Six-year survival and clinical performance of glass hybrid restorations following selective caries removal in teeth with molar incisor hypomineralization: a prospective cohort study

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dc.authoridDURMUS, BASAK/0000-0002-5870-0021
dc.contributor.authorSezer, Berkant
dc.contributor.authorSen Yavuz, Betul
dc.contributor.authorIsseven, Ceyda Ipek
dc.contributor.authorTugcu, Nihan
dc.contributor.authorCaliskan, Cansu
dc.contributor.authorDurmus, Basak
dc.contributor.authorKargul, Betul
dc.date.accessioned2025-05-29T02:58:07Z
dc.date.available2025-05-29T02:58:07Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives This study aimed to evaluate the clinical success and long-term survival of glass hybrid restorations in permanent first molars affected by molar incisor hypomineralization (MIH) following selective caries removal (SCR) over a six-year follow-up period. Materials and methods This prospective cohort study included a total of 134 MIH-affected molars in 58 children (mean age 8.94 +/- 1.41 years) restored with glass hybrid materials after SCR. Clinical outcomes were assessed at baseline and at 6, 12, 18, 24, and 72 months using modified USPHS criteria. Kaplan-Meier survival analysis and Cox proportional hazards regression with robust standard errors were conducted to evaluate restoration survival and identify potential predictors. Results The overall estimated mean survival time of restorations was 59.82 +/- 1.50 months. The survival probabilities for mild and severe lesions at six-year were 24.3% and 11.1%, respectively. Multivariate Cox proportional hazards regression with robust standard errors indicated that lesion severity, medium lesion extension, and large lesion extension had a statistically significant impact on restoration survival (p < 0.001 for all). While survival was satisfactory up to 2-3 years, a marked decline was observed over time, particularly in severely affected molars. Conclusions Glass hybrid restorations demonstrated acceptable clinical performance in MIH-affected molars in the short to medium term but showed significant limitations in long-term survival.
dc.description.sponsorshipCanakkale Onsekiz Mart University
dc.description.sponsorshipNot applicable.
dc.identifier.doi10.1007/s00784-025-06358-6
dc.identifier.issn1432-6981
dc.identifier.issn1436-3771
dc.identifier.issue5
dc.identifier.pmid40320479
dc.identifier.scopus2-s2.0-105004056719
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1007/s00784-025-06358-6
dc.identifier.urihttps://hdl.handle.net/20.500.12428/30280
dc.identifier.volume29
dc.identifier.wosWOS:001481204100002
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofClinical Oral Investigations
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250529
dc.subjectMolar incisor hypomineralization
dc.subjectSelective caries removal
dc.subjectSurvival analysis
dc.subjectGlass hybrid restorations
dc.subjectDevelopmental dental anomalies
dc.titleSix-year survival and clinical performance of glass hybrid restorations following selective caries removal in teeth with molar incisor hypomineralization: a prospective cohort study
dc.typeArticle

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