Teaching of direct posterior resin composite restorations in UK dental therapy training programmes

Lynch, Christopher D.; Wilson, Nairn

doi:10.1038/sj.bdj.2010.399

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…Our results indicate that resin composite, which is preferred by 95% of the respondents, has replaced amalgam. In other countries, the use of amalgam has also rapidly decreased [Lynch et al, 2007;Kirkevang et al, 2009;Sunnegårdh-Grönberg et al, 2009;Lynch and Wilson, 2010]. A study on trends in dental treatment in the USA showed that patients received approximately 50% fewer amalgam fillings in 2007 compared with 1992, whereas the rise in use of resin-based composite restorations was equivalent [Eklund, 2010].…”

Section: Discussionmentioning

confidence: 99%

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

2011

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The aim was to measure variations in threshold for operative treatment of approximal caries in permanent teeth and the use of restorative materials, compared with results from studies conducted in Norway in 1983 and 1995. In 2009, a precoded questionnaire was sent electronically to 3,654 dentists with E-mail addresses in the member register of the Norwegian Dental Association. The questions were related to caries, treatment strategies and choice of dental materials. Replies were obtained from 61% of the dentists after two reminders. Restorative treatment of approximal lesions confined to enamel, based on radiographic appearance, was proposed by 7% of the dentists, compared with 66% in 1983 and 18% in 1995. Younger dentists, significantly more often than older, would defer operative treatment of approximal lesions until the lesion was visible in dentine. While tunnel preparation most often was the preparation of choice in 1995 (47%), saucer-shaped preparation was most favoured in 2009 (69%). Tunnel preparation was only preferred by 4% of the dentists. Resin composite was the restorative material preferred by 95%, compared with 16% in 1995. The corresponding values for conventional glass ionomer cement (GIC) were 1 versus 22%, for resin-modified GIC 1 versus 7%, and for a combination of GIC and resin composite 2 versus 22%. Compomer was preferred by 1% of the respondents. The authors conclude that treatment concepts for approximal caries have changed considerably during the last 26 years. In 2009, only 7% of dentists reported that they would treat approximal caries operatively before the lesion reached dentine.

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Section: Discussionmentioning

confidence: 99%

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

2011

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“…Still, in the years preceding the ban use of amalgam was phasing out among Norwegian dentists [Vidnes- Kopperud et al, 2009]. In other countries, the use of amalgam has also decreased rapidly [Lynch et al, 2007;Kirkevang et al, 2009;Sunnegårdh-Grönberg et al, 2009;Lynch and Wilson, 2010]. A study on trends in dental treatment in the USA showed that patients received approximately 50% fewer amalgam fillings in 2007 compared to 1992, while the rise in the use of resin-based composite restorations was equivalent [Eklund, 2010].…”

Section: Discussionmentioning

confidence: 99%

Occlusal Caries Management: Preferences among Dentists in Norway

Kopperud

Tveit²,

Opdam³

et al. 2016

Caries Res

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The aim was to measure variations in the threshold for operative treatment of occlusal caries in permanent teeth and the use of dental materials, compared with results from a similar study conducted in Norway in 1995. In 2009, a precoded questionnaire was sent electronically to 3,654 dentists with E-mail addresses in the member register of the Norwegian Dental Association. The questions were related to caries, treatment strategies and choice of dental materials. Replies were obtained from 61.3% respondents after two reminders. Restorative treatment of occlusal lesions confined to enamel was proposed by 12% of the dentists, compared with 18% in 1995 (p < 0.01). Older dentists more often than younger dentists would operatively treat enamel lesions (p < 0.01). Most dentists preferred to drill only the carious part of the fissure rather than the whole fissure both in 2009 (78.8%) and 1995 (68.3%; p < 0.01). In 2009, 91.9% preferred composite as the restorative material of choice, compared to only 39.1% in 1995. Logistic regression analyses identified higher age of the dentist as the only variable significantly associated with higher risk of restoring occlusal enamel lesions operatively. The authors conclude that especially young dentists appear to be more reluctant to remove tooth substance in 2009 compared with 1995. Composite is the dominating material of choice in 2009 and seems to have substituted the use of most other filling materials in occlusal restorations in permanent teeth.

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“…28 As such, the next generation of dentists and therapists to join the dental workforce will be more skilled and experienced in the application of composite systems and principles of minimally interventive dentistry than ever before. 37 Intuitively, students who are trained to apply composite systems to best possible advantage are likely to be minimally invasive in their approach to cavity design. Such intuition and skill must be nurtured and developed in the future, rather than criticised and quashed.…”

Section: Dental Schoolsmentioning

confidence: 99%