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| Formato: | Artículo Open Access |
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Wiley
2024
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| Acceso en línea: | https://onlinelibrary.wiley.com/doi/10.1111/jerd.13321 |
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| author | Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu |
| author_facet | Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu |
| collection | Wiley Open Access |
| contents | Clinical Decision‐Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational Cross‐Sectional Study With Meta‐Analysis Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu Journal of Esthetic and Restorative Dentistry ABSTRACTObjectivesThis web‐based survey, conducted across multiple countries, sought to explore the factors that impact the decision‐making of clinicians when it comes to managing defective direct restorations.MethodsA survey consisting of 14 questions was sent out to dentists in 21 countries through various online platforms. The survey consisted of two sections. The first contained five questions about demographic information, while the second involved eight clinical scenarios. In the second part, participants were tasked with deciding whether to repair or replace defective composite and amalgam restorations.ResultsThree thousand six hundred eighty dental practitioners completed the survey. For composite restorations, repair was preferred in scenarios like partial loss or fracture (RR:0.72; 95% CI: 0.58, 0.89; p = 0.002), whereas replacement was favored for secondary caries (RR:2.43; 95% CI: 1.87, 3.16; p < 0.001) and open/defective margins (RR:3.93; 95% CI: 2.68, 5.76;p < 0.001). Amalgam restorations were mostly replaced across all scenarios. The main factors influencing decision‐making were caries risk, restoration size, and patient oral hygiene. Substantial heterogeneity was observed across countries.ConclusionThis study underscores the complexity of the decision‐making process and the need for evidence‐based guidelines to inform clinicians' decisions regarding restoration management. Patient‐level factors predominantly influence decision‐making, emphasizing the need for individualized approaches.Clinical SignificanceThe study reveals that the material type in the original restoration is a critical determinant, with composite restorations being repaired in specific scenarios, while amalgam restorations are consistently replaced across different countries. Key patient and tooth‐level factors, such as high caries risk, poor oral hygiene, and restoration size, significantly impact clinicians' decisions, often favoring replacement over repair. These findings underscore the necessity for evidence‐based guidelines to assist clinicians in making informed choices, ultimately enhancing the quality of patient care. 10.1111/jerd.13321 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1111/jerd.13321 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_jerd_13321 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Clinical Decision‐Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational Cross‐Sectional Study With Meta‐Analysis Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu Journal of Esthetic and Restorative Dentistry Clinical Decision‐Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational Cross‐Sectional Study With Meta‐Analysis Ömer Hatipoğlu João Filipe Brochado Martins Mohmed Isaqali Karobari Nessrin Taha Thiyezen Abdullah Aldhelai Daoud M. Ayyad Ahmed A. Madfa Benjamin Martin‐Biedma Rafael Fernández‐Grisales Bakhyt A. Omarova Wen Yi Lim Suha Alfirjani Kacper Nijakowski Surendar Sugumaran Xenos Petridis Silvana Jukić Krmek Dian Agustin Wahjuningrum Azhar Iqbal Imran Zainal Abidin Martha Gallegos Intriago Yasmine Elhamouly Paulo Jorge Palma Fatma Pertek Hatipoğlu Journal of Esthetic and Restorative Dentistry ABSTRACTObjectivesThis web‐based survey, conducted across multiple countries, sought to explore the factors that impact the decision‐making of clinicians when it comes to managing defective direct restorations.MethodsA survey consisting of 14 questions was sent out to dentists in 21 countries through various online platforms. The survey consisted of two sections. The first contained five questions about demographic information, while the second involved eight clinical scenarios. In the second part, participants were tasked with deciding whether to repair or replace defective composite and amalgam restorations.ResultsThree thousand six hundred eighty dental practitioners completed the survey. For composite restorations, repair was preferred in scenarios like partial loss or fracture (RR:0.72; 95% CI: 0.58, 0.89; p = 0.002), whereas replacement was favored for secondary caries (RR:2.43; 95% CI: 1.87, 3.16; p < 0.001) and open/defective margins (RR:3.93; 95% CI: 2.68, 5.76;p < 0.001). Amalgam restorations were mostly replaced across all scenarios. The main factors influencing decision‐making were caries risk, restoration size, and patient oral hygiene. Substantial heterogeneity was observed across countries.ConclusionThis study underscores the complexity of the decision‐making process and the need for evidence‐based guidelines to inform clinicians' decisions regarding restoration management. Patient‐level factors predominantly influence decision‐making, emphasizing the need for individualized approaches.Clinical SignificanceThe study reveals that the material type in the original restoration is a critical determinant, with composite restorations being repaired in specific scenarios, while amalgam restorations are consistently replaced across different countries. Key patient and tooth‐level factors, such as high caries risk, poor oral hygiene, and restoration size, significantly impact clinicians' decisions, often favoring replacement over repair. These findings underscore the necessity for evidence‐based guidelines to assist clinicians in making informed choices, ultimately enhancing the quality of patient care. 10.1111/jerd.13321 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Clinical Decision‐Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational Cross‐Sectional Study With Meta‐Analysis |
| topic | Journal of Esthetic and Restorative Dentistry |
| url | https://onlinelibrary.wiley.com/doi/10.1111/jerd.13321 |