Investigating contemporary dental practice in restorative dentistry and Dentists-related factors in placing and replacing restorations in Kurdistan, Iraq
DOI:
https://doi.org/10.23918/eajse.v10i2p05Keywords:
Practice-Based Research, Restorations;, Replacement, Amalgam, CompositeAbstract
Aim: to assess if there is any relationship in dental practice between direct restoration placement or replacement to the dentist’s gender and experience. Method: a cross-sectional study included two hundred general practitioner dentists whose experiences from 1-20 years were divided into two groups (1-10 and 11-20 years). The participants were instructed to collect data about the number of placed and replaced restorations, the reason for placement, and the type of materials from patients aged 14- > 60. The Pearson Chi-Square test (with continuity correction and Fisher's exact test, if necessary). It was considered that a P-value less than ≤ 0.05 was significant. Results: Both male and female dentists placed restorations more than they replaced and the difference between placement and replacement was statistically significant (P = 0.000). Clinicians with professional experience between 1-10 years performed more restoration replacement than the older group and this difference showed statistical significance (P = 0.000). Secondary caries was the most diagnosed reason for replacement by both male and female clinicians. Significant differences between secondary caries and other causes (P = 0.000). Conclusion: Accuracy is required in diagnosing defects in previously performed fillings and whether they are worth replacing or not, as well as motivating dentists to follow minimally invasive dentistry.
References
[1] Eltahlah D, Lynch CD, Chadwick BL, Blum IR, Wilson NHF. An update on the reasons for
placement and replacement of direct restorations. J Dent. 2018 May;72:1-7.
https://doi.org/10.1016/j.jdent.2018.03.001.
[2] Gordan VV, Riley JL 3rd, Geraldeli S, Rindal DB, Qvist V, Fellows JL, Kellum HP, Gilbert
GH; Dental Practice-Based Research Network Collaborative Group. Repair or replacement of
defective restorations by dentists in The Dental Practice-Based Research Network. J Am Dent
Assoc. 2012 Jun;143(6):593-601. https://doi.org/10.14219/jada.archive.2012.0238.
[3] Staxrud F, Tveit AB, Rukke HV, Kopperud SE. Repair of defective composite restorations. A
questionnaire study among dentists in the Public Dental Service in Norway. J Dent. 2016
Sep;52:50-4. https://doi.org/10.1016/j.jdent.2016.07.004.
[4] Nascimento GG, Correa MB, Opdam N, Demarco FF. Do clinical experience time and
postgraduate training influence the choice of materials for posterior restorations? Results of a
survey with Brazilian general dentists. Braz Dent J. 2013 Nov-Dec;24(6):642-6.
https://doi.org/10.1590/0103-6440201302361.
[5] Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, Burgess J,
Peschke A, Heintze SD, Kühnisch J. Revised FDI criteria for evaluating direct and indirect
dental restorations-recommendations for its clinical use, interpretation, and reporting. Clin
Oral Investig. 2023 Jun;27(6):2573-2592. https://doi.org/10.1007/s00784-022-04814-1.
[6] Bahsi E, Bayram IN, Dalli M, Sahbaz C, Colak H, Acikan I, Aslan N, Akkus Z. The evaluation
of reasons for replacement of amalgam and composite. Journal Of International Dental And
Medical Research. 2013 Apr 1;6(1):15-9.
[7] Mjör IA. Clinical diagnosis of recurrent caries. J Am Dent Assoc, 2005;136,1426-1433.
[8] Kopperud SE, Staxrud F, Espelid I, Tveit AB. The Post-Amalgam Era: Norwegian Dentists'
Experiences with Composite Resins and Repair of Defective Amalgam Restorations. Int J
Environ Res Public Health. 2016 Apr 22;13(4):441. https://doi.org/10.3390/ijerph13040441.
[9] Pallesen U, van Dijken JW, Halken J, Hallonsten AL, Höigaard R. Longevity of posterior resin
composite restorations in permanent teeth in Public Dental Health Service: a prospective 8
years follow up. J Dent. 2013 Apr;41(4):297-306. https://doi.org/10.1016/j.jdent.2012.11.021.
