Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/2849 |
Resumo: | Objective: This study investigated the impact of FDI criteria for evaluating restorations on examiners’ decision-making compared with their previous personal judgment in primary teeth. Secondly, the possible factors related to changes when using the criteria, including the examiners’ experience were explored. Material and Methods: A cross-sectional study in a dental office setting was conducted selecting 27 resin composite restorations placed in primary molars in 11 children. Examinations of the restorations were performed by five undergraduate and five graduate dental students. First, the evaluations were performed based on personal judgment, and 2 weeks later, with FDI criteria. All examiners underwent training to use the FDI criteria after the first evaluation. The consensus of two benchmark examiners was considered to be the reference standard. Initially, a descriptive analysis was performed. Multiple Poisson regressions analyses were used to identify possible associated factors with outcomes - to be less or more invasive based on the FDI criteria than personal judgment. Results: The use of the FDI criteria changed the examiners’ decisions in approximately 15% of the cases. Irrespective of examiners’ experience, there was a trend of false results (compared to the reference examiners) when a change in the treatment decision was registered by using the FDI criteria. Examiners chose a less invasive option when assessing multi-surface restorations with FDI criteria (PR=2.04, 95%CI=1.03-4.05; p=0.04). Examiners who spent more time for evaluation with FDI criteria were more invasive (PR=1.001, 95%CI=1.0001-1.002; p=0.03). Students were more invasive with the FDI criteria when examined children with higher dmf-t (PR=1.16, 95%CI=1.01-1.32; p=0.03). Conclusion: The use of the FDI criteria negatively influenced the restorations’ evaluation and treatment decision in primary molars by undergraduate and graduate students. KEYWORDS Clinical decision-making; Tooth, deciduous; Dental restoration failure; Composite resins; Pediatric dentistry |
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UNESP-20_22cfddb4427ea86050df71fab59eee81 |
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oai:ojs.pkp.sfu.ca:article/2849 |
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UNESP-20 |
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Brazilian Dental Science |
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Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molarsObjective: This study investigated the impact of FDI criteria for evaluating restorations on examiners’ decision-making compared with their previous personal judgment in primary teeth. Secondly, the possible factors related to changes when using the criteria, including the examiners’ experience were explored. Material and Methods: A cross-sectional study in a dental office setting was conducted selecting 27 resin composite restorations placed in primary molars in 11 children. Examinations of the restorations were performed by five undergraduate and five graduate dental students. First, the evaluations were performed based on personal judgment, and 2 weeks later, with FDI criteria. All examiners underwent training to use the FDI criteria after the first evaluation. The consensus of two benchmark examiners was considered to be the reference standard. Initially, a descriptive analysis was performed. Multiple Poisson regressions analyses were used to identify possible associated factors with outcomes - to be less or more invasive based on the FDI criteria than personal judgment. Results: The use of the FDI criteria changed the examiners’ decisions in approximately 15% of the cases. Irrespective of examiners’ experience, there was a trend of false results (compared to the reference examiners) when a change in the treatment decision was registered by using the FDI criteria. Examiners chose a less invasive option when assessing multi-surface restorations with FDI criteria (PR=2.04, 95%CI=1.03-4.05; p=0.04). Examiners who spent more time for evaluation with FDI criteria were more invasive (PR=1.001, 95%CI=1.0001-1.002; p=0.03). Students were more invasive with the FDI criteria when examined children with higher dmf-t (PR=1.16, 95%CI=1.01-1.32; p=0.03). Conclusion: The use of the FDI criteria negatively influenced the restorations’ evaluation and treatment decision in primary molars by undergraduate and graduate students. KEYWORDS Clinical decision-making; Tooth, deciduous; Dental restoration failure; Composite resins; Pediatric dentistryInstitute of Science and Technology of São José dos Campos2022-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/284910.4322/bds.2022.e2849Brazilian Dental Science; Vol. 25 No. 3 (2022): Jul - Sep / 2022 - Published Jun 2022Brazilian Dental Science; v. 25 n. 3 (2022): Jul - Sep / 2022 - Published Jun 20222178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/2849/4553Copyright (c) 2022 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessPedrotti, DjessicaCavalheiro, Cleber ParadzinskiRocha, Rachel de OliveiraBraga, Mariana MinatelArdenghi, Thiago Machado Lenzi, Tathiane Larissa2022-08-22T14:11:41Zoai:ojs.pkp.sfu.ca:article/2849Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:40.275451Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
title |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
spellingShingle |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars Pedrotti, Djessica |
title_short |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
title_full |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
title_fullStr |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
title_full_unstemmed |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
title_sort |
Influence of the FDI criteria in the restorations’ evaluation and treatment decision in primary molars |
author |
Pedrotti, Djessica |
author_facet |
Pedrotti, Djessica Cavalheiro, Cleber Paradzinski Rocha, Rachel de Oliveira Braga, Mariana Minatel Ardenghi, Thiago Machado Lenzi, Tathiane Larissa |
author_role |
author |
author2 |
Cavalheiro, Cleber Paradzinski Rocha, Rachel de Oliveira Braga, Mariana Minatel Ardenghi, Thiago Machado Lenzi, Tathiane Larissa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pedrotti, Djessica Cavalheiro, Cleber Paradzinski Rocha, Rachel de Oliveira Braga, Mariana Minatel Ardenghi, Thiago Machado Lenzi, Tathiane Larissa |
description |
Objective: This study investigated the impact of FDI criteria for evaluating restorations on examiners’ decision-making compared with their previous personal judgment in primary teeth. Secondly, the possible factors related to changes when using the criteria, including the examiners’ experience were explored. Material and Methods: A cross-sectional study in a dental office setting was conducted selecting 27 resin composite restorations placed in primary molars in 11 children. Examinations of the restorations were performed by five undergraduate and five graduate dental students. First, the evaluations were performed based on personal judgment, and 2 weeks later, with FDI criteria. All examiners underwent training to use the FDI criteria after the first evaluation. The consensus of two benchmark examiners was considered to be the reference standard. Initially, a descriptive analysis was performed. Multiple Poisson regressions analyses were used to identify possible associated factors with outcomes - to be less or more invasive based on the FDI criteria than personal judgment. Results: The use of the FDI criteria changed the examiners’ decisions in approximately 15% of the cases. Irrespective of examiners’ experience, there was a trend of false results (compared to the reference examiners) when a change in the treatment decision was registered by using the FDI criteria. Examiners chose a less invasive option when assessing multi-surface restorations with FDI criteria (PR=2.04, 95%CI=1.03-4.05; p=0.04). Examiners who spent more time for evaluation with FDI criteria were more invasive (PR=1.001, 95%CI=1.0001-1.002; p=0.03). Students were more invasive with the FDI criteria when examined children with higher dmf-t (PR=1.16, 95%CI=1.01-1.32; p=0.03). Conclusion: The use of the FDI criteria negatively influenced the restorations’ evaluation and treatment decision in primary molars by undergraduate and graduate students. KEYWORDS Clinical decision-making; Tooth, deciduous; Dental restoration failure; Composite resins; Pediatric dentistry |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2849 10.4322/bds.2022.e2849 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/2849 |
identifier_str_mv |
10.4322/bds.2022.e2849 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2849/4553 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 25 No. 3 (2022): Jul - Sep / 2022 - Published Jun 2022 Brazilian Dental Science; v. 25 n. 3 (2022): Jul - Sep / 2022 - Published Jun 2022 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1788346902288269312 |