TY - JOUR
T1 - Repair versus replacement of defective direct dental restorations
T2 - A multinational cross-sectional study with meta-analysis
AU - Hatipoğlu, Ömer
AU - Martins, João Filipe Brochado
AU - Karobari, Mohmed Isaqali
AU - Taha, Nessrin
AU - Aldhelai, Thiyezen Abdullah
AU - Ayyad, Daoud M.
AU - Madfa, Ahmed A.
AU - Martin-Biedma, Benjamin
AU - Fernandez, Rafael
AU - Omarova, Bakhyt A.
AU - Yi, Lim Wen
AU - Alfirjani, Suha
AU - Lehmann, Anna
AU - Sugumaran, Surendar
AU - Petridis, Xenos
AU - Krmek, Silvana Jukić
AU - Wahjuningrum, Dian Agustin
AU - Iqbal, Azhar
AU - Abidin, Imran Zainal
AU - Intriago, Martha Gallegos
AU - Elhamouly, Yasmine
AU - Palma, Paulo Jorge
AU - Hatipoğlu, Fatma Pertek
N1 - Publisher Copyright:
© 2024 Elsevier Ltd
PY - 2024/9
Y1 - 2024/9
N2 - 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.
AB - 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.
KW - Amalgam
KW - Composite resin
KW - Minimal intervention dentistry
KW - Repair
KW - Replacement
UR - http://www.scopus.com/inward/record.url?scp=85198957372&partnerID=8YFLogxK
U2 - 10.1016/j.jdent.2024.105096
DO - 10.1016/j.jdent.2024.105096
M3 - Article
AN - SCOPUS:85198957372
SN - 0300-5712
VL - 148
JO - Journal of Dentistry
JF - Journal of Dentistry
M1 - 105096
ER -