Placement of Posterior Composite Restorations: A Cross-Sectional Study of Dental Practitioners in Al-Kharj, Saudi Arabia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Approval
2.2. Questionnaire Description
2.3. Sampling and Data Collection
2.4. Statistical Analysis
3. Results
3.1. Response Rate
3.2. Selection of the Restorative Material
3.3. Placement of Posterior Composite Restorations in Patients with Certain Clinical Conditions
3.4. Specifications of the Cavity Preparation
3.5. Restorative Technique
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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DPs’ Information | Total n = 123 (100%) | Governmental n = 37 (30%) | Private n = 86 (70%) |
---|---|---|---|
Professional registration | |||
General Practitioner (GP) | 76 (61.8) | 16 (13) | 60 (48.8) |
Resident | 5 (4.1) | 0 | 5 (4.1) |
Registrar | 10 (8.1) | 7 (5.7) | 3 (2.4) |
Senior registrar | 11 (9) | 7 (5.7) | 4 (3.3) |
Consultant | 21 (17.1) | 7 (5.7) | 14 (11.4) |
Years of clinical experience | |||
0–2 years | 12 (9.8) | 5 (4.1) | 7 (5.7) |
2–5 years | 27 (22) | 8 (6.5) | 19 (15.4) |
More than 5 years | 84 (68.3) | 24 (19.5) | 60 (48.8) |
Question | Governmental n = 37 (30%) | Private n = 86 (70%) | p-Value |
---|---|---|---|
Q1. Which material do often you use in posterior small cavity (1 or 2 surfaces)? | 0.452 | ||
Amalgam | 0 | 4 (3.3) | |
Composite | 35 (28.4) | 79 (64.2) | |
Resin modified glass ionomer | 2 (1.7) | 3 (2.4) | |
Q2. Which material do you often use in posterior large cavity (3 or more surfaces)? | 0.746 | ||
Amalgam | 4 (3.2) | 12 (9.8) | |
Composite | 22 (17.9) | 54 (43.9) | |
Other (Indirect restoration) | 11 (9) | 20 (16.2) | |
Q3. Do you often place direct posterior composite restorations in patients with oral para-functional activity? | 1.000 | ||
Yes | 10 (8.1) | 23 (18.7) | |
No | 27 (22) | 63 (51.2) | |
Q4. Do you often place direct posterior composite restorations in patients with poor oral hygiene? | 0.066 | ||
Yes | 15 (12.2) | 52 (42.3) | |
No | 22 (17.9) | 34 (27.6) | |
Q5. Do you often place direct posterior composite restorations in posterior cavities with 1–2 mm Sub-gingival margins | 0.201 | ||
Yes | 14 (11.4) | 45 (36.6) | |
No | 23 (18.7) | 41 (33.3) |
Question | Governmental n = 37 (30%) | Private n = 86 (70%) | p-Value |
---|---|---|---|
Q6. Do you prepare a minimum pulpal depth of 2 mm for occlusal cavities? | 0.001 * | ||
Yes | 11 (9) | 56 (45.5) | |
No | 26 (21.1) | 30 (24.4) | |
Q7. Do you prepare mechanical means of retention for composite restorations? | 0.003 * | ||
Yes | 9 (7.4) | 48 (38.9) | |
No | 28 (22.8) | 38 (30.9) | |
Q8. Do you bevel the occlusal margins of the cavity? | 0.120 | ||
Yes | 13 (10.6) | 45 (36.6) | |
No | 24 (19.5) | 41 (33.3) | |
Q9. Do you bevel the gingival margin of the cavity? | 0.212 | ||
Yes | 8 (6.5) | 30 (24.4) | |
No | 29 (23.6) | 56 (45.5) |
Question | Governmental n = 37 (30%) | Private n = 86 (70%) | p-Value |
---|---|---|---|
Q10. How often do you achieve the operative field isolation? | 0.004 # | ||
Rubber dam | 23 (18.7) | 26 (21.1) | |
Cotton rolls and intraoral suction (Partial isolation) | 13 (10.6) | 55 (44.7) | |
Other | 1 (0.8) | 5 (4.1) | |
Q11. Which adhesive strategy do you use more often? | <0.001 # | ||
Etch-and-rinse (total etch) | 30 (24.4) | 37 (30.1) | |
Self-etching (no acid etching) | 2 (1.7) | 26 (21.1) | |
Selective enamel etching | 5 (4.1) | 23 (18.7) | |
Q12. Which placement technique do you often apply for the placement of composite restorations? | 0.472 | ||
Horizontal layering | 12 (9.8) | 30 (24.4) | |
Oblique layering | 25 (20.3) | 52 (42.3) | |
Bulk-fill | 0 | 4 (3.2) | |
Q13. Which light-curing unit do you often use to light-cure posterior restorations? | 0.013 # | ||
Quartz tungsten halogen (QTH) | 9 (7.3) | 6 (4.9) | |
Light emitting diodes (LED) | 28 (22.8) | 79 (64.2) | |
Other | 0 | 1 (0.8) | |
Q14. Do you regularly monitor the output of light-curing unit with a radiometer? | 0.023 * | ||
Yes | 10 (8.1) | 8 (6.5) | |
No | 27 (22) | 78 (63.4) | |
Q15. How long do you light-cure composite increment of 2 mm thickness? | 0.784 | ||
10s | 4 (3.3) | 9 (7.3) | |
15s | 7 (5.7) | 18 (14.6) | |
20s | 26 (21.1) | 59 (48) | |
Q16. For class II composite restorations, after removal of the matrix band, do you often perform additional light-curing from the buccal and lingual directions? | 0.087 | ||
Yes | 29 (23.6) | 52 (42.3) | |
No | 8 (6.5) | 34 (27.6) | |
Q17. Which matrix system do you often use to restore the proximal contact with composite restoration? | <0.001 # | ||
Sectional matrix | 19 (15.4) | 21 (17.1) | |
Tofflemire matrix | 6 (4.9) | 50 (40.6) | |
Circumferential matrix | 10 (8.1) | 11 (9) | |
Other | 2 (1.7) | 4 (3.2) |
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Awad, M.M.; Alradan, M.; Alshalan, N.; Alqahtani, A.; Alhalabi, F.; Salem, M.A.; Rabah, A.; Alrahlah, A. Placement of Posterior Composite Restorations: A Cross-Sectional Study of Dental Practitioners in Al-Kharj, Saudi Arabia. Int. J. Environ. Res. Public Health 2021, 18, 12408. https://doi.org/10.3390/ijerph182312408
Awad MM, Alradan M, Alshalan N, Alqahtani A, Alhalabi F, Salem MA, Rabah A, Alrahlah A. Placement of Posterior Composite Restorations: A Cross-Sectional Study of Dental Practitioners in Al-Kharj, Saudi Arabia. International Journal of Environmental Research and Public Health. 2021; 18(23):12408. https://doi.org/10.3390/ijerph182312408
Chicago/Turabian StyleAwad, Mohamed M., Mansour Alradan, Nawaf Alshalan, Ali Alqahtani, Feras Alhalabi, Mohammed Ali Salem, Ahmed Rabah, and Ali Alrahlah. 2021. "Placement of Posterior Composite Restorations: A Cross-Sectional Study of Dental Practitioners in Al-Kharj, Saudi Arabia" International Journal of Environmental Research and Public Health 18, no. 23: 12408. https://doi.org/10.3390/ijerph182312408