Restoration of noncarious tooth defects by dentists in The Dental Practice-Based Research Network

Marcelle M Nascimento, Valeria V Gordan, Vibeke Qvist, James D Bader, D Brad Rindal, O Dale Williams, Daniel Gewartowski, Jeffrey L Fellows, Mark S Litaker, Gregg H Gilbert, Dental Practice-Based Research Network Collaborative Group

13 Citations (Scopus)

Abstract

Background. The authors conducted a study to quantify the reasons for restoring noncarious tooth defects (NCTDs) by dentists in The Dental Practice-Based Research Network (DPBRN) and 1, to assess the tooth, patient and dentist characteristics associated with those reasons. Methods. Data were collected by 178 DPBRN dentists regarding the placement of 1,301 consecutive restorations owing to NCTDs. Information gathered included the main clinical reason, other than dental caries, for restoration of previously unrestored permanent tooth surfaces; characteristics of patients who received treatment; dentists' and dental practices' characteristics; teeth and surfaces restored; and restorative materials used. Results. Dentists most often placed restorations to treat lesions caused by abrasion, abfraction or erosion (AAE) (46 percent) and tooth fracture (31 percent). Patients 41 years or older received restorations mainly because of AAE (P < .001). Premolars and anterior teeth were restored mostly owing to AAE; molars were restored mostly owing to tooth fracture (P < .001). Dentists used directly placed resin-based composite (RBC) largely to restore AAE lesions and fractured teeth (P < .001). Conclusions. Among DPBRN practices, AAE and tooth fracture were the main reasons for restoring noncarious tooth surfaces. Premolars and anterior teeth of patients 41 years and older are most likely to receive restorations owing to AAE; molars are most likely to receive restorations owing to tooth fracture. Dentists restored both types of NCTDs most often with RBC.

Original languageEnglish
JournalJournal of the American Dental Association
Volume142
Issue number12
Pages (from-to)1368-75
Number of pages8
ISSN0002-8177
Publication statusPublished - Dec 2011

Keywords

  • Adult
  • Age Factors
  • Bicuspid
  • Community-Based Participatory Research
  • Composite Resins
  • Cuspid
  • Dental Amalgam
  • Dental Materials
  • Dental Research
  • Dental Restoration, Permanent
  • Dentist's Practice Patterns
  • Esthetics, Dental
  • Female
  • Glass Ionomer Cements
  • Humans
  • Incisor
  • Male
  • Middle Aged
  • Molar
  • Resin Cements
  • Tooth Abnormalities
  • Tooth Abrasion
  • Tooth Erosion
  • Tooth Fractures
  • Tooth Wear
  • Tooth, Nonvital
  • Young Adult

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