Main Article Content

Abstract

Background: Overhanging dental restorations are defined as a horizontal mismatch in the smooth
and approximate surfaces of the restorations. A significant prevalence and degree of severity of
periodontal problems are associated with the presence of overhang margins restorations.
Aim: This study aimed to determine the prevalence of overhang margins in patients with class II
restorations.
Materials and Methods: An observational cross-sectional study was performed in 200 patients
attending Shorsh Teaching Dental Center in Sulaimani City of Iraq. Patients were examined using
sterilized patient examination kits and under the dental chair light. After the initial diagnosis of the
overhang, final confirmation was obtained with the radiographic studies. For data collection,
gender, age, time of restoration, type of material used, daily home care, and any history of gingival
bleeding or inflammation were obtained. Data was analyzed using SPSS software, version 21.
Results: The results of this study showed the prevalence of overhang in 296 (38.3%) examined
teeth, including 190 (44.2%) upper teeth, and 106 (30.9%) lower teeth, 202 (43.7%) molar teeth
and 94 (30.2%) premolar teeth, 241 (64.6%) composite teeth, and 55 (35.4%) amalgam teeth, 110
(37.1%) mesial teeth, and 186 (62.9%) distal overhang teeth, that 152 (51.4%) overhang teeth
occurred in men and 144 (48.6%) overhang teeth occurred in women.
Conclusion: The results of this study showed that the frequency of overhang was relatively high
in the examined teeth. The results of this study showed the highest frequency of overhang in
composite teeth. Overhang treatment and removal appear to be necessary to minimize periodontal
risks

