Factors influencing restorative treatment decisions for proximal caries of primary and immature permanent teeth: a survey

dc.contributor.authorVural, Handan
dc.contributor.authorDuman, Sacide
dc.date.accessioned2026-04-04T13:32:56Z
dc.date.available2026-04-04T13:32:56Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground: The aim of this study was to determine restoration thresholds and restorative treatment decisions of dentists in T & uuml;rkiye for proximal caries of primary and immature permanent teeth, to investigate factors associated with these decisions. Methods: The study was based on the evaluation of a prepared electronic survey. Participants completed a questionnaire comprising three sections: demographic information, daily clinical practices, hypothetical clinical case scenarios. The case scenarios section utilized diagram based on the Espelid classification (Degrees 1- 6, ranging from outer enamel to inner dentine) to assess treatment thresholds and preferences. The first scenario involved a distal carious lesion on the upper second premolar of 14-year-old patient, while the second depicted a mesial carious lesion on the lower second primary molar of 5-year-old patient. The preference for Degrees 1- 3 lesions were evaluated as early intervention. Statistical analysis was performed to examine the relationship between treatment thresholds, participant characteristics and clinical practices. Results: Total of 345 respondents participated, including general dentists (47.8%), pediatric dentists (26.7%), restorative specialists (8.1%), fifth-year college students (17.4%). In the first scenario, Degree 3 was the most frequently selected threshold (38.9%), with 59.1% favoring early intervention and 20.2% choosing Degrees 1 and 2. The box-only preparation method was preferred by 65% of respondents. In the second scenario, Degree 3 remained the most selected threshold, with 55.6% supporting early intervention and 17.1% opting for enamel-level thresholds. Total of 62.3% preferred the box-only preparation method. Pediatric dentists exhibited higher rates of early intervention compared to others. Composite materials were predominantly chosen for permanent teeth, while compomer materials were preferred for primary teeth. Gender, years of experience, and institution type significantly influenced the choice of restorative treatment and preparation method. Conclusions: Based on the questionnaire study, it was concluded that dentists in T & uuml;rkiye have high tendency to intervene early.
dc.identifier.doi10.22514/jocpd.2025.105
dc.identifier.endpage118
dc.identifier.issn1053-4628
dc.identifier.issn1557-5268
dc.identifier.issue5
dc.identifier.orcid0000-0003-3155-5837
dc.identifier.scopus2-s2.0-105015567366
dc.identifier.scopusqualityQ2
dc.identifier.startpage105
dc.identifier.urihttps://doi.org/10.22514/jocpd.2025.105
dc.identifier.urihttps://hdl.handle.net/11616/108794
dc.identifier.volume49
dc.identifier.wosWOS:001566344800012
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMre Press
dc.relation.ispartofJournal of Clinical Pediatric Dentistry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
dc.subjectDental caries
dc.subjectDental materials
dc.subjectDeciduous tooth
dc.subjectMolar
dc.subjectDental restoration
dc.titleFactors influencing restorative treatment decisions for proximal caries of primary and immature permanent teeth: a survey
dc.typeArticle

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