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

Autor:	Wuollet E; Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland., Tseveenjav B; Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland., Furuholm J; Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland., Waltimo-Sirén J; Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland., Valen H; Nordic Institute for Dental Materials (NIOM), Oslo, Norway., Mulic A; Nordic Institute for Dental Materials (NIOM), Oslo, Norway., Ansteinsson V; Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway., Uhlen MM; Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
Jazyk:	angličtina
Zdroj:	European journal of paediatric dentistry [Eur J Paediatr Dent] 2020 Mar; Vol. 21 (1), pp. 29-34.
DOI:	10.23804/ejpd.2020.21.01.06
Abstrakt:	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.
Databáze:	MEDLINE
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