Effect of Caries Control on Restoration Survival in High-Risk Children

A Prospective Cohort Study

Forfattere

  • Sheren Sameer Yousif Assistant Lecturer, Department of Pediatric and Preventive Dentistry, College of Dentistry, University of Al- Ameed, Karbala, Iraq
  • Ali Farouk Al-Taweel
  • Duaa Subhi Rasn
  • Shahad Fahim Obaid
  • Hawraa Abdulla Spahi

DOI:

https://doi.org/10.5195/d3000.2026.1572

Nøgleord:

Dental Caries, Risk Assessment, Pediatric Dentistry, Cohort Study, Dental Restoration

Resumé

Children who are at a significant risk of developing cavities and thus undergoing multiple restorative procedures will likely experience higher rates of restoration failure; however, little is known about how structured caries-protocols for controlling disease can affect survival rates of restorations for patients at high-risk of caries. The goal of the study was to gather evidence regarding the effect of structured caries-control protocols involving caries-risk assessments, topical fluoride/silver diamine fluoride treatments, sealants and enhanced oral hygiene education on the 24-month survival rate of restorations in high-caries-risk children compared to those receiving traditional restorative care. In this prospective cohort study, 340 high-caries-risk children between the ages of 4-10 were enrolled (170 per group) and participated in the study for 24 months. Evaluators used modified United States Public Health Service criteria to evaluate the restorations, and the data were analyzed by using the Kaplan-Meier survival analysis and multivariable Cox regression. Of the 340 children enrolled, 320 completed a restoration evaluation at 24 months. A total of 944 restorations were evaluated as well. The cumulative survival rate for restorations in the study group receiving structured caries-control protocols was significantly (p<.001) higher (84.1%) than that of the study group receiving traditional restorative care (59.7%). Other variables that had a statistically significant association with restoration failure included treatment with conventional care, posterior tooth location, poor oral hygiene and non-adherence to recall appointments. Based on the findings of this study, implementation of structured caries-control protocols into a restorative treatment plan greatly improved restoration survival rates for high-caries-risk children and supports the use of structured caries-control protocols in routine pediatric dental care pathways.

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Publiceret

2026-09-15

Nummer

Årg. 14 Nr. 2 (2026)

Sektion

Adults & the Elderly

Licens

Copyright (c) 2026 Sheren Sameer Yousif, Ali Farouk Al-Taweel, Duaa Subhi Rasn, Shahad Fahim Obaid, Hawraa Abdulla Spahi

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Revised 7/16/2018. Revision Description: Removed outdated link.