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13.11.2020 | Original Scientific Article

Restorative thresholds for carious lesions in primary molars: French dentist’s decisions

verfasst von: M. Muller-Bolla, E. Aïem, C. Coulot, S. Doméjean

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 3/2021

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Abstract

Purpose

Questionnaire surveys have been undertaken worldwide to investigate practices and knowledge related to carious lesion management, particularly in adults. The primary objective of this cross-sectional survey was to investigate restorative thresholds (RTs) used for carious lesions in primary molars by dentists practising paediatric dentistry in France. Dentists were surveyed by a specifically developed questionnaire based on clinical and radiographic caries classifications. The secondary objective was to explore restorative management strategies in primary molars.

Methods

A structured questionnaire assessing RTs and management strategies for occlusal and approximal carious lesions of primary molars was anonymously and electronically administered via SurveyMonkey® to dentists who were members of the Société Française d’Odontologie Pédiatrique. Descriptive analyses, Chi-square test, McNemar test, and logistic regression analyses considering dependent RT variables for occlusal and approximal carious lesions were performed.

Results

Among 250 dentists surveyed, 201 responded (response rate 80.4%). Overall, 43% (n = 87) and 75% (n = 151) of respondents would place their RTs in enamel for occlusal and approximal lesions, respectively. Dentists with an exclusive practice of paediatric dentistry more frequently would choose a RT in dentine for approximal lesions than did other dentists (p = 0.010). A preparation technique including sound dental tissues was less frequent for occlusal than approximal lesions (n = 31; 15% vs n = 60; 30%). Overall, 75% (n = 151) of respondents used the same restorative material for occlusal and approximal lesions.

