Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 2

Prevalence of Secondary Caries Around Posterior Restoration

Jabbar Hussein Kamel1 and Faraed Dawood Salman2*

1Professor in Conservative Dentistry, Head of Conservative Department, Tishik University, Erbil, Iraq
2Professor, Department of Dental Assistant, Medical Technical Institute, Erbil Polytechnique University, Erbil, Iraq

*Corresponding Author: Faraed Dawood Salman, Professor, Department of Dental Assistant, Medical Technical Institute, Erbil Polytechnique University, Erbil, Iraq.

Received: December 03, 2021; Published: January 07, 2022


Background: Secondary caries is defined as lesions at the margins of existing restorations and is considered as a major reason for their replacement which, if it is left undiagnosed it may lead to loss of vitality of a tooth with many factors contributing to it.

Aims of the Study: The present study aims to determine the prevalence of secondary caries around posterior restorations in patients attending Tishik Dental Hospital University in Erbil city/Iraq.

Methods: A descriptive study was conducted among 61 patients with a total of 113 posterior restorations that are older than one year. Information regarding the presence or absence of secondary caries was noted with the age of the restoration, their types are based upon an extension of the restoration and the restoration material being used either amalgam or composite.

Statistical analysis was done using a t-test for difference and a chi-square test for relations.

Result: Prevalence of secondary caries was found to be (53%) among the understudy patients, restorations in the lower arch showed the highest prevalence, class II restorations had the highest prevalence, Amalgam restorations had a higher occurrence of secondary caries more than composite restoration, which had an age average of less than five years.

Conclusion: Restorations located in the mandible, especially the first molars, showed the highest prevalence of secondary caries, restorations involving the occlusal with the proximal margins had the highest prevalence, their occurrence was highest in restorations being in a period of less than five years.

Keywords: Posterior Restoration; Secondary Caries; Amalgam; Diagnosed


  1. Yokoyama Y., et al. “Analysis of factors affecting birthweight, birth length and head circumference: study of Japanese triplets”. Twin Research and Human Genetics6 (2005): 657-663.
  1. MachiulsKience U., et al. “Terminology of dental caries and dental caries management: Consensus report of a work-shop organized by ORCA and Cariology Research Group of IADR”. Caries Research 1 (2020): 7-14.
  2. Major IA and Toffenetti F. “Secondary caries: a literature review with case reports”. Quintessence International3 (2000): 165-179.
  3. White SC and Pharoah MJ. “Oral radiology, principle and interpretation. 4th St. Louis. The C.V. Mosby Co., Chap 15 (2000): 241-253.
  4. Haitham Askar., et al. “Secondary Caries: What is it? and how it can be controlled, detected and managed?” Clinical Oral Investigations 24 (2020): 1869-1876.
  5. Kidd EA. “Diagnosis of Secondary Caries”. Journal of Dental Education 10 (2001): 9971000.
  6. Schwendicke F., et al. “Marginal Integrity and Secondary Caries of Selectively excavated teeth in vitro”. Journal of Dentistry10 (2014): 1261-1268.
  7. FerraCane JL. “Models of Caries formation around dental composite restorations”. Journal of Dental Research4 (2017): 364-371.
  8. Mjor IA. “The location of clinically diagnosed secondary caries”. Quintessence International5 (1993): 313-317.
  9. Mjor IA and Quist V. “Marginal failures of amalgam and composite restorations”. Journal of dentistry1 (1997): 25-30.
  10. Hickel R and Manhart J. “Longevity of restorations in posterior teeth and reasons for failure”. The Journal of Adhesive Dentistry 1 (2001): 45-64.
  11. Elhenamy K., et al.In vitro performance of the Dragnocam for detecting proximal carious lesions adjacent to composite restorations”. Journal of Dentistry 72 (2018): 39-43.
  12. Zahra Jaberi Ansari and Haleh Valizadeh Haghi. “Secondary caries in the posterior teeth of patient presenting to the department of operative dentistry, Shahid Beheshtti Dental School”. Beheshtti University Journal of Dental 2 (2014): 62-68.
  13. Chomyszyn-Gajweska M., et al. “Prevalence of recurrent caries in three adult communities in Poland”. Community Dentistry and Oral Epidemiology 20 (1992): 311.
  14. Chestnut G., et al. “Prevalence of clinically apparent recurrent caries in Scottish adolescents and in5luence of oral hygiene practice”. Caries Research 29 (1995): 266-271.
  15. Fitzgerald RJ., et al. “A microbiological study of recurrent dentinal caries”. Caries Research 28 (1994): 409-415.
  16. Naswah Hinaz., et al. “Association of Gender and tooth position with secondary caries in class v restoralions- A retrospective analysis”. European Journal of Molecular and Clinical Medicine 01 (2020).
  17. Demirci M., et al. “Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients”. European Journal of Dentistry. Thieme medial and scienti5ic publishers private Ltd 4.03 (2010): 270-279.
  18. Rasines Alcaraz MGR., et al. “Direct composite resin 5illings versus amalgam 5illings for permanent teeth or adult posterior teeth”. Cochrane Database of Systematic Reviews (2014).
  19. Haghani J., et al. “Frequency of recurrent caries in bitewing radiographies in patients who attended Kerman dental radiology centers, Iran”. Journal of Oral Health and Oral Epidemiology 2 (2015): 90-95.
  20. Bernardo M., et al. “Survival and reasons for failure of amalgam versus composite posterior restorations placed in a randomized clinical trial”. Journal of the American Dental Association 6 (2007): 775-783.
  21. Mjor IA. “Clinical diagnosis of recurrent caries”. Journal of the American Dental Association 136 (2005): 1426-1433.
  22. Laccabue M., et al. “Frequency of restoration placement in posterior teeth for US Navy and Marine Corps personnel”. Operative Dentistry 11 (2014): 43-49.
  23. Silva B., et al. “Characteristics of secondary caries lesion around composite resin restorations”. Revista Da Faculdade De Odontologia De Porto Alegre 51 (2010): 23-29.
  24. Wenzel A., et al. “Accuracy of visual inspection, 5iber-optic transillumination and various radiographic image modalities for the detection of occlusal caries in extracted non-cavitated teeth”. Journal of Dental Research12 (2020): 1934-1937.
  25. Goshima T and Goshima Y. “Radiographic detection of recurrent carious lesions associated with composite restorations”. Oral Surgery, Oral Medicine, Oral Pathology 70 (1990): 236-239.
  26. Brouwer F., et al. “Restoration outcomes after restoring vital teeth with advanced caries lesions: a practice-based retrospective study”. Clinical Investing 7 (2016): 1675-1681.


Citation: Jabbar Hussein Kamel and Faraed Dawood Salman. “Prevalence of Secondary Caries Around Posterior Restoration”.Acta Scientific Medical Sciences 6.2 (2022): 03-20.


Copyright: © 2022 Jabbar Hussein Kamel and Faraed Dawood Salman. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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