[10] Faraj BM, Mohammad HM, Mohammad KM. The Changes in Dentists' Perception and
Patient's Acceptance on Amalgam Restoration in Kurdistan-Iraq: A Questionnaire-based CrossSectional Study. J Clin Diagn Res. 2015 Apr;9(4):ZC22-5.
https://doi.org/10.7860/JCDR/2015/13028.5790.
[11] Rashid Noaman B, Dawood Fattah L. Practice of Restorative Dentistry in Iraq Causes of
Replacement of Composite Restorations Northern Iraq. Al-Rafidain Dental Journal.
2022.;22(1): 149-157.
[12] Sunnegårdh-Grönberg K, van Dijken JW, Funegård U, Lindberg A, Nilsson M. Selection of
dental materials and longevity of replaced restorations in Public Dental Health clinics in
northern Sweden. J Dent. 2009 Sep;37(9):673-8. https://doi.org/10.1016/j.jdent.2009.04.010.
[13] Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJ. Longevity of posterior
composite restorations: not only a matter of materials. Dent Mater. 2012 Jan;28(1):87-101.
https://doi.org/10.1016/j.dental.2011.09.003.
[14] Noaman BR, Fattah LD. The Relationship of Caries Risk and Oral Hygiene Level with
Placement and Replacement of Dental Restorations. Acta Med Acad. 2021 Dec;50(3):406-413.
https://doi.org/10.5644/ama2006-124.362.
[15] Palotie U. Restorative treatment practices and dentist-related factors. ACADEMIC
DISSERTATION e Faculty of Medicine of the University of Helsinki, 2009.
[16] Javidi H, Tickle M, Aggarwal VR. Repair vs replacement of failed restorations in general
dental practice: factors influencing treatment choices and outcomes. Br Dent J. 2015
Jan;218(1):E2. https://doi.org/10.1038/sj.bdj.2014.1165.
[17] Mjör IA, Dahl JE, Moorhead JE. Placement and replacement of restorations in primary teeth.
Acta Odontol Scand. 2002 Jan;60(1):25-8. https://doi.org/10.1080/000163502753471961.
[18] Al-Asmar AA, Ha Sabrah A, Abd-Raheam IM, Ismail NH, Oweis YG. Clinical evaluation of
reasons for replacement of amalgam vs composite posterior restorations. Saudi Dent J. 2023
Mar;35(3):275-281. https://doi.org/10.1016/j.sdentj.2023.02.003.
[19] Alsughair LH. Factors influencing dentists’ choices of restorative materials in Saudi Arabia: A
web-based online cross-sectional study. Electronic Physician. 2018;10(10):7341-7.
[20] Makhija SK, Gordan VV, Gilbert GH, Litaker MS, Rindal DB, Pihlstrom DJ, Qvist V; Dental
Practice-Based Research Network Collaborative Group. Practitioner, patient and carious lesion
characteristics associated with type of restorative material: findings from The Dental PracticeBased Research Network. J Am Dent Assoc. 2011 Jun;142(6):622-32.
https://doi.org/10.14219/jada.archive.2011.0244.
[21] Wilson NH. Curricular issues changing from amalgam to tooth-coloured materials. J Dent.
2004 Jul;32(5):367-9. https://doi.org/10.1016/j.jdent.2004.02.004.
[22] Fayyaz A, Fareed MA, Ehsan S, Baig QA, Noor NA. Repair or replacement of defective direct
composite restorations: a survey of dentists. Journal of the Pakistan Dental Association
2015;24(1).
[23] Al-Badri HM, Mansi ZM, Alhashimi RA. A Questionnaire-Based Survey Assessment of Iraqi
Dentists Using Repair Versus Replacement oDefective Composite Restoration. Indian Journal
of Forensic Medicine & Toxicology 2020;14(2).
[24] Wilson N, Lynch CD, Brunton PA, Hickel R, Meyer-Lueckel H, Gurgan S, Pallesen U, Shearer
AC, Tarle Z, Cotti E, Vanherle G, Opdam N. Criteria for the Replacement of Restorations:
Academy of Operative Dentistry European Section. Oper Dent. 2016 Sep;41(S7):S48-S57.
https://doi.org/10.2341/15-058-O.
[25] Kanow P, Wiegand A. Retrospective analysis on the repair vs. replacement of composite
restorations. Dent Mater. 2020 Jan;36(1):108-118.
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