Conclusion

In general, dentists practising paediatric dentistry in France overtreated lesions on primary molars, which contradicts minimal intervention recommendations. RTs are too often indicated for enamel-confined carious lesions.
Literatur
Zurück zum Zitat Aldhilan S, Al-Haj AS. Approaches used to care for carious primary molars among pediatric dentists and general dental practitioners in Saudi Arabia. J Clin Exp Dent. 2018;10:e212–7.PubMedPubMedCentral Aldhilan S, Al-Haj AS. Approaches used to care for carious primary molars among pediatric dentists and general dental practitioners in Saudi Arabia. J Clin Exp Dent. 2018;10:e212–7.PubMedPubMedCentral
Zurück zum Zitat Amaechi BT. Remineralisation—the buzzword for early MI caries management. Br Dent J. 2017;223:173–82.CrossRef Amaechi BT. Remineralisation—the buzzword for early MI caries management. Br Dent J. 2017;223:173–82.CrossRef
Zurück zum Zitat Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consesus recommandations on minimally invasive caries removal. Br Dent J. 2017;223:215–22.CrossRef Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consesus recommandations on minimally invasive caries removal. Br Dent J. 2017;223:215–22.CrossRef
Zurück zum Zitat Bervian J, Tovo MF, Feldens CA, Brusco LC, Rosa FM. Evaluation of final-year dental students concerning therapeutic decision making for proximal caries. Braz Oral Res. 2009;23:54–60.CrossRef Bervian J, Tovo MF, Feldens CA, Brusco LC, Rosa FM. Evaluation of final-year dental students concerning therapeutic decision making for proximal caries. Braz Oral Res. 2009;23:54–60.CrossRef
Zurück zum Zitat Black GV. Operative dentistry. The technical procedures in filling teeth, vol 11. Medico-Dental Publishing Co, Chicago;1908 Black GV. Operative dentistry. The technical procedures in filling teeth, vol 11. Medico-Dental Publishing Co, Chicago;1908
Zurück zum Zitat Collège des Enseignants en Odontologie Pédiatrique (CEOP). Guide d’odontologie pédiatrique. La clinique par la preuve. 2nd ed. Paris:CdP; 2018. Collège des Enseignants en Odontologie Pédiatrique (CEOP). Guide d’odontologie pédiatrique. La clinique par la preuve. 2nd ed. Paris:CdP; 2018.
Zurück zum Zitat Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, Corrêa MB. Restorations in primary teeth: a systematic review on survival and reasons for failures. Int J Paediatr Dent. 2018;28:123–39.CrossRef Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, Corrêa MB. Restorations in primary teeth: a systematic review on survival and reasons for failures. Int J Paediatr Dent. 2018;28:123–39.CrossRef
Zurück zum Zitat Dhar V, Hsu KL, Coll JA, Ginsberg E, Ball BM, Chhibber S, Johnson M, Kim M, Modaresi N, Tinanoff N. Evidence-based update of pediatric dental restorative procedures: dental materials. J Clin Pediatr Dent. 2015;39:303–10.CrossRef Dhar V, Hsu KL, Coll JA, Ginsberg E, Ball BM, Chhibber S, Johnson M, Kim M, Modaresi N, Tinanoff N. Evidence-based update of pediatric dental restorative procedures: dental materials. J Clin Pediatr Dent. 2015;39:303–10.CrossRef
Zurück zum Zitat Doméjean S, Léger S, Maltrait M, Espelid I, Tveit AB, Tubert-Jeannin S. Changes in occlusal caries lesion management in France from 2002 to 2012: a Persistent gap between evidence and clinical practice. Caries Res. 2015;49:408–16.CrossRef Doméjean S, Léger S, Maltrait M, Espelid I, Tveit AB, Tubert-Jeannin S. Changes in occlusal caries lesion management in France from 2002 to 2012: a Persistent gap between evidence and clinical practice. Caries Res. 2015;49:408–16.CrossRef
Zurück zum Zitat Doméjean-Orliaguet S, Tubert-Jeannin S, Riordan PJ, Espelid I, Tveit AB. French dentists’ restorative treatment decisions. Oral Health Prev Dent. 2004;2:125–31.PubMed Doméjean-Orliaguet S, Tubert-Jeannin S, Riordan PJ, Espelid I, Tveit AB. French dentists’ restorative treatment decisions. Oral Health Prev Dent. 2004;2:125–31.PubMed
Zurück zum Zitat Dominici G, Muller-Bolla M. Activité des chirurgiens-dentistes « pédiatriques » libéraux en France. Rev Francoph Odontol Pediatr. 2017;4:152–8. Dominici G, Muller-Bolla M. Activité des chirurgiens-dentistes « pédiatriques » libéraux en France. Rev Francoph Odontol Pediatr. 2017;4:152–8.
