Patel Priyal, Kapadia Utsavi, Vyas Janhvi, Mhay Sahil, Nalliah Romesh P
Office of Patient Services, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Faculty in Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Dent J (Basel). 2024 Aug 8;12(8):250. doi: 10.3390/dj12080250.
Amalgam and composite restorations are used to treat minor dental issues. University of Michigan, School of Dentistry Electronic Health Record (EHR) reports show a 2.31% failure rate for amalgam and 1.14% for composite. Our study aims to determine the true failure rates through manual EHR chart reviews. Patient data from the University of Michigan School of Dentistry were utilized-216 amalgam restorations from 2020 to 2022 and 350 composite restorations in 2021 were searched. We defined as replacing a restoration with the same material and as replacing restoration with an alternative treatment within one year. The refers to a combination of replacement with the same and alternative treatment material within one year. For Amalgam: 1.85% failed and were retreated; 7.87% failed and were received an alternate treatment. Composite: 9.71% failed and retreated; 2.86% failed and received alternate treatment. In total anterior composite: 10.5% retreated, 2.6% failed; posterior composite: 9.1% retreated, 3.0% failed. Our study revealed higher restoration failure rates than the reports extracted in the EHR. This highlights the need to foster a culture of precise documentation to align EHR reports with hand-search findings.
汞合金和复合树脂修复材料用于治疗轻微的牙齿问题。密歇根大学牙科学院电子健康记录（EHR）报告显示，汞合金修复的失败率为2.31%，复合树脂修复为1.14%。我们的研究旨在通过人工审查EHR图表来确定真正的失败率。利用了密歇根大学牙科学院的患者数据——检索了2020年至2022年的216个汞合金修复病例以及2021年的350个复合树脂修复病例。我们将“重新治疗”定义为用相同材料替换修复体，将“替代治疗”定义为在一年内用另一种治疗方法替换修复体。“总治疗”是指一年内用相同材料和替代治疗材料替换修复体的综合情况。对于汞合金修复：1.85%失败并进行了重新治疗；7.87%失败并接受了替代治疗。对于复合树脂修复：9.71%失败并进行了重新治疗；2.86%失败并接受了替代治疗。在前牙复合树脂修复中：10.5%进行了重新治疗，2.6%失败；在后牙复合树脂修复中：9.1%进行了重新治疗，3.0%失败。我们的研究显示修复失败率高于EHR中提取的报告。这突出了培养精确记录文化以使EHR报告与人工检索结果一致的必要性。
