Journal article
Repair versus replacement of defective direct restorations A cross-sectional study among US dentists
The Journal of the American Dental Association (1939), Vol.152(11), pp.927-935
11/01/2021
DOI: 10.1016/j.adaj.2021.05.017
PMID: 34489065
Abstract
Background. Repair increases the longevity of restorations and is well-accepted by patients. In this study, the authors assessed the acceptance of dental restoration repair by dentists and determined the main variables of repair versus replacement of defective restorations.
Methods. A 15-item questionnaire was developed and distributed electronically to the American Dental Association Clinical Evaluators panel members (n = 785) during a 2-week period in 2019. Descriptive, bivariate, and multivariable analyses were conducted.
Results. Of the 387 respondents, 83.7% stated that they repair defective restorations, and 16% stated that they always replace them. Reasons to forego a restoration repair among dentists who perform repairs included defect size and carious lesion extension (42%) and negative personal experience or lack of success (37.9%). However, the latter was considerably higher for dentists who do not perform repairs (60.7%). The most commonly cited patient-related reason and tooth condition to repair restorations were limited patient finances (67%) and noncarious marginal defects (86%), respectively. Neither sex nor age group was significantly associated with the practice of restoration repair (P = .925 and P = .369, respectively). However, sole proprietors were more likely to perform repairs than those in an employee, associate, or contractor practice setting (P = .008). The most significant reason to forego restoration was negative experience or lack of success (P = .002).
Conclusions. Restoration repair is considered a treatment option for managing defective restorations. Negative personal experience or lack of success and practice setting influenced the dentists' decision to repair or replace a defective restoration.
Practical Implications. Understanding dentists' clinical challenges and practice environment is necessary when advocating for this approach.
Details
- Title: Subtitle
- Repair versus replacement of defective direct restorations A cross-sectional study among US dentists
- Creators
- Wafaa Kattan - Univ Iowa, Coll Dent, Dept Operat Dent, Iowa City, IA 52242 USAOlivia Urquhart - American Dental AssociationCarissa Comnick - Univ Iowa, Coll Dent, Dept Biostat & Computat Biol, Iowa City, IA 52242 USAMichelle R. McQuistan - University of IowaSandra Guzman-Armstrong - University of IowaJustine Kolker - University of IowaErica C. Teixeira - Univ Iowa, Dept Operat Dent, 801 Newton Rd, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- The Journal of the American Dental Association (1939), Vol.152(11), pp.927-935
- Publisher
- Amer Dental Assoc
- DOI
- 10.1016/j.adaj.2021.05.017
- PMID
- 34489065
- ISSN
- 0002-8177
- eISSN
- 1943-4723
- Number of pages
- 9
- Grant note
- graduate and professional student govern-ment at the University of Iowa
- Language
- English
- Date published
- 11/01/2021
- Academic Unit
- Preventive and Community Dentistry; Operative Dentistry
- Record Identifier
- 9984367720702771
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