Zurück zum Zitat Espelid I, Tveit A, Haugejorden O, Riordan PJ. Variation in radiographic interpretation and restorative treatment decisions on approximal caries among dentists in Norway. Commun Dent Oral Epidemiol. 1985;13:26–9.CrossRef Espelid I, Tveit A, Haugejorden O, Riordan PJ. Variation in radiographic interpretation and restorative treatment decisions on approximal caries among dentists in Norway. Commun Dent Oral Epidemiol. 1985;13:26–9.CrossRef
Zurück zum Zitat Espelid I, Tveit AB, Mejáre I, Nyvad B. Caries—new knowledge or old truths? Norwegian Dent J. 1997;107:66–74. Espelid I, Tveit AB, Mejáre I, Nyvad B. Caries—new knowledge or old truths? Norwegian Dent J. 1997;107:66–74.
Zurück zum Zitat Foley J, Evans D, Blackwell A. Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial. Br Dent J. 2004;197:697–701.CrossRef Foley J, Evans D, Blackwell A. Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial. Br Dent J. 2004;197:697–701.CrossRef
Zurück zum Zitat Freitas LA, Santos MT, Guaré RO, Lussi A, Diniz MB. Association between visual inspection, caries activity status, and radiography with treatment decisions on approximal caries in primary molars. Pediatr Dent. 2016;38:140–7.PubMed Freitas LA, Santos MT, Guaré RO, Lussi A, Diniz MB. Association between visual inspection, caries activity status, and radiography with treatment decisions on approximal caries in primary molars. Pediatr Dent. 2016;38:140–7.PubMed
Zurück zum Zitat Fukai K, Ohno H, Blinkhorn A. A cross-sectional survey investigating care of the primary dentition by paediatric dental specialists in Japan and the UK. Int Dent J. 2012;62:203–7.CrossRef Fukai K, Ohno H, Blinkhorn A. A cross-sectional survey investigating care of the primary dentition by paediatric dental specialists in Japan and the UK. Int Dent J. 2012;62:203–7.CrossRef
Zurück zum Zitat Holland M, Carrico C, Williams T. Pediatric dentists’ treatment planning decisions for class II carious lesions in primary molars. J Dent Child (Chic). 2018;85:16–22. Holland M, Carrico C, Williams T. Pediatric dentists’ treatment planning decisions for class II carious lesions in primary molars. J Dent Child (Chic). 2018;85:16–22.
Zurück zum Zitat Innes NPT, Schwendicke F. Restorative thresholds for carious lesions: systematic review and meta-analysis. J Dent Res. 2017;96:501–8.CrossRef Innes NPT, Schwendicke F. Restorative thresholds for carious lesions: systematic review and meta-analysis. J Dent Res. 2017;96:501–8.CrossRef
Zurück zum Zitat Innes NPT, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona A, Schwendicke F. Managing carious lesions: consensus recommendations on terminology. Adv Dent Res. 2016;28:49–57.CrossRef Innes NPT, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona A, Schwendicke F. Managing carious lesions: consensus recommendations on terminology. Adv Dent Res. 2016;28:49–57.CrossRef
Zurück zum Zitat Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35:170–8.CrossRef Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35:170–8.CrossRef
Zurück zum Zitat Ismail AI, Tellez M, Pitts NB, Ekstrand KR, Ricketts D, Longbottom C, Eggertsson H, Deery C, Fisher J, Young DA, Featherstone JD, Evans W, Zeller GG, Zero D, Martignon S, Fontana M, Zandona A. Caries management pathways preserve dental tissues and promote oral health. Commun Dent Oral Epidemiol. 2013;41(1):e12–40.CrossRef Ismail AI, Tellez M, Pitts NB, Ekstrand KR, Ricketts D, Longbottom C, Eggertsson H, Deery C, Fisher J, Young DA, Featherstone JD, Evans W, Zeller GG, Zero D, Martignon S, Fontana M, Zandona A. Caries management pathways preserve dental tissues and promote oral health. Commun Dent Oral Epidemiol. 2013;41(1):e12–40.CrossRef
Zurück zum Zitat Keys T, Burrow MF, Rajan S, Rompre P, Doméjean S, Muller-Bolla M, Manton DJ. Carious lesion management in children and adolescents by Australian dentists. Aust Dent J. 2019;64:282–92.CrossRef Keys T, Burrow MF, Rajan S, Rompre P, Doméjean S, Muller-Bolla M, Manton DJ. Carious lesion management in children and adolescents by Australian dentists. Aust Dent J. 2019;64:282–92.CrossRef
