct resin composite restorations, with increased VDO. The post-treatment increase in the VDO was determined. Recalls were planned after 1 month, and after 1, 3, and 5 years. Three ‘levels’ of restoration failure were described. The effects of the variables on the frequencies of restoration failure were calculated with a multivariable Cox regression, (p < 0.05). Results: 1269 restorations were placed with a mean observation period of 62.4 months. Increasing the VDO by 1 mm significantly reduced the risks of all levels of anterior restoration failure (HR ≤ 0.62, p ≤ 0.025). A higher anterior BEWE surface score was associated with increased risks of Level 2- & 3- failures, (HR ≥ 1.29, p ≤ 0.019). Premolar restorations showed lower risks of Level 2- & 3- failure, compared to the molar restorations, (HR ≤ 0.5, p ≤ 0.005). Conclusion: Levels of pre-treatment wear and the applied change in the VDO significantly affected failure risk. Clinical relevance: Direct resin composite restorations for the rehabilitation of wear should be made as voluminous as possible, respecting the presenting biological, functional, and esthetic constraints.

AB - Objectives: To investigate the effects of the level of pre-treatment tooth wear and increasing the VDO on the performance of direct resin composite restorations for the rehabilitation of pathological tooth wear. Methods: Full-mouth (pre-treatment) grading was performed on digital greyscale scan records for 34 participants (35.3 ± 8.4 years) with signs of moderate-to-severe generalised tooth wear, using the Tooth Wear Evaluation System and the Basic Erosive Wear Examination. Each participant received full-mouth direct resin composite restorations, with increased VDO. The post-treatment increase in the VDO was determined. Recalls were planned after 1 month, and after 1, 3, and 5 years. Three ‘levels’ of restoration failure were described. The effects of the variables on the frequencies of restoration failure were calculated with a multivariable Cox regression, (p < 0.05). Results: 1269 restorations were placed with a mean observation period of 62.4 months. Increasing the VDO by 1 mm significantly reduced the risks of all levels of anterior restoration failure (HR ≤ 0.62, p ≤ 0.025). A higher anterior BEWE surface score was associated with increased risks of Level 2- & 3- failures, (HR ≥ 1.29, p ≤ 0.019). Premolar restorations showed lower risks of Level 2- & 3- failure, compared to the molar restorations, (HR ≤ 0.5, p ≤ 0.005). Conclusion: Levels of pre-treatment wear and the applied change in the VDO significantly affected failure risk. Clinical relevance: Direct resin composite restorations for the rehabilitation of wear should be made as voluminous as possible, respecting the presenting biological, functional, and esthetic constraints.

KW - BEWE

KW - Clinical study

KW - Composite resin restorations

KW - Increase vertical dimension of occlusion

KW - Interventions

KW - Restorative treatment

KW - Severe tooth wear

KW - Survival

KW - Tooth wear

KW - TWES

KW - TWES2.0

UR - http://www.scopus.com/inward/record.url?scp=85108420561&partnerID=8YFLogxK

U2 - 10.1016/j.jdent.2021.103712

DO - 10.1016/j.jdent.2021.103712

M3 - Article

AN - SCOPUS:85108420561

SN - 0300-5712

VL - 111

JO - Journal of Dentistry

JF - Journal of Dentistry

M1 - 103712

ER -

The effect of pre-treatment levels of tooth wear and the applied increase in the vertical dimension of occlusion (VDO) on the survival of direct resin composite restorations.

Abstract

Keywords

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