Assessment of Knowledge, Attitude and Practice among Dental Professionals in Central India regarding Amalgam Restoration and Composite Restoration as Posterior Restorative Material: A Questionnaire Based Study (original) (raw)
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Journal of Dentistry, 2014
j o u r n a l o f d e n t i s t r y 4 2 ( 2 0 1 4 ) 7 8 5 -7 9 2 Composite Restoration Dentist Patient Cavity a b s t r a c t Objectives: This study prospectively analyzed the use of amalgam and resin composite posterior restorations placed by general dentists in relation to dentist, patient and cavity factors. Methods: One thousand posterior restorations placed by a representative sample of general dentists working in the Ministry of Health (MOH), Kuwait, during routine clinical practice were included. Information about the restorations was recorded using a survey questionnaire. Descriptive statistics and multivariate logistic regression analysis were used to determine the factors associated with the use of amalgam versus tooth coloured restoratives. Results: Dentists chose amalgam for 30.8% of the 1000 restorations. Dentists with longer work experience (>15 years) were more likely to choose amalgam (OR = 2.61, 95% CI = 1.06, 6.40). Younger dentists ( 30 years) were less likely to choose amalgam (OR = 0. 45, 95% CI = 0.26, 0.77). Amalgam was more likely to be chosen for patients with poor oral hygiene (OR = 1.58, 95% CI = 1.08, 2.32) and a higher number (!4) of restorations (OR = 1.44, 95% CI = 1.07, 1.94) with large cavity sizes (OR = 6.33, 95% CI = 3.88, 10.32). Tooth-coloured restorations were more likely to be chosen for cavities of smaller sizes. Conclusions: The use of resin composite materials as the dominant choice among dentists in Kuwait reflects the trend worldwide. Nevertheless, clinicians still find a use for amalgam in posterior load-bearing teeth and in the high-caries risk population. Clinical significance: The findings give insight into factors influencing material usage under different clinical conditions and provides information about the perceived deficiencies or shortcomings of resin composite materials in a general dental practice setting. This information can be useful for identifying perceived barriers to the usage of newer restorative materials and finding ways to overcome them.
The aim of this article is to assess the attitude of senior dental students of college of dentistry, Al Quds University towards placement of direct restorative materials in posterior teeth. Amalgam is used conventionally in restoration of posterior teeth while the use of resin composites is on rise for the same purpose. The esthetic concern of the patients and safety concerns about use of amalgam are changing the conventional trends of posterior teeth restoration. Some dental schools have even declined the use of amalgam in their institutions. But the properties of amalgam such as its high strength and less wear over a period of time are still making it the best alternative for the posterior teeth restoration. This study was conducted to evaluate the attitude of the dental students towards the use of amalgam and resin composites in restoration of posterior teeth. A 20 items online questionnaire was sent to 82 fifth year dentistry students of Al Quds University. Out of them 69 students responded with a response rate of 84.1%. The questions involve influences of various factors on the choice of material for posterior teeth restoration. The size of the cavity is found to have almost equal influence in both the cases. Esthetic demand and patient's choice also affect the choice of material strongly. Age of the patient doesn't seem to affect much on the material choice. Moisture control was found critical in case of composite restoration. Patient's pregnancy seems to strongly influence in case of amalgam restoration due to the safety concerns regarding the same. As per this study, the students seem to choose both the materials equally depending upon the case scenario.
Amalgam or composite resin? Factors influencing the choice of restorative material
Journal of Dentistry, 2012
Objectives: This study aimed to investigate the patient and tooth factors associated with selection of restorative material in direct posterior restorations in young adults from a population-based birth cohort. Methods: A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and posterior restorations were assessed in 2006, when the patients were 24 years old. Tooth-related variables (individual level) included restorative material (amalgam or composite), type of tooth, size of cavity, and estimated time in mouth. Data regarding demographic and socioeconomic characteristics, oral health, and service utilization patterns during the life course were also assessed (contextual level). Results: Logistic Regression Multilevel models showed that individuals who have accessed dental services by private insurance by age 15 [odds ratio (OR) = 1.66 (0.93-2.95)] and who had a higher dental caries index at age 15 (high DMFT tertile) [OR 2.89 (1.59-5.27)] presented more amalgam restorations in the posterior teeth. From tooth-level variables, the frequency of amalgams decreases with increasing number of surfaces enrolled in the cavity preparation (p < 0.001) and was almost 5 times greater in molars than in premolars. Conclusions: The present findings suggest that variables related to type of dental service, dental caries (higher DMFT index), and cavity characteristics (tooth type, size) determine the choice of dentists for restorative materials. Other individual characteristics such as demographic and socioeconomic status have not influenced this choice.
Journal of dental research, dental clinics, dental prospects, 2007
Retreatment of existing restorations not only requires a lot of money and time but also there is a danger of weakening tooth structure and irritating the pulp. Since awareness of the reasons for the retreatment of teeth will save the teeth from possible future failure, the aim of this study was to assess the reasons for retreatment of amalgam and composite restorations in patients referring to Tabriz Faculty of Dentistry. In this descriptive study, the subjects had previously received an amalgam or a composite restoration in the Operative Department by dental students and were judged to need retreatment in their second visit. A total of 300 defective teeth were selected by simple random sampling method. The data was collected through examination and questionnaires and analyzed using chi-square test. There was a statistically significant association between the type of the restorative material and the reason for retreatment (p=0.001). Although the reasons for the retreatment of amalg...
