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Home Restorative material choices for extensive carious lesions and hypomineralisation defects in children:...

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

Authors:

  • E. Wuollet
    Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
  • B. Tseveenjav
    Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
  • J. Furuholm
    Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
  • J. Waltimo-Sirén
    Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland
  • H. Valen
    Nordic Institute for Dental Materials (NIOM), Oslo, Norway
  • A. Mulic
    Nordic Institute for Dental Materials (NIOM), Oslo, Norway
  • V. Ansteinsson
    Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway
  • M-M Uhlen
    Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway

DOI:

https://doi.org/10.23804/ejpd.2020.21.01.06

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.

PLUMX METRICS

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Publication date:

March /2020

Keywords:

dental caries, dental developmental defects, dental treatment, hypomineralization, mih, restorative options, treatment decision

Issue:

Vol.21 – n.1/2020

Page:

29 – 34

Publisher:

Ariesdue

Cite:


Harvard: E. Wuollet, B. Tseveenjav, J. Furuholm, J. Waltimo-Sirén, H. Valen, A. Mulic, V. Ansteinsson, M-M Uhlen (2020) "Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists", European Journal of Paediatric Dentistry, 21(1), pp29-34. doi: 10.23804/ejpd.2020.21.01.06
Vancouver: E. Wuollet, B. Tseveenjav, J. Furuholm, J. Waltimo-Sirén, H. Valen, A. Mulic, V. Ansteinsson, M-M Uhlen. Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists. European Journal of Paediatric Dentistry [Internet]. 2020Mar.1 [cited 2023Feb.03];21(1):29-34. Available from: https://www.ejpd.eu/abstract-pubmed/restorative-material-choices-for-extensive-carious-lesions-and-hypomineralisation-defects-in-children-a-questionnaire-survey-among-finnish-dentists/
MLA: E. Wuollet, B. Tseveenjav, J. Furuholm, J. Waltimo-Sirén, H. Valen, A. Mulic, V. Ansteinsson, M-M Uhlen Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists. European Journal of Paediatric Dentistry. 2020;21(1):29-34

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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