Abstract

Objectives: To assess restorative treatment decisions on approximal caries by dental practitioners in College of Dentistry at Ajman University regarding treatment threshold, restorative techniques and restorative materials, and to evaluate the characteristics of dentists relative to their treatment decisions. Materials and Methods: Questionnaires were completed by a population of 180 dentists working in the university’s clinics. The questionnaire assessed responses to the treatment threshold for a hypothetical approximal carious lesion, the most preferred types of cavity preparation and restorative materials. Results: Out of the 180 participants, 57.9% were females, and 42.2% were males. Eighty-three percent were 35 years old or less, 12.2% were between 36 and 50 years, and 4.4% were 50 years or older. Most participants were UAE graduates (84.4%). Majority of the participants would delay surgical intervention of the approximal carious lesion until it reaches the dentine-enamel junction (41%), and 27% would wait further until it reaches into the outer dentine, while only 21% would intervene when the lesion is limited to enamel. The majority of the participants preferred simple box preparation (72.8%), and most of them chose composite as the restorative material (85%). Conclusion: There is some variation among restorative treatment decisions of approximal caries by Ajman University’s dentists, but the majority tend to delay restorative intervention until caries reaches dentine, they prefer minimally invasive restorative techniques, and prefer composite as a restorative material.

Highlights

  • Caries management continues to be a challenge in restorative dentistry [1]

  • One of the most difficult types of carious lesions to detect and manage is approximal caries that progress underneath sound marginal ridges

  • The statistical analysis showed no significant difference in the answers of the cavity design and restorative materials questions between dentists who are doing private practice and those who do not (p>0.05)

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Summary

Introduction

One of the most difficult types of carious lesions to detect and manage is approximal caries that progress underneath sound marginal ridges. When it comes to this type of caries, the use of bitewing radiographs is required because visual examination alone is insufficient [2 - 5]. Categorizing carious lesions at a non-cavitated phase can help dentists assess if noninvasive methods would be successful [10, 11]. 98 The Open Dentistry Journal, 2020, Volume 14 penetrated enamel or dentine can be treated by means of remineralization without surgical intervention, using fluoride treatment and patient education, with a higher success rate for lesions that are confined to enamel [12, 13]. The International Caries Classification and Management System and Caries Management by Risk Assessment recommend minimal invasive treatment based on the patient’s caries risk level [14]

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