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Type: Journal article
Title: Multilevel analysis of the association between posterior restorations and gingival health in young adults: A population-based birth cohort
Author: Demarco, F.
Correa, M.
Horta, B.
Barros, A.
Glazer De Anselmo Peres, K.
De Anselmo Peres, M.
Citation: Journal of Clinical Periodontology, 2013; 40(12):1126-1131
Publisher: Blackwell Munksgaard
Issue Date: 2013
ISSN: 0303-6979
Statement of
Flávio Fernando Demarco, Marcos Britto Correa, Bernardo Horta, Aluísio J. Barros, Karen Glazer Peres and Marco Aurélio Peres
Abstract: <h4>Objective</h4>To investigate the association of direct posterior restorations with gingival bleeding and dental calculus in young adults from a birth cohort.<h4>Methods</h4>A representative sample (n = 720) of 5914 infants born live in Pelotas, Brazil, in 1982, were prospectively investigated, and posterior restorations and periodontal health outcomes assessed when they were 24 years of age. Tooth-level exploratory variables included the presence and number of restoration's surfaces. Demographic and socio-economic characteristics, oral health instructions, dental floss usage, dental caries presence and smoking were also considered whilst gingival bleeding and dental calculus were the outcomes. Multilevel logistic regression was carried out.<h4>Results</h4>Class I cavities were found in 15.2% (95% CI 14.5-15.9) of the teeth and class II in 3.6% (3.3-4.0). Percentage of teeth with gingival bleeding was 6.1% (5.6-6.6) and that with dental calculus 22% (21.2-22.8). Even after all the individual variables were controlled for, the presence of a class I [OR1.51 (1.14-2.00)] and class II [OR 1.76 (1.04-2.97)] cavities was positively associated with gingival bleeding. Class I [OR1.36 (1.13-1.65)] and Class II [OR1.80 (1.28-2.53)] cavities were associated with dental calculus also.<h4>Conclusions</h4>Posterior restoration and higher number of restored surfaces was associated with a higher prevalence of gingival bleeding and dental calculus around the restoration.
Keywords: amalgam; calculus; cohort; composite; epidemiology; gingival bleeding
Rights: © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
RMID: 0020133037
DOI: 10.1111/jcpe.12168
Appears in Collections:Dentistry publications

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