Repair versus replacement of defective direct dental restorations: A multinational cross-sectional study with meta-analysis

Hatipoğlu Ö 1 , Martins JFB 2 , Karobari MI 3 , Taha N 4 , Aldhelai TA 5 , Ayyad DM 6 Show all authors , Madfa AA 7 , Martin-Biedma B 8 , Fernandez R 9 , Omarova BA 10 , Yi LW 11 , Alfirjani S 12 , Lehmann A 13 , Sugumaran S 14 , Petridis X 15 , Krmek SJ 16 , Wahjuningrum DA 17 , Iqbal A 18 , Abidin IZ 19 , Intriago MG 20 , Elhamouly Y 21 , Palma PJ 22 , Hatipoğlu FP 23

Affiliations 

  • 1 Department of Restorative Dentistry, Nigde Omer Halisdemir University, Turkey. Electronic address: omerhtp@gmail.com
  • 2 ACTA, Amsterdam, the Netherlands. Electronic address: j.f.brochadomartins@acta.NL
  • 3 Dental Research Unit, Center for Global Health Research, Saveetha Institute of Medical and Technical Sciences, Saveetha Medical College and Hospital, Chennai, Tamil Nadu 600077, India. Electronic address: dr.isaq@gmail.com
  • 4 Department of Conservative Dentistry Jordan, University of Science and Technology, Irbid, Jordan. Electronic address: n.taha@just.edu.jo
  • 5 Department of Orthodontics and pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia. Electronic address: t.aldhelai@qu.edu.sa
  • 6 Head of the Endodontics Department, Faculty of Dentistry, Al-Quds University, Palestine. Electronic address: Drdavid1974@gmail.com
  • 7 Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, Saudi Arabia. Electronic address: ahmed_um_2011@yahoo.com
  • 8 Universidade de Santiago de Compostela (USC) Rua Entrerríos s/n, 15705, Spain. Electronic address: benjamin.martin@usc.es
  • 9 Endodontist, associate professor from endodontic department at CES University, Medellín. Electronic address: rfernandez@ces.edu.co
  • 10 S. D. Asfendiyarov Kazakh National Medical University, Dentistry School, Departement of Therapeutic Dentistry, Almaty, Kazakhstan. Electronic address: bakhytomarova08@gmail.com
  • 11 Department of Restorative Dentistry, National Dental Centre Singapore. Electronic address: lim.wen.yi@ndcs.com.sg
  • 12 Department of Conservative Dentistry and Endodontics, University of Benghazi, Libya. Electronic address: Suhaali1709@gmail.com
  • 13 Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poland. Electronic address: annalehmann@ump.edu.pl
  • 14 Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India. Electronic address: surendars.sdc@saveetha.com
  • 15 Department of Endodontics, Section of Dental Pathology and Therapeutics, School of Dentistry, National and Kapodistrian University of Athens, Greece. Electronic address: xenospetridis@outlook.com
  • 16 Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gundulićeva 5, Zagreb 10000, Croatia. Electronic address: jukic@sfzg.hr
  • 17 Department of Conservative Dentistry. Faculty of Dental Medicine, Universitas Airlangga. Indonesia. Electronic address: dian-agustin-w@fkg.unair.ac.id
  • 18 Department of Restorative Dental sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia; Department of Operative Dentistry & Endodontics, Frontier Medical and Dental College, Abbottabad, Pakistan. Electronic address: dr.azhar.iqbal@jodent.org
  • 19 Department of Restorative Dentistry, International Islamic University Malaysia, Malaysia. Electronic address: dreamranza@iium.edu.my
  • 20 Endodontic department of Dentistry Universidad Central del Ecuador Quito, Ecuador. Electronic address: megallegosi@uce.edu.ec
  • 21 Department of Pediatric and Community Dentistry, Faculty of Dentistry, Pharos University in Alexandria, Egypt. Electronic address: yasmine.elhamouly@pua.edu.eg
  • 22 Centre for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra 3000-075, Portugal; Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra 3000-075, Portugal. Electronic address: ppalma@uc.pt
  • 23 Department of Endodontics, Nigde Omer Halisdemir University, Turkey. Electronic address: pfatma@ohu.edu.tr
J Dent, 2024 Sep;148:105096.
PMID: 38796090 DOI: 10.1016/j.jdent.2024.105096

Abstract

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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