Repair versus replacement of defective direct dental restorations: A multinational cross-sectional study with meta-analysis
Hatipoğlu Ö. Martins J.F.B. Karobari M.I. Taha N. Aldhelai T.A. Ayyad D.M. Madfa A.A. Martin-Biedma B. Fernandez R. Omarova B.A. Yi L.W. Alfirjani S. Lehmann A. Sugumaran S. Petridis X. Krmek S.J. Wahjuningrum D.A. Iqbal A. Abidin I.Z. Intriago M.G. Elhamouly Y. Palma P.J. Hatipoğlu F.P.
September 2024Elsevier Ltd
Journal of Dentistry
2024#148
Objectives: When dental practitioners encounter a defective restoration, they are faced with a crucial decision whether to repair or replace it. This study aims to explore international preferences for repair procedures and the clinical steps taken during the repair process. Method: An 11-question survey was distributed to dentists across 21 countries via different platforms. The survey comprised two sections: the first included five questions aimed at gathering demographic information, while the second consisted of six questions focusing on participants practices related to the repair of composite or amalgam restorations A meta-analysis was employed to ascertain the pooled odds ratio of repairing versus replacement. The statistical analysis was carried out using the RevMan 5.3 program and forest plots were generated using the same program to visualize the results. Results: The survey was completed by 3680 dental practitioners. The results indicated a strong tendency to repair defective composite restorations (OR: 14.23; 95 % CI: 7.40, 27.35, p < 0.001). In terms of amalgam, there was a significant tendency to replace the restorations (OR: 0.19; 95 % CI: 0.12, 0.30, p < 0.001). When repairing restorations, the most common protocols were etching with orthophosphoric acid and creating an enamel bevel, regardless of the restorative material used. Conclusion: The findings of this study indicate that there exists a knowledge gap among dental practitioners regarding restoration repair. It is imperative that dental practitioners receive proper education and training on restoration repair, to ensure the usage of adequate protocols and restoration survival. Clinical significance: A significant portion of dental practitioners lack the necessary knowledge and education required for the repair of restorations. Therefore, it is imperative to establish guidelines aimed at enhancing the management of defective restorations, along with protocols for clinical interventions. This includes the incorporation of proper courses in undergraduate, graduate, and continuing education programs.
Amalgam , Composite resin , Minimal intervention dentistry , Repair , Replacement
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Department of Restorative Dentistry, Nigde Omer Halisdemir University, Turkey
ACTA, Amsterdam, Netherlands
Dental Research Unit, Center for Global Health Research, Saveetha Institute of Medical and Technical Sciences, Saveetha Medical College and Hospital, Tamil Nadu, Chennai, 600077, India
Department of Conservative Dentistry Jordan, University of Science and Technology, Irbid, Jordan
Department of Orthodontics and pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
Head of the Endodontics Department, Faculty of Dentistry, Al-Quds University, Palestine
Department of Restorative Dental Science, College of Dentistry, University of Hail, Hail, Saudi Arabia
Universidade de Santiago de Compostela (USC) Rua Entrerríos s/n, 15705, Spain
Endodontist, associate professor from endodontic department at CES University, Medellín, Colombia
S. D. Asfendiyarov Kazakh National Medical University, Dentistry School, Departement of Therapeutic Dentistry, Almaty, Kazakhstan
Department of Restorative Dentistry, National Dental Centre, Singapore
Department of Conservative Dentistry and Endodontics, University of Benghazi, Libya
Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poland
Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
Department of Endodontics, Section of Dental Pathology and Therapeutics, School of Dentistry, National and Kapodistrian University of Athens, Greece
Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gundulićeva 5, Zagreb, 10000, Croatia
Department of Conservative Dentistry. Faculty of Dental Medicine, Universitas Airlangga, Indonesia
Department of Restorative Dental sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
Department of Restorative Dentistry, International Islamic University Malaysia, Malaysia
Endodontic department of Dentistry Universidad Central del Ecuador Quito, Ecuador
Department of Pediatric and Community Dentistry, Faculty of Dentistry, Pharos University in Alexandria, Egypt
Centre for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, 3000-075, Portugal
Department of Endodontics, Nigde Omer Halisdemir University, Turkey
Department of Operative Dentistry & Endodontics, Frontier Medical and Dental College, Abbottabad, Pakistan
Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, 3000-075, Portugal
Department of Restorative Dentistry
ACTA
Dental Research Unit
Department of Conservative Dentistry Jordan
Department of Orthodontics and pediatric Dentistry
Head of the Endodontics Department
Department of Restorative Dental Science
Universidade de Santiago de Compostela (USC) Rua Entrerríos s/n
Endodontist
S. D. Asfendiyarov Kazakh National Medical University
Department of Restorative Dentistry
Department of Conservative Dentistry and Endodontics
Department of Conservative Dentistry and Endodontics
Department of Conservative Dentistry and Endodontics
Department of Endodontics
Department of Endodontics and Restorative Dentistry
Department of Conservative Dentistry. Faculty of Dental Medicine
Department of Restorative Dental sciences
Department of Restorative Dentistry
Endodontic department of Dentistry Universidad Central del Ecuador Quito
Department of Pediatric and Community Dentistry
Centre for Innovation and Research in Oral Sciences (CIROS)
Department of Endodontics
Department of Operative Dentistry & Endodontics
Institute of Endodontics
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