Restoration of the contact surfaces and contact points of the posterior teeth from the practical dentists’ point of view: A questionnaire survey

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BACKGROUND: Increasing the efficiency of the restoration of the contact surfaces of the posterior teeth by considering age-related characteristics in performing direct aesthetic restoration with composite materials remains an urgent task of modern dentistry, requiring a comprehensive analysis of existing problems.

AIM: To assess the attitude of practitioners to the restoration of the contact points of the lateral teeth by direct composite restoration and the level of their practical and theoretical preparedness.

MATERIAL AND METHODS: A survey of 376 practical dentists conducting therapeutic reception of adult patients (“therapeutic dentistry” and “general dentistry”) was conducted: 238 dentists took part in the face-to-face survey and 138 dentists in the online survey.

RESULT: The restoration of the contact points during the treatment of patients with caries of the contact surfaces of the lateral teeth by direct composite restoration causes significant difficulties for practical dentists: 70.4±2.36% (p <0.005) of the respondents feel uncertain about the success of this manipulation, 14.4±1.77% regularly experience problems while performing this manipulation, 18.1±1.98% noted frequent or constant dissatisfaction with the results of their work after the restoration of the contact points of the posterior teeth, 76.2±2.19% (p <0.005) have information about age-related changes in the shape and topography of the contact points, 46.5±2.57% indicated the absence of methods and tools that allow to reproduce in clinical conditions the age-related features of the shape and topography of contact points, and 72.9±2.29% (p <0.005) prefer, if possible, not to take responsibility for the final outcomes of this manipulation.

CONCLUSION: Studies aimed at developing methods for restoring the age characteristics of contact points in treating patients with caries on the contact surfaces of the posterior teeth using aesthetic restoration with composite materials are necessary.

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作者简介

Aleksandr Nikolaev

Smolensk State Medical University

编辑信件的主要联系方式.
Email: anicolaev@inbox.ru
ORCID iD: 0000-0002-1378-6538

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, 28, Krupskaya str, 214019, Smolensk

Viktoriya Shashmurina

Smolensk State Medical University

Email: anicolaev@inbox.ru
ORCID iD: 0000-0001-5216-7521

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, 28, Krupskaya str, 214019, Smolensk

Arseniy Ginali

Smolensk State Medical University

Email: anicolaev@inbox.ru
ORCID iD: 0000-0003-4467-3795

graduate student

俄罗斯联邦, 28, Krupskaya str, 214019, Smolensk

Anastasiya Permyakova

Smolensk State Medical University

Email: anicolaev@inbox.ru
ORCID iD: 0000-0003-4490-2041

assistant

俄罗斯联邦, 28, Krupskaya str, 214019, Smolensk

参考

  1. Sarig R, Vardimon AD, Sussan C, et al. Pattern of maxillary and mandibular proximal enamel thickness at the contact area of the permanent dentition from first molar to first molar. American Journal of Orthodontics & Dentofacial Orthopedics. 2015;147(4):435–444. doi: 10.1016/j.ajodo.2014.11.026
  2. Nikolaev AI, Tsepov LM, editors. Practical therapeutic dentistry: textbook: in 3 vol. 10th edition, revised and enlarged. Moscow: MEDpress-inform; 2018. Vol. 1. (In Russ).
  3. Chuang SF, Su KC, Wang CH, Chang CH. Morphological analysis of proximal contacts in class II direct restorations with 3D image reconstruction. J Dent. 2011;39(6):448–456. doi: 10.1016/j.jdent.2011.04.001
  4. Loomans BA, Opdam NJ, Roeters FJ, et al. Restoration techniques and marginal overhang in Class II composite resin restorations. J Dent. 2009;37(9):712–717. doi: 10.1016/j.jdent.2009.05.025
  5. Wang Y, Song Y, Zhong Q, Xu C. Evaluation of influence factors on the width, length, and width to length ratio of the maxillary central incisor: A systematic review and meta-analysis. J Esthet Restor Dent. 2021;33(2):351–363. doi: 10.1111/jerd.12606
  6. Lyasova AO. Contact point restoration: the path to success. Bulletin of Medical Internet Conferences. 2017;7(10):1510–1516. (In Russ).
  7. Nikolaev AI, Tsepov LM, editors. Practical therapeutic dentistry: textbook: in 3 vol. 10th edition, revised and enlarged. Moscow: MEDpress-inform; 2021. Vol. 2. (In Russ).
  8. Sfondouris T, Prestipino V. Chairside management of an open proximal contact on an implant-supported ceramic crown using direct composite resin. J Prosthet Dent. 2019;122(1):1–4. doi: 10.1016/j.prosdent.2018.10.019
  9. Kolodkina VI, Arutyunov AV. Morphological structure of enamel, dentin of teeth and composite filling materials in vitro. Russian Journal of Dentistry. 2018;22(4):176–179. (In Russ).
  10. Lee SP, Lee SJ, Hayashi K, Park YS. A three-dimensional analysis of the perceived proportions of maxillary anterior teeth. Acta Odontol Scand. 2012;70(5):432–440. doi: 10.3109/00016357.2011.600716
  11. Maimulov VG, Luchkevich VS, Rumyantsev AP, Semenova VV. Fundamentals of scientific and literary work in medicine: scientific publication. 2nd ed., rev. and add. Saint Petersburg: Special. Lit.; 1996.

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2. Fig. 1. Distribution of dentists’ answers to the question of the questionnaire: “Do you find it difficult to restore the contact points of posterior teeth when filling cavities of the 2nd class according to Black?” (% of the total number of respondents).

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3. Fig. 2. Distribution of dentists’ answers to the question of the questionnaire: “Do you check the quality of restoration of contact points using floss after filling the cavities of the 2nd class according to Black?” (% of the total number of respondents).

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4. Fig. 3. Distribution of dentists’ answers to the question of the questionnaire: “In what area are you trying to create a contact point?” (% of the total number of respondents); the correct answer is “2 mm below the occlusal plane with a buccal offset”.

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5. Fig. 4. Distribution of dentists’ answers to the question of the questionnaire: “Do you take into account age-related changes in the shape and topography of contact points when filling cavities of the 2nd class according to Black?” (% of the total number of respondents).

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6. Fig. 5. Distribution of dentists’ answers to the question of the questionnaire: “Are you always satisfied with the result of restoration of contact points and contact surfaces of chewing teeth?” (% of the total number of respondents).

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7. Fig. 6. Distribution of dentists’ answers to the questionnaire: “If you need to make a crown on tooth 37, and fill a distal carious cavity of class 2 with a composite in tooth 36, which option do you think is more preferable?” (% of the total number of respondents).

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