Keywords

Overhanging dental restorations Overhanging Prevalence Amalgam overhang

Article Details

References

  1. AlTowayan SA. The Prevalence of Overhanging Restorations, Effects and Prevention.
  2. Journal of International Dental and Medical Research. 2023;16(3):1342-7.
  3. Yawer Aldakawi DM, Saeed DH, Saleem Almola WM. The Prevalence of Amalgam
  4. Overhang in Erbil City Population. Polytechnic Journal. 2020;10(1):10.
  5. doi.org/10.25156/ptj.v10n1y2020.pp56-60
  6. Aminian R, Ghassemi A, Shahali F. Prevalence of overhang in tooth-colored restorations
  7. conducted in operative department of Shahid Beheshti dental school: 2001-2002. 2006.
  8. Tavangar M, Darabi F, TAYEFEH DR, VADIATI SB, JAHANDIDEH Y,
  9. KAZEMNEJAD LE, et al. The prevalence of restoration overhang in patients referred to the dental
  10. clinic of Guilan University of Medical Sciences. J Dentomaxillofacial Radiol Pathol Surg. 2016.
  11. Gilmore N, Sheiham A. Overhanging dental restorations and periodontal disease. 1971.
  12. Al B. Marginal fit of restorations and its relation to periodontal bone levels. I. Metal
  13. fillings. Odontol Revy. 1969;20:311-21.
  14. Ali AKA. The prevalence of overhanging margins in posterior filling restorations and
  15. periodontal consequences. Journal of baghdad college of dentistry. 2012;24(special issue 1).
  16. Sikri V, Sikri P. Overhanging interproximal silver amalgam restorations. Prevalence and
  17. side-effects. Indian Journal of Dental Research: Official Publication of Indian Society for Dental
  18. Research. 1993;4(1):13-6.
  19. Hinrichs JE, Math VT. The role of dental calculus and other local predisposing factors.
  20. Carranza's Clinical Periodontology St Louis, MO: Elsevier, Saunders Elsevier. 2012:217-31.
  21. Rodriguez‐Ferrer H, Strahan J, Newman H. Effect on gingival health of removing
  22. overhanging margins of interproximal subgingival amalgam restorations. Journal of Clinical
  23. Periodontology. 1980;7(6):457-62.
  24. Mullejans R, Badawi M, Raab W, Lang H. An in vitro comparison of metal and transparent
  25. matrices used for bonded class II resin composite restorations. Operative Dentistry.
  26. ;28(2):122-6.
  27. ATAY MT, DİNDAR MB, ÖZYURT E, ÇİLİNGİR A, ERDEMİR U. Frequency and
  28. Localization of Overhanging Restorations. Cumhuriyet Dental Journal. 2020;23(2):116-23.
  29. doi.org/ 10.7126/cumudj.677099
  30. Kheyzaran B, Nasim HS, Mohsen A, Sajad AF. Evaluation the Overhang Rate in Class II
  31. Amalgam Restorations among Bandar Abbas Patients in 2015. Journal of Research in Medical and
  32. Dental Science. 2018;6(1):151-6.
  33. Quadir F, Ali Abidi S, Ahmed S. Overhanging amalgam restorations by undergraduate
  34. students. J Coll Physicians Surg Pak. 2014;24(7):485-8.
  35. Oskoee PA, Kimyai S, Oskoee SS, Asdagh S. Prevalence of proximal overhanging margins
  36. in posterior amalgam restorations performed by Tabriz Dental Faculty Students. Medical Journal
  37. of Tabriz University of Medical Sciences. 2009;31(1):53-6.
  38. Pack AR, Coxhead LJ, McDonald BW. The prevalence of overhanging margins in
  39. posterior amalgam restorations and periodontal consequences. Journal of Clinical Periodontology.
  40. ;17(3):145-52.
  41. JB S. Robbins JW. Hilton TJ. Schwartz RS. Santos J Jr. Fundamentals of Operative
  42. Dentistry: A Contemporary Approach 3rd edition. Illinois. Quintessence Publishing Co, Inc; 2006.
  43. Highfield J, Powell R. Effects of removal of posterior overhanging metallic margins of
  44. restorations upon the periodontal tissues. Journal of Clinical Periodontology. 1978;5(3):169-81.
  45. Millar B, Blake K. The influence of overhanging restoration margins on interproximal
  46. alveolar bone levels in general dental practice. British Dental Journal. 2019;227(3):223-7.
  47. doi.org/10.1038/s41415-019-0530-1
  48. Bazerbashi J, Alkhubaizi Q, Parsa A, Shabayek M, Strassler H, Melo MAS. Prevalence
  49. and Characteristics of Radiographic Radiolucencies Associated with Class II Composite
  50. Restorations. Applied Sciences. 2023;13(8):4780. doi.org/10.3390/app13084780
  51. Hussein Kamel J, Dawood Salman F. The Prevalence of Overhang and Gap Formation in
  52. Posterior Amalgam and Composite Restorations Among 4th and 5th Stage Undergraduate
  53. Students/Tishk University. Acta Scientific Medical Sciences. 2023;7(4):145-56. doi.org/
  54. 31080/ASMS.2023.07.1518
  55. Tarcin B, Gumru B, Idman E. Radiological assessment of alveolar bone loss associated
  56. with overhanging restorations: A retrospective cone beam computed tomography study. Journal of
  57. Dental Sciences. 2023;18(1):165-74. doi.org/10.1016/j.jds.2022.06.021
  58. Büyükgöze Dindar M, Açıkgöz-Alparslan E, Tekbaş-Atay M. Radiographic Evaluation of
  59. Marginal Bone Height and Density Around Overhanging Dental Restorations. International
  60. Journal of Periodontics & Restorative Dentistry. 2022;42(3). doi.org/10.11607/prd.5424
  61. Ebrahimzadeh-Hassanabadi M, Gharib A, Moaddabi A. The overhang rate in posterior
  62. teeth restorations among a sample of patients from Sari City, Iran, in year 2017. Chronic Diseases
  63. Journal. 2019:160-4. doi.org/ 10.22122/cdj.v7i3.413
  64. Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, et al. Revised
  65. FDI criteria for evaluating direct and indirect dental restorations—recommendations for its clinical
  66. use, interpretation, and reporting. Clinical Oral Investigations. 2023;27(6):2573-92.
  67. doi.org/10.1007/s00784-022-04814-1
  68. Kumar A, Grover V, Satpathy A, Jain A, Grover HS, Khatri M, et al. ISP good clinical
  69. practice recommendations for gum care. Journal of Indian Society of Periodontology.
  70. ;27(1):4. doi.org/ 10.4103/jisp.jisp_561_22
  71. Torres CRG, Barbe AG, Noack MJ, Wicht MJ. Diagnosis and Treatment Planning. Modern
  72. Operative Dentistry: Principles for Clinical Practice. 2020:1-42.
  73. O'rourke B, Walls A, Wassell R. Radiographic detection of overhangs formed by resin
  74. composite luting agents. Journal of Dentistry. 1995;23(6):353-7

Similar Articles

You may also start an advanced similarity search for this article.