The Open Dentistry Journal
Background: The most common restorative materials used in dentistry are amalgam and composite. Amalgam is a controversial material owing to its mercury toxicity. With recent advances in the properties of composite materials, there has been a shift towards its use. Objectives: The aim of this study was to understand the perceptions of undergraduate dental students in a northern Saudi Arabian dental school about the choice of restorative materials for restoring posterior teeth. Methodology: The study included undergraduate students studying in 4th and 5th year dental program in College of Dentistry, Jouf University. A four-item questionnaire with 18 close-ended questions was developed by the investigators, which were hand delivered to all the students. Data analysis is presented through tables and descriptive methods. Results: A total of 98 (out of 131) undergraduate students participated in this study. Overall, the students reported a significantly strong influence of the type of res...
Factors Affecting the Material Choice for Restoration in Posterior Teeth
Pakistan Journal of Medical and Health Sciences, 2021
Aim: To determine the factors affecting the selection of material of choice in posterior teeth. Methods: Descriptive cross-sectional study done June-December 2015 at Liaquat University of Medical and Health Sciences, Jamshoro. Individuals who refused to participate in the study were eliminated from the sample. Each dentist signed an informed consent form. Personal data were entered on a proforma/consent form. The data collection tool was a Proforma/Questionnaire with all required questions. Dentists were personally briefed on the study's objectives and the importance of their participation. Informed permission forms were gathered one week later. Not returning the questionnaires after two professional visits was deemed participant loss. The analysis employed descriptive statistics and SPSS version 17.0. Results: 200 people responded to the survey. 70% advised amalgam for posterior tooth repair, 28% recommended composite, and 2% recommended Glass Ionomer. In this study, 65% select...
The use and repair of dental amalgam restorations as practised in South Africa
Introduction: Research has confirmed that the replacement of defective restorations is the most commonly performed procedure in general practice. Any defect or sign of secondary caries often led to the complete replacement of a dental restoration. The repair or refurbishment of defective dental amalgam restorations is now considered best practice over replacements. aims and objectives: To investigate the use and repair of dental amalgam restorations as practised in South Africa. Methods: Three hundred and twenty-four dentists participated in an electronic cross sectional survey to gather biological data and information on the management of defective amalgam restorations. Analyses included Analysis of Variance (Anova) tests, Chi-square tests, paired t tests and Friedman's test (p-value of <0.05) (SAS Institute Inc., Cary, NC, USA). results: Most dentists (n=62%) reported almost never using dental amalgam and an almost equal number (n=63%) repaired defective amalgam restorations. Resin composite was the most popular material for the repair (n=62%) and replacement (n=78%) of defective amalgam restorations. Dentists in this study relied on their clinical experience to derive their repair techniques. conclusions: Dental amalgam was no longer a preferred material for the restoration of posterior teeth in South Africa. Resin composite was the most widely used to repair or replace defective amalgam restorations. Dentists practised the repair of defective restorations.
International journal of scientific research, 2019
Background:The restoration of endodontically treated teeth(ETT)for rehabilitation as a functional unit of masticatory apparatus is one of the most challenging situationsfor dental practitioners. It may require a multidisciplinary approach with varied advances in material science and techniques. This survey is aimed to evaluate the level of awareness,current knowledge and opinion towards the post-endodontic restorations among dental practitioners in Central India. Methodology:A descriptive observational study was conducted using Google Doc among 160 dental practitioners across Central India with a response rate of 95.6%. Results:The survey revealed that the most preferred material for core build-up was composite resin (60-82%). Full coverage restoration was the most frequently preferred (64%-68%) final restoration.The endodontic cause was the most frequent reason for RCT failure according to 44.9% of practitioners. Conclusion:Though the practitioners were having knowledge about post-endodontic restorations, they were unaware of the recent conservative approaches.
International Journal of Applied Dental Sciences
Introduction: Dental caries is most common disease. Removal of the carious part and restoring it with biocompatible material is very important. The aim of the study was to evaluate the knowledge of the rural population about amalgam and tooth colored composite also their approach and perception in choosing the material. Material and Methods: This study was conducted by random sampling form people visiting the department. After verifying the questionnaire, 12 close ended questionnaires were circulated among them to mark the option of their preference. Data was collected, complied and analyzed in MS Excel sheet (v.2007). Result: A total 436 people from sample of 450 were included in the study. The results indicated that 53% of people had knowledge about amalgam, 42% people had knowledge about tooth colored restorative material. Majority (58%) thought that the amalgam was expensive than other material. People preferred tooth colored restoration rather than amalgam (60%). Maximum of them (88%) would allow the dentist to choose appropriate material for them. Major concern te the people was found out to be no postoperative pain (47%). Conclusion: People still do not have enough knowledge regarding restorative material and there is need to create it. There is more demand for aesthetic restoration. People do not want any type of postoperative pain.