Long-Term Outcomes of Conservative versus Surgical Management of Dental Caries

Author:

Parmar Digvijaysinh1,Alghamdi Nuha2,Bellam Swetha3,Kaur Jasmine4,Panda Abikshyeet5,Yedla Rasangnya6,Roja Nallamilli Lalitha Sri7

Affiliation:

1. Dental Public Health (DPH) Residency Program, University of California, San Francisco, USA

2. Department of Restorative Dental Sciences, King Khalid university, College of Dentistry, Abha, Saudi Arabia

3. BDS, Mamata Dental College, Khammam, Telangana, India

4. Dr. Harvansh Singh Judge Institute of Dental Sciences, Panjab University, Chandigarh, India

5. Department of Oral and Maxillofacial Pathology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Patia, Bhubaneswar, India

6. Department of Periodontics, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India

7. Consultant Endodontist, Clove Dental Hospitals, Visakhapatnam, Andhra Pradesh, India

Abstract

ABSTRACT Introduction: The management of dental caries presents challenges for oral health professionals, with options including conservative and surgical interventions. However, debate persists regarding the long-term efficacy of these strategies. Methods: This retrospective cohort research involved 500 subjects diagnosed with dental caries at the University Dental Clinic between January 1, 2018, and December 31, 2020. Data on demographics, dental history, treatments, and follow-up were collected from patient records. Subjects were categorized into conservative and surgical groups based on treatment received. Outcome measures included tooth survival, caries recurrence, and patient satisfaction. Results: The research included 300 subjects, with 60% under conservative management and 40% under surgical management. Demographics were comparable between groups, and both groups showed similar outcomes in tooth survival, caries recurrence, and patient satisfaction. Statistical analysis revealed no significant differences in these outcomes between groups. Conclusion: Conservative and surgical management approaches demonstrate comparable long-term outcomes in treating dental caries, emphasizing the importance of personalized treatment decisions. Further research with larger samples and prospective designs is needed to validate these findings and guide evidence-based practice in dental caries management.

Publisher

Medknow

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