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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2016; 5(01): 19-23
DOI: 10.4103/2278-9626.172730
Original Article

Treatment method and restorative material preferences of dental practitioners

Uzay Koç Vural
Department of Restorative Dentistry, Hacettepe University, 06100 Sihhiye, Ankara, Turkey
,
Saadet Gökalp
Department of Restorative Dentistry, Hacettepe University, 06100 Sihhiye, Ankara, Turkey
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Abstract

Objective: The present study is aimed to investigate the preference profiles of treatment methods used by private dental practitioners in Ankara for deep carious lesions of mature permanent teeth. Methods: Private dental practitioners (general/specialist), in five districts of Ankara, were provided with a questionnaire comprising demographic characteristics and their preferred treatment methods for two simulated clinical cases related to deep caries excavation technique for anterior (Case A) and posterior, permanent teeth (Case B) with restorative material choices. The questionnaire was delivered personally to the participants who accepted the invitation. Documentation was retrieved back at another appointment after 1–3 weeks intervals. Data were analyzed using frequency analysis and Chi-square tests. Results: A total of 371 dentists, aged 25–69 years, took part in the study representing a response rate of 51.38%. Valid responses were 328 (168 males and 160 females) due to incomplete questionnaires. In Case A, complete caries excavation was the preferred treatment method (62.5%) followed by stepwise excavation (28.4%). Dentists, who had an excessive workload, indicated a stepwise excavation treatment significantly less than the dentists who had less workload (P = 0.001). In Case B, the preferences were narrowly distributed between complete caries excavation (50.9%) and stepwise excavation (42.4%). Composite restoration (31.7%) was more selected than amalgam (27.1%) with complete excavation technique. Workload has no effect on the treatment options of the posterior tooth with deep dentin caries. Conclusion: Dentists mostly adopted traditional caries removal technique. There is no uniform treatment method of deep carious lesions among dentists in anterior and, especially in posterior regions in Ankara, Turkey.


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Keywords

Deep dentin caries - stepwise excavation - treatment method - total caries excavation

  • References

  • 1 Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database Syst Rev 2013;3:CD003808.
  • 2 Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial removal: A critical review. J Am Dent Assoc 2008;139:705-12.
  • 3 Elderton RJ. New approaches to cavity design with special reference to the class II lesion. Br Dent J 1984;157:421-7.
  • 4 Banerjee A, Watson TF, Kidd EA. Dentine caries excavation: A review of current clinical techniques. Br Dent J 2000;188:476-82.
  • 5 Wisithphrom K, Murray PE, About I, Windsor LJ. Interactions between cavity preparation and restoration events and their effects on pulp vitality. Int J Periodontics Restorative Dent 2006;26:596-605.
  • 6 Santamaria R, Innes N. Trial shows partial caries removal is an effective technique in primary molars. Evid Based Dent 2014;15:81-2.
  • 7 Ricketts DN, Pitts NB. Novel operative treatment options. Monogr Oral Sci 2009;21:174-87.
  • 8 Banava S. Stepwise excavation: A conservative community-based dental treatment of deep caries to inhibit pulpal exposure. Iran J Public Health 2011;40:140.
  • 9 Stangvaltaite L, Kundzina R, Eriksen HM, Kerosuo E. Treatment preferences of deep carious lesions in mature teeth: Questionnaire study among dentists in Northern Norway. Acta Odontol Scand 2013;71:1532-7.
  • 10 Oen KT, Thompson VP, Vena D, Caufield PW, Curro F, Dasanayake A, et al. Attitudes and expectations of treating deep caries: A PEARL Network survey. Gen Dent 2007;55:197-203.
  • 11 Weber CM, Alves LS, Maltz M. Treatment decisions for deep carious lesions in the public health service in Southern Brazil. J Public Health Dent 2011;71:265-70.
  • 12 Ricketts D. Deep or partial caries removal: Which is best? Evid Based Dent 2008;9:71-2.
  • 13 Bjørndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, Näsman P, et al. Treatment of deep caries lesions in adults: Randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci 2010;118:290-7.
  • 14 Orhan AI, Oz FT, Orhan K. Pulp exposure occurrence and outcomes after 1- or 2-visit indirect pulp therapy vs complete caries removal in primary and permanent molars. Pediatr Dent 2010;32:347-55.
  • 15 Leksell E, Ridell K, Cvek M, Mejàre I. Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Traumatol 1996;12:192-6.
  • 16 Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev 2006;3:CD003808.
  • 17 Magnusson BO, Sundell SO. Stepwise excavation of deep carious lesions in primary molars. J Int Assoc Dent Child 1977;8:36-40.
  • 18 Association TD. Statistics; 2015. Available from: http://www.tdb.org.tr/sag_menu_goster.phpId=407. [Last cited on 2015 Apr 26].
  • 19 Falster CA, Araujo FB, Straffon LH, Nör JE. Indirect pulp treatment: In vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002;24:241-8.
  • 20 Marchi JJ, de Araujo FB, Fröner AM, Straffon LH, Nör JE. Indirect pulp capping in the primary dentition: A 4 year follow-up study. J Clin Pediatr Dent 2006;31:68-71.
  • 21 Pinto AS, de Araújo FB, Franzon R, Figueiredo MC, Henz S, García-Godoy F, et al. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. Am J Dent 2006;19:382-6.
  • 22 Espelid I, Tveit AB, Mejàre I, Sundberg H, Hallonsten AL. Restorative treatment decisions on occlusal caries in Scandinavia. Acta Odontol Scand 2001;59:21-7.
  • 23 Akbar I. Knowledge and attitudes of general dental practitioners towards posterior composite restorations in Northern Saudi Arabia. J Clin Diagn Res 2015;9:ZC61-4.
  • 24 Fuks AB. The use of amalgam in pediatric dentistry: New insights and reappraising the tradition. Pediatr Dent 2015;37:125-32.
  • 25 Taut C. Dental amalgam: Is this the end? J Ir Dent Assoc 2013;59:311-7.
  • 26 Homme KG, Kern JK, Haley BE, Geier DA, King PG, Sykes LK, et al. New science challenges old notion that mercury dental amalgam is safe. Biometals 2014;27:19-24.
  • 27 Bader JD, Shugars DA. Understanding dentists’ restorative treatment decisions. J Public Health Dent 1992;52:102-10.
  • 28 Pourat N, Marcus M. Variations in self-reported provision of services by general dentists in private practice. J Am Dent Assoc 2011;142:1050-60.

