Replacement versus repair of defective restorations in adults: amalgam

Sharif, Mohammad Owaise; Merry, Alison; Catleugh, Melanie; Tickle, Martin; Brunton, Paul; Dunne, Stephen; Aggarwal, Vishal R.; Chong, Lee Yee

doi:10.1002/14651858.cd005970.pub3

Cited by 16 publications

(17 citation statements)

References 18 publications

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“…it was shown that 1 year after repair the failure rate was low and repairs were less likely to need aggressive treatment. Our results are then consistent with findings from other studies carried out in Australia, North America, Europe and Saudi Arabia.…”

Section: Discussionsupporting

confidence: 92%

“…The literature on repair procedures does not provide adequate clinical evidence on the clinical steps or protocols for managing restoration defects properly. Furthermore, the criteria on whether to repair or replace a restoration are not fully defined, and only recently have criteria and clinical recommendations been provided to help in the decision‐making process.…”

Section: Introductionmentioning

confidence: 99%

“…More recent studies have shown that schools have started to include the teaching of repair in their programmes, but it is still considered by professionals as a provisional treatment solution, and there are no codes in the insurance system or in dental schools for this type of treatment. Slightly over half (59%) of schools surveyed in countries such as the UK, Ireland, Germany and Scandinavia, were found to teach the repair of composite restorations, although with marked variations in the protocols taught and the expected longevity of the repaired restorations. In Japan, teaching the repair of defective resin composite restorations seems to be well established in many dental schools, to an even greater extent than in some other regions of the world.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes of Greek dentists towards repair of conservative restorations. An online survey

Αντωνιάδου

Charikleia

Panagiotis

2017

International Dental Journal

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A high percentage of Greek dentists are repairing defective direct restorations. There are discrepancies in the indications, techniques and materials used for repairs, such as bulk fractures and marginal restorations. Further studies on the efficacy of repairs, the criteria and procedure protocols are needed. Further, additional clinical education should be offered at the undergraduate or continuing education levels.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attitudes of Greek dentists towards repair of conservative restorations. An online survey

Αντωνιάδου

Charikleia

Panagiotis

2017

International Dental Journal

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“…However, repeated replacement leads to an increase in cavity size (Mjör ). Sharif et al (, ) and Martin et al () came to the same conclusion. They evaluated amalgam restorations that were treated by repair or replacement.…”

Section: Discussionsupporting

confidence: 52%

Decision criteria for replacement of fillings: a retrospective study

Kirsch

Tchorz

Hellwig

et al. 2016

Clinical & Exp Dental Res

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The exchange of restorations goes along with the loss of healthy tooth structure. Therefore, it is important to investigate helpful decision criteria for the replacement of fillings. Five hundred forty‐four filling replacements were evaluated retrospectively. Thereby, different clinical parameters were correlated with the clinical finding of caries directly after removal of the existing filling. The parameters checked for correlations were amalgam and composite, age, and size of the filling, morphology, condition of the filling, type of caries, oral hygiene, anamnesis of the respective tooth, and the decisive factor to replace the restoration. Statistical evaluation was performed by chi‐squared‐test (P < 0,05) and by regression analysis (Power: 80%). A percentage of 69.8% of all cavities showed softened dentin if exploring with the probe after the removal of the restoration, 7.6% were stainable with caries detector, and 22.6% of the cavities were caries free. Significant indicators for a carious lesion were high age of restoration, imperfections at the margin of the filling, a positive pain sensation in correlation with composite fillings, and multi‐surface amalgam fillings. On suspicion of caries, the following decision criteria should encourage the dentist to remove a filling: High age of the filling, imperfections at the margin of the filling, especially fillings with marginal cracks, visible secondary caries, a positive pain sensation in composite filled teeth, and multi‐surface amalgam fillings. Filling removals only performed due to the patient's desire for removal should be critically regarded, as most of these fillings are caries free.

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“…8,36,38,44,45,48,53,55,[72][73][74][75] Además de ser una acción conservadora, presenta buena relación costo-efectividad, dado que es bajo en demanda de tiempo y efectivamente elimina los defectos marginales que podrían predisponer al desarrollo de la caries secundaria. 42,[76][77][78][79][80][81][82][83][84] No existiendo aún publicaciones sobre sus contraindicaciones o recomendaciones sobre la magnitud máxima y efectos de la localización y extensión de la brecha para indicar su sellado.…”

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Aumento de longevidad de restauraciones de resinas compuestas y de su unión adhesiva. Revisión de tema

Moncada

Vildósola

Fernández

et al. 2015

Rev Fac Odontol Univ Antioq

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ABSTRACT. Introduction: the goal of this literature review is to analyze the findings included in the literature concerning different alternatives to increase longevity of resin-based composite restorations and their adhesive bond. Method: bibliographies in the EBSCO database (Elton B StephensCompany) were reviewed using the following key words: "composite repair bond strength"; "restorations sealing"; composite restorations longevity"; "restorations refurbishment"; "composite bond strategy"; "dental adhesive collagen cross linking"; "proanthocyanidin dentin bond strength"; "multiple layer dentin bond strength", and "dentin INTRODUCCIÓNLas restauraciones dentales de resinas compuestas (RC) presentan vida útil limitada en el tiempo siendo la presencia de lesiones de caries en sus márgenes la principal causa de fracaso, en menor proporción, las fracturas dentarias o de las restauraciones, deterioros marginales, sensibilidades dentarias, perdidas de relaciones de contacto, manchas o modificaciones de color entre otras. 1-8El tiempo que funcionan las restauraciones es un elemento importante para la toma de decisiones clínicas, la evidencia de la práctica clínica revela que sobre el 60% del tiempo (rango 50% a 75%) el odontólogo lo ocupa en el reemplazo de restauraciones fracasadas 9 adicionalmente la mayoría de los pacientes desconoce la vida útil de sus restauraciones y para los servicios dentales habitualmente no es un parámetro considerado integralmente en sus presupuestos.En general los reportes de expectativas de vida de las restauraciones presentan discrepancias en su estimación, dada las diferencias en el diseño de los estudios, los criterios utilizados para la selección de casos, determinación del éxito o fracaso y la estimación de sobrevida, entre otros. Con respecto al diseño de estos estudios de longevidad, se basan en estudios prospectivos y retrospectivos, donde solo en algunos se menciona la calibración de los clínicos. Los estudios prospectivos presentan menores distorsiones porque colectan datos en estudios de diseño controlado y observan las variables consistentemente en el tiempo, sin embargo, ellos requieren muchos años para lograr suficiente validación clínica y existe la posibilidad de sesgo relacionado con el operador o el paciente. Los estudios retrospectivos presentan la ventaja de ser realizados en corto tiempo, ser de menor costo, por otro lado, presentan mayor riesgo de incorporar inexactitudes por omisión. En cambio, el estudio prospectivo presenta análisis de sobrevida de mayor exactitud y el riesgo de inexactitudes puede ser compensado incluyendo casos control donde el tiempo de fracaso no puede ser intervenido.6, 10-13 Varias metodologías han sido utilizadas para la evaluación de la calidad de las restauraciones, sin embargo el adoptado

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Replacement versus repair of defective restorations in adults: amalgam

Cited by 16 publications

References 18 publications

Attitudes of Greek dentists towards repair of conservative restorations. An online survey

Attitudes of Greek dentists towards repair of conservative restorations. An online survey

Decision criteria for replacement of fillings: a retrospective study

Aumento de longevidad de restauraciones de resinas compuestas y de su unión adhesiva. Revisión de tema

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