Zurück zum Zitat Kühnisch J, Ekstrand KR, Pretty I, Twetman S, van Loveren C, Gizani S, Spyridonos LM. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Eur Arch Paediatr Dent. 2016;17:3–12.CrossRef Kühnisch J, Ekstrand KR, Pretty I, Twetman S, van Loveren C, Gizani S, Spyridonos LM. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Eur Arch Paediatr Dent. 2016;17:3–12.CrossRef
Zurück zum Zitat Kupietzky A, Atia Joachim D, Tal E, Moskovitz M. Long-term clinical performance of heat-cured high-viscosity glass ionomer class II restorations versus resin-based composites in primary molars: a randomized comparison trial. Eur Arch Paediatr Dent. 2019;20:451–6.CrossRef Kupietzky A, Atia Joachim D, Tal E, Moskovitz M. Long-term clinical performance of heat-cured high-viscosity glass ionomer class II restorations versus resin-based composites in primary molars: a randomized comparison trial. Eur Arch Paediatr Dent. 2019;20:451–6.CrossRef
Zurück zum Zitat Leal SC. Minimal intervention dentistry in the management of the paediatric patient. Br Dent J. 2014;216:623–7.CrossRef Leal SC. Minimal intervention dentistry in the management of the paediatric patient. Br Dent J. 2014;216:623–7.CrossRef
Zurück zum Zitat Lee GH, McGrath C, Yiu CK. The care of the primary dentition by general dental practitioners and paediatric dentists. Int Dent J. 2013;63:273–80.CrossRef Lee GH, McGrath C, Yiu CK. The care of the primary dentition by general dental practitioners and paediatric dentists. Int Dent J. 2013;63:273–80.CrossRef
Zurück zum Zitat Martignon S, Pitts NB, Goffin G, Mazevet M, Douglas GVA, Newton JT, Twetman S, Deery C, Doméjean S, Jablonski-Momeni A, Banerjee A, Kolker J, Ricketts D, Santamaria RM. CariesCare practice guide: consensus on evidence into practice. Br Dent J. 2019;227:353–62.CrossRef Martignon S, Pitts NB, Goffin G, Mazevet M, Douglas GVA, Newton JT, Twetman S, Deery C, Doméjean S, Jablonski-Momeni A, Banerjee A, Kolker J, Ricketts D, Santamaria RM. CariesCare practice guide: consensus on evidence into practice. Br Dent J. 2019;227:353–62.CrossRef
Zurück zum Zitat Muller-Bolla M, Clauss F, Davit-Béal T, Manière MC, Sixou JL, Vital S. Prise en charge bucco-dentaire des enfants et des adolescents. CDF. 2018;1806–1807:1–5. Muller-Bolla M, Clauss F, Davit-Béal T, Manière MC, Sixou JL, Vital S. Prise en charge bucco-dentaire des enfants et des adolescents. CDF. 2018;1806–1807:1–5.
Zurück zum Zitat Muller-Bolla M, Coulot C, Doméjean S. Gestion des lésions carieuses chez les enfants: seuil restaurateur. Clinic. 2019;40:327–34. Muller-Bolla M, Coulot C, Doméjean S. Gestion des lésions carieuses chez les enfants: seuil restaurateur. Clinic. 2019;40:327–34.
Zurück zum Zitat Nelson SJ, Ash MM. Wheeler’s dental anatomy, physiology, and occlusion. 9th ed. Philadelphia: Saunders; 2010. Nelson SJ, Ash MM. Wheeler’s dental anatomy, physiology, and occlusion. 9th ed. Philadelphia: Saunders; 2010.
Zurück zum Zitat Pires CW, Pedrotti D, Lenzi TL, Soares FZM, Ziegelmann PK, Rocha RO. Is there a best conventional material for restoring posterior primary teeth? A network meta-analysis. Braz Oral Res. 2018;32:e10.CrossRef Pires CW, Pedrotti D, Lenzi TL, Soares FZM, Ziegelmann PK, Rocha RO. Is there a best conventional material for restoring posterior primary teeth? A network meta-analysis. Braz Oral Res. 2018;32:e10.CrossRef
Zurück zum Zitat Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res. 1992;26:146–52.CrossRef Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res. 1992;26:146–52.CrossRef
Zurück zum Zitat Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, Tagami J, Twetman S, Tsakos G, Ismail A. Dental caries. Nat Rev Dis Primers. 2017;3:17030.CrossRef Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, Tagami J, Twetman S, Tsakos G, Ismail A. Dental caries. Nat Rev Dis Primers. 2017;3:17030.CrossRef
Zurück zum Zitat Qudeimat MA, Al-Saiegh FA, Al-Omari Q, Omar R. Restorative treatment decisions for deep proximal carious lesions in primary molars. Eur Arch Paediatr Dent. 2007;8:37–42.CrossRef Qudeimat MA, Al-Saiegh FA, Al-Omari Q, Omar R. Restorative treatment decisions for deep proximal carious lesions in primary molars. Eur Arch Paediatr Dent. 2007;8:37–42.CrossRef
