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Determining the Failure Rate of Direct Restorations-Chart Review versus Electronic Health Record Reports
Priyal Patel1, Utsavi Kapadia1, Janhvi Vyas2
1Office of Patient Services, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Dentistry Journal
|August 28, 2024
Summary
Dental restoration failure rates are higher than reported in electronic health records (EHRs). Manual chart reviews reveal discrepancies, emphasizing the need for accurate dental documentation.
Area of Science:
- Dental Materials Science
- Evidence-Based Dentistry
- Health Informatics
Background:
- Amalgam and composite restorations are common for minor dental issues.
- Electronic Health Record (EHR) data suggest low failure rates: 2.31% for amalgam and 1.14% for composite.
- Discrepancies between EHR data and actual clinical outcomes necessitate further investigation.
Purpose of the Study:
- To determine the true failure rates of amalgam and composite dental restorations.
- To compare manual chart review findings with existing EHR data.
- To identify documentation gaps in dental EHR systems.
Main Methods:
- Manual review of 216 amalgam restorations (2020-2022) and 350 composite restorations (2021) from University of Michigan School of Dentistry patient data.
- Defined restoration failure as replacement with the same or alternative material within one year.
- Calculated failure rates based on retreatment and alternate treatment data.
Main Results:
- Amalgam failures: 1.85% retreated, 7.87% alternate treatment.
- Composite failures: 9.71% retreated, 2.86% alternate treatment.
- Overall failure rates identified through manual review exceeded those reported in EHRs.
Conclusions:
- Manual chart review indicates higher dental restoration failure rates than initially reported in EHRs.
- Accurate and precise documentation practices are crucial for aligning EHR data with clinical reality.
- Improving EHR data integrity is essential for reliable dental research and practice management.
Keywords:
academiaanterior versus posterior composite restorationclinical performance of amalgam and composite restorationsdental documentationdental school settingfailure rate of amalgam–composite restorationsfailure rate of restorationimportance of documentationreason for failurereasons for dental restoration failurerestoration failureuniversity settingsMore Related Videos
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