Abstract
Aim: This study aimed to evaluate the decision-making by patients to replace temporary restorations with permanent restorations after endodontic treatment and to verify the associated factors and evaluate the quality/integrity of the temporary restorative material within one month. Methods: This is a cross-sectional study using non-probabilistic sampling which analyzed patients after one month of endodontic treatment. The self-administered questionnaire contained sociodemographic, treatment decision-making and endodontic treatment questions. The restoration present in the mouth was evaluated in the clinical oral examination. The Poisson Regression test was used to verify the prevalence ratio. Results: The prevalence failure to perform permanent restorations was 61.1% of patients, and 42.7% reported not having adhered. The reasons are lack of time and not knowing the importance of replacing the restoration with a definitive one. The glass ionomer temporary restorative frequency was higher among those who chose not to replace the temporary restoration with a permanent one (PR=5.19; 95%CI 2.10-12.33). In addition, there was an association between the quality of the restorative material and the type of material, and the best clinical quality of the restoration was statistically associated with glass ionomer and composite resin. Conclusions: The findings show the importance of guidance by the dental surgeon in helping patients decide to replace their temporary restoration.
Highlights
The careful performance of the chemical-mechanical preparation, filling and sealing the root canals are among the stages of endodontic treatment
Adhesion of the temporary restoration exchange after endodontic treatment by patients was assessed in the present study
Their sociodemographic characteristics, the type of provisional restorative material, and in the case of non-adhesion of the exchange, the integrity of these restorations was evaluated after one month
Summary
The careful performance of the chemical-mechanical preparation, filling and sealing the root canals are among the stages of endodontic treatment. Some studies highlight that one of the causes which can lead to root canal therapy failure is the fluid pathway from the oral cavity to the tooth through the temporary restorative material called coronary microleakage[6]. These microleakages can promote recontamination of the root canal system and a new periapical pathology requiring further intervention
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