Zurück zum Zitat Ramos-Gomez F, Crystal Y, Doméjean S, Featherstone J. Minimal intervention dentistry: part 3. Paediatric dental care-prevention and management protocols using caries risk assessment for infants and young children. Br Dent J. 2012;213:501–8. Ramos-Gomez F, Crystal Y, Doméjean S, Featherstone J. Minimal intervention dentistry: part 3. Paediatric dental care-prevention and management protocols using caries risk assessment for infants and young children. Br Dent J. 2012;213:501–8.
Zurück zum Zitat Rønneberg A, Skaare AB, Hofmann B, Espelid I. Variation in caries treatment proposals among dentists in Norway: the best interest of the child. Eur Arch Paediatr Dent. 2017;18:345–53.CrossRef Rønneberg A, Skaare AB, Hofmann B, Espelid I. Variation in caries treatment proposals among dentists in Norway: the best interest of the child. Eur Arch Paediatr Dent. 2017;18:345–53.CrossRef
Zurück zum Zitat Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NP. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;8:58–67.CrossRef Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NP. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;8:58–67.CrossRef
Zurück zum Zitat Schwendicke F, Lamont T, Innes N. Removing or controlling? How caries management impacts on the lifetime of teeth. Monogr Oral Sci. 2018;27:32–41.CrossRef Schwendicke F, Lamont T, Innes N. Removing or controlling? How caries management impacts on the lifetime of teeth. Monogr Oral Sci. 2018;27:32–41.CrossRef
Zurück zum Zitat Schwendicke F, Splieth C, Breschi L, Banerjee A, Fontana M, Paris S, Burrow MF, Crombie F, Page LF, Gatón-Hernández P, Giacaman R, Gugnani N, Hickel R, Jordan RA, Leal S, Lo E, Tassery H, Thomson WM, Manton DJ. When to intervene in the caries process? An expert Delphi consensus statement. Clin Oral Investig. 2019;23:3691–703.CrossRef Schwendicke F, Splieth C, Breschi L, Banerjee A, Fontana M, Paris S, Burrow MF, Crombie F, Page LF, Gatón-Hernández P, Giacaman R, Gugnani N, Hickel R, Jordan RA, Leal S, Lo E, Tassery H, Thomson WM, Manton DJ. When to intervene in the caries process? An expert Delphi consensus statement. Clin Oral Investig. 2019;23:3691–703.CrossRef
Zurück zum Zitat Slayton RL. Clinical decisions-making for caries management in children: an update. Pediatr Dent. 2015;37:106–10.PubMed Slayton RL. Clinical decisions-making for caries management in children: an update. Pediatr Dent. 2015;37:106–10.PubMed
Zurück zum Zitat Slayton RL, Urquhart O, Araujo MWB, Fontana M, Guzmán-Armstrong S, Nascimento MM, Nový BB, Tinanoff N, Weyant RJ, Wolff MS, Young DA, Zero DT, Tampi MP, Pilcher L, Banfield L, Carrasco-Labra A. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: a report from the American Dental Association. J Am Dent Assoc. 2018;149(10):837–49.e19.CrossRef Slayton RL, Urquhart O, Araujo MWB, Fontana M, Guzmán-Armstrong S, Nascimento MM, Nový BB, Tinanoff N, Weyant RJ, Wolff MS, Young DA, Zero DT, Tampi MP, Pilcher L, Banfield L, Carrasco-Labra A. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: a report from the American Dental Association. J Am Dent Assoc. 2018;149(10):837–49.e19.CrossRef
Zurück zum Zitat Tickle M, Threlfall AG, Pilkington L, Milsom KM, Duggal MS, Blinkhorn AS. Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England. Br Dent J. 2007;203:E4.CrossRef Tickle M, Threlfall AG, Pilkington L, Milsom KM, Duggal MS, Blinkhorn AS. Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England. Br Dent J. 2007;203:E4.CrossRef
Zurück zum Zitat Tinanoff N, Coll JA, Dhar V, Maas WR, Chhibber S, Zokaei L. Evidence-based update of pediatric dental restorative procedures: Preventive strategies. J Clin Pediatr Dent. 2015;39:193–7.CrossRef Tinanoff N, Coll JA, Dhar V, Maas WR, Chhibber S, Zokaei L. Evidence-based update of pediatric dental restorative procedures: Preventive strategies. J Clin Pediatr Dent. 2015;39:193–7.CrossRef
Metadaten
Titel
Restorative thresholds for carious lesions in primary molars: French dentist’s decisions
verfasst von
M. Muller-Bolla
E. Aïem
C. Coulot
S. Doméjean
Publikationsdatum
13.11.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Paediatric Dentistry / Ausgabe 3/2021
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-020-00577-z

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