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

Type:  Articles

Pubblication date:  03/2020

Authors:  E. Wuollet, B. Tseveenjav, J. Furuholm, J. Waltimo-Sirén*, H. Valen**, A. Mulic**, V. Ansteinsson***, M.-M. Uhlen***

Language:  English

Institution:  Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland *Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland **Nordic Institute for Dental Materials (NIOM), Oslo, Norway *** Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway

Publication:  European Journal of Paediatric Dentistry

Publisher:  Ariesdue Srl

Keywords:  Dental caries; Dental developmental defects; MIH; Hypomineralization; Dental treatment; Restorative options; treatment decision.

Email:  [email protected]

URL:  https://ejpd.eu/EJPD_2020_21_1_06.pdf


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

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.

 
 
 
 
 
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