The decision to repair or replace a defective restoration is affected by who placed the original restoration: Findings from the National Dental PBRN

Journal Name: 
J.Dent.
Authors: 
Gordan,V.V.
Riley,J.,III
Geraldeli,S.
Williams,O.D.
Spoto,J.C.,III
Gilbert,G.H.
Abstract: 
OBJECTIVES: To evaluate how restoration characteristics are associated with the decision to repair or replace an existing restoration. The following hypotheses were studied: dentists who placed the original restoration are more likely to repair instead of replace restorations (H1) that are in molar teeth; (H2) that are in the upper arch; (H3) that have amalgam restorative material; (H4) if a fracture is not the primary reason for the defect; and (H5) when the restoration comprises more than one surface. METHODS: This cross-sectional study used a consecutive patient/restoration recruitment design. 194 dentists members of a dental practice-based research network recorded data on restorations in permanent teeth that needed repair or replacement. RESULTS: For 6623 of the 8770 defective restorations in 6643 patients, the treatment was provided by the dentist who had not placed the original restoration (75%). The 2-way interaction revealed that dentists who had placed the original restoration often chose to repair when the defective restoration was in a molar, relative to premolar or anterior teeth (OR=2.2, p
12
2014
Volume: 
42
Pages: 
1528-1534
Keywords: 
Alabama, clinical, community, Community Dentistry, data, decision, Dentistry, Dentists, electronic, Florida, interaction, Methods, Molar, patient, Patients, practice-based research, Research, Tooth, United States, Universities