Prevalence and Patterns of Restorations on Permanent Molar Teeth: A Hospital-based Cross-sectional Study
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Keywords

Amalgam
composite
pattern of restoration
permanent molars

Abstract

Introduction: Dental caries is the most prevalent oral disease globally. Molars are the most susceptible teeth for dental caries owing to their morphological features and position in the arch requiring restorations. In today’s era, a variety of restorative materials with their own advantages and disadvantages are available.

Objective: This study aimed to determine prevalence and patterns of restorations on permanent molar teeth in adult dental patients.

Methods: This descriptive cross-sectional study was carried out with ethical approval, in patients visiting the Dental Department of Dhulikhel Hospital from 2023 December 01 to 2024 February 29. All molar teeth from 216 patients above 18 years were examined and recorded as restored, unrestored, or missing with convenience sampling technique. The types of restorations with its quality as intact or defective were noted. Statistical analysis in the form of descriptive statistics was carried out with SPSS software.

Results: A total of 2,592 molars, among 216 participants were examined, out of which 324 (12.50%) were restored, 1,906 (73.53%) were unrestored, and 362 (13.96%) were missing. Most frequently restored molars were first molars (176, 54.32%) and missing were third molars (362, 13.96%). Restored molars were more in mandibular arch, with higher frequency for first molars (108, 33.33%). The majority of teeth had intact composite restoration (198, 61.11%). Most of the unrestored teeth were non-carious (1,332, 69.88%).
Conclusions: Molar teeth, especially the permanent first molars are more susceptible to caries and frequently restored teeth. Timely intervention, if needed, with appropriate treatment modality prevents miserable complications.

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