Awareness of possible complications associated with direct composite restorations: A multinational survey among dentists from 13 countries with meta-analysis

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dc.authoridBrochado Martins, Joao/0000-0002-3473-5801
dc.authoridAlkhawas, Moataz-Bellah/0000-0002-8295-2579
dc.authoridPalma, Paulo Jorge/0000-0003-4730-8072
dc.authoridKudenga, Rutendo/0000-0003-0895-1823
dc.authoridJaved, Muhammad Qasim/0000-0002-7586-4319
dc.authoridDonnermeyer, David/0000-0001-7162-9795
dc.authoridNijakowski, Kacper/0000-0002-5042-5985
dc.contributor.authorLehmann, Anna
dc.contributor.authorNijakowski, Kacper
dc.contributor.authorJankowski, Jakub
dc.contributor.authorDonnermeyer, David
dc.contributor.authorPalma, Paulo J.
dc.contributor.authorDrobac, Milan
dc.contributor.authorMartins, Joao Filipe Brochado
dc.date.accessioned2024-11-07T13:35:28Z
dc.date.available2024-11-07T13:35:28Z
dc.date.issued2024
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjectives: Resin -based composites (RBCs) evolved into favoured materials for teeth restorations, marking a significant change in dental practice. Despite many advantages, RBCs exhibit various limitations in their physical and chemical properties. Therefore, we assessed the dentists' awareness of possible complications after direct composite restorations and their opinions about this material. Methods: The online questionnaire was created in English in May 2023. A 16 -item survey was dedicated to general dentists and specialists. The first section included four questions related to demographic characteristics. The second section comprised twelve questions and focused on awareness of potential side effects of composite restorations, the most crucial advantages and disadvantages of composite resins, and the frequency of experienced clinical complications after the application of composite materials. Results: A total of 1830 dentists from 13 countries took part in the survey. Dentists most often declared awareness of low adhesion to the dentine (77.5 %) and, most rarely, solubility in oral fluids (42.6 %). Aesthetics was identified as the main advantage of composite fillings (79 %), followed by the possibility of repair (59 %) and adhesion to enamel (57 %). Polymerisation shrinkage was a major disadvantage for most countries (70 % overall). Analysing the declared potential clinical complications for all countries, statistically significant findings were obtained for marginal discolouration (OR=2.982, 95 % CI: 1.321-6.730, p-value=0.009) and borderline significance for secondary caries (OR=1.814, 95 % CI: 0.964-3.415, p-value=0.065). Conclusions: Dentists value aesthetics and repairability but are aware of shrinkage and experience discolouration. The issue of toxicity and solubility seems to be the least known to dentists. Clinical significance: Dentists should use RBCs with critical caution due to possible side effects. Despite the undoubted aesthetics of direct composite restorations, it is necessary to remember potential clinical complications such as marginal discolouration or secondary caries.
dc.identifier.doi10.1016/j.jdent.2024.105009
dc.identifier.issn0300-5712
dc.identifier.issn1879-176X
dc.identifier.pmid38643866
dc.identifier.scopus2-s2.0-85190840892
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.jdent.2024.105009
dc.identifier.urihttps://hdl.handle.net/11480/16528
dc.identifier.volume145
dc.identifier.wosWOS:001222595000001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Dentistry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectComposite resin
dc.subjectPermanent dental filling
dc.subjectDental restoration failure
dc.subjectSide effects
dc.subjectQuestionnaire
dc.titleAwareness of possible complications associated with direct composite restorations: A multinational survey among dentists from 13 countries with meta-analysis
dc.typeArticle

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