Address for correspondence

Dr. Uzay Koç Vural
Department of Restorative Dentistry, Hacettepe University
06100 Sihhiye, Ankara
Turkey   

Publication History

Article published online:
01 November 2021

© 2016. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database Syst Rev 2013;3:CD003808.
  • 2 Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial removal: A critical review. J Am Dent Assoc 2008;139:705-12.
  • 3 Elderton RJ. New approaches to cavity design with special reference to the class II lesion. Br Dent J 1984;157:421-7.
  • 4 Banerjee A, Watson TF, Kidd EA. Dentine caries excavation: A review of current clinical techniques. Br Dent J 2000;188:476-82.
  • 5 Wisithphrom K, Murray PE, About I, Windsor LJ. Interactions between cavity preparation and restoration events and their effects on pulp vitality. Int J Periodontics Restorative Dent 2006;26:596-605.
  • 6 Santamaria R, Innes N. Trial shows partial caries removal is an effective technique in primary molars. Evid Based Dent 2014;15:81-2.
  • 7 Ricketts DN, Pitts NB. Novel operative treatment options. Monogr Oral Sci 2009;21:174-87.
  • 8 Banava S. Stepwise excavation: A conservative community-based dental treatment of deep caries to inhibit pulpal exposure. Iran J Public Health 2011;40:140.
  • 9 Stangvaltaite L, Kundzina R, Eriksen HM, Kerosuo E. Treatment preferences of deep carious lesions in mature teeth: Questionnaire study among dentists in Northern Norway. Acta Odontol Scand 2013;71:1532-7.
  • 10 Oen KT, Thompson VP, Vena D, Caufield PW, Curro F, Dasanayake A, et al. Attitudes and expectations of treating deep caries: A PEARL Network survey. Gen Dent 2007;55:197-203.
  • 11 Weber CM, Alves LS, Maltz M. Treatment decisions for deep carious lesions in the public health service in Southern Brazil. J Public Health Dent 2011;71:265-70.
  • 12 Ricketts D. Deep or partial caries removal: Which is best? Evid Based Dent 2008;9:71-2.
  • 13 Bjørndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, Näsman P, et al. Treatment of deep caries lesions in adults: Randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci 2010;118:290-7.
  • 14 Orhan AI, Oz FT, Orhan K. Pulp exposure occurrence and outcomes after 1- or 2-visit indirect pulp therapy vs complete caries removal in primary and permanent molars. Pediatr Dent 2010;32:347-55.
  • 15 Leksell E, Ridell K, Cvek M, Mejàre I. Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Traumatol 1996;12:192-6.
  • 16 Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev 2006;3:CD003808.
  • 17 Magnusson BO, Sundell SO. Stepwise excavation of deep carious lesions in primary molars. J Int Assoc Dent Child 1977;8:36-40.
  • 18 Association TD. Statistics; 2015. Available from: http://www.tdb.org.tr/sag_menu_goster.phpId=407. [Last cited on 2015 Apr 26].
  • 19 Falster CA, Araujo FB, Straffon LH, Nör JE. Indirect pulp treatment: In vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002;24:241-8.
  • 20 Marchi JJ, de Araujo FB, Fröner AM, Straffon LH, Nör JE. Indirect pulp capping in the primary dentition: A 4 year follow-up study. J Clin Pediatr Dent 2006;31:68-71.
  • 21 Pinto AS, de Araújo FB, Franzon R, Figueiredo MC, Henz S, García-Godoy F, et al. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. Am J Dent 2006;19:382-6.
  • 22 Espelid I, Tveit AB, Mejàre I, Sundberg H, Hallonsten AL. Restorative treatment decisions on occlusal caries in Scandinavia. Acta Odontol Scand 2001;59:21-7.
  • 23 Akbar I. Knowledge and attitudes of general dental practitioners towards posterior composite restorations in Northern Saudi Arabia. J Clin Diagn Res 2015;9:ZC61-4.
  • 24 Fuks AB. The use of amalgam in pediatric dentistry: New insights and reappraising the tradition. Pediatr Dent 2015;37:125-32.
  • 25 Taut C. Dental amalgam: Is this the end? J Ir Dent Assoc 2013;59:311-7.
  • 26 Homme KG, Kern JK, Haley BE, Geier DA, King PG, Sykes LK, et al. New science challenges old notion that mercury dental amalgam is safe. Biometals 2014;27:19-24.
  • 27 Bader JD, Shugars DA. Understanding dentists’ restorative treatment decisions. J Public Health Dent 1992;52:102-10.
  • 28 Pourat N, Marcus M. Variations in self-reported provision of services by general dentists in private practice. J Am Dent Assoc 2011;142:1050-60.

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