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Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists.

Identifieur interne : 000027 ( Main/Exploration ); précédent : 000026; suivant : 000028

Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists.

Auteurs : E. Wuollet [Finlande] ; B. Tseveenjav [Finlande] ; J. Furuholm [Finlande] ; J. Waltimo-Sirén [Finlande] ; H. Valen [Norvège] ; A. Mulic [Norvège] ; V. Ansteinsson [Norvège] ; M-M Uhlen [Norvège]

Source :

RBID : pubmed:32183525

Descripteurs français

English descriptors

Abstract

AIM

This survey assessed Finnish dentists' treatment decisions and choices of restorative materials in selected paediatric dental patient cases, with special emphasis on stainless steel crowns (SSCs).

METHODS

A questionnaire with patient descriptions and tooth photographs was e-mailed to members of Finnish Dental Society (n=3,747). The respondents were asked to choose their preferred treatment in cases describing 1) extensive occlusal carious lesion in a primary molar of a cooperative child; 2) an identical lesion, treated under dental general anaesthesia (DGA); and 3) a symptomatic first permanent molar with enamel hypomineralisation (consistent with Molar-Incisor Hypomineralization, MIH) and post-eruptive breakdown. Only responses from dentist treating children were included (final n=765).

RESULTS

The majority (47.3%) would have preferred restoration of the extensive primary tooth caries in a normal setting using resin-modified glassionomer cement, and 4.3% by using SSC. The preference of SSC as treatment choice increased to 25.4% upon implementation of DGA. The majority would treat the symptomatic permanent MIH molar with a resin composite restoration (45.0%), while 10.5% suggested SSC. Compared to general dentists, paediatric dentists had a stronger preference for SSCs.

CONCLUSIONS

Although the respondents emphasised patient cooperation, but also tooth prognosis and material strength behind their treatment decisions, SSC was an uncommon choice.


DOI: 10.23804/ejpd.2020.21.01.06
PubMed: 32183525


Affiliations:


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Le document en format XML

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<b>AIM</b>
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<p>This survey assessed Finnish dentists' treatment decisions and choices of restorative materials in selected paediatric dental patient cases, with special emphasis on stainless steel crowns (SSCs).</p>
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<b>METHODS</b>
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<p>A questionnaire with patient descriptions and tooth photographs was e-mailed to members of Finnish Dental Society (n=3,747). The respondents were asked to choose their preferred treatment in cases describing 1) extensive occlusal carious lesion in a primary molar of a cooperative child; 2) an identical lesion, treated under dental general anaesthesia (DGA); and 3) a symptomatic first permanent molar with enamel hypomineralisation (consistent with Molar-Incisor Hypomineralization, MIH) and post-eruptive breakdown. Only responses from dentist treating children were included (final n=765).</p>
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<b>RESULTS</b>
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<p>The majority (47.3%) would have preferred restoration of the extensive primary tooth caries in a normal setting using resin-modified glassionomer cement, and 4.3% by using SSC. The preference of SSC as treatment choice increased to 25.4% upon implementation of DGA. The majority would treat the symptomatic permanent MIH molar with a resin composite restoration (45.0%), while 10.5% suggested SSC. Compared to general dentists, paediatric dentists had a stronger preference for SSCs.</p>
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<b>CONCLUSIONS</b>
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<p>Although the respondents emphasised patient cooperation, but also tooth prognosis and material strength behind their treatment decisions, SSC was an uncommon choice.</p>
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<name sortKey="Furuholm, J" sort="Furuholm, J" uniqKey="Furuholm J" first="J" last="Furuholm">J. Furuholm</name>
<name sortKey="Tseveenjav, B" sort="Tseveenjav, B" uniqKey="Tseveenjav B" first="B" last="Tseveenjav">B. Tseveenjav</name>
<name sortKey="Waltimo Siren, J" sort="Waltimo Siren, J" uniqKey="Waltimo Siren J" first="J" last="Waltimo-Sirén">J. Waltimo-Sirén</name>
</country>
<country name="Norvège">
<region name="Østlandet">
<name sortKey="Valen, H" sort="Valen, H" uniqKey="Valen H" first="H" last="Valen">H. Valen</name>
</region>
<name sortKey="Ansteinsson, V" sort="Ansteinsson, V" uniqKey="Ansteinsson V" first="V" last="Ansteinsson">V. Ansteinsson</name>
<name sortKey="Mulic, A" sort="Mulic, A" uniqKey="Mulic A" first="A" last="Mulic">A. Mulic</name>
<name sortKey="Uhlen, M M" sort="Uhlen, M M" uniqKey="Uhlen M" first="M-M" last="Uhlen">M-M Uhlen</name>
</country>
</tree>
</affiliations>
</record>

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