Evidence-based decision making (EBDM) is defined as, “a formalized approach to clinical care in which the clinician, in consultation with the patient, uses the best scientific evidence available to make decisions about clinical interventions needed to optimize personal oral health” (Wilkins, Wyche, & Boyd, pp. 25, 2017). The PICO model of EBDM, will be used to determine the best treatment options given the following clinical situation: For a 25 year-old male, with a Class I on caries on #14, Class III caries on #6, who consumes several sports drinks a day, and has 1 pre-existing amalgam filling on #2 (P), which restorative material has a higher success rate, amalgam (I), or resin composite (C), to restore his teeth (O)? Restorative “is to …show more content…
An alternative material to amalgam is resin composite. Resin composite materials are, “complex blends of polymerizable resins mixed with glass powder fillers” (Direct and indirect restorative materials, 2003). Originally, this material was designed and intended for anterior restorations only. Today, resin composite continues to be a preferred material of choice by dentists and patients, primarily because of the esthetic appearance and improved strength of the material (Hatrick et al., 2010). Today, the dental materials industry continues to evolve and has made tremendous gains on improving the mechanical properties of resin composite. Due to quality improvement of the material, Class I and Class II restorations are done using this material. (Alcaraz et al., 2014).
In a 2013, article published in the Journal of The American Dental Association (JADA), authors discusses factors influencing the longevity of amalgam and resin composite restorations, over a 24-month period. The study was conducted by the National Dental Practice-Based Research Network. The data analyzed in this study included patient factors, practice factors, and dentist factors. Data collection was done at the time the restoration was placed and annually thereafter (Mccracken et al., 2013). The results of the cohort study determined the following factors
fill cavities, close gaps between your teeth and repair worn down edges of your teeth. Dentists are the ones who do the direct composite bonding which means that the procedure is usually done in one dental visit.
Amalgam dental restorations which are also known as silver fillings are the number one choice for restoring teeth. These silver fillings have been used for over a hundred years to fill in cavities where there has been tooth decay. The question many have is “what is dental amalgam?” Dental amalgam is a mixture of materials containing powdered alloy, metals and mercury. There have been some concerns, however about the safety of this mercury containing filling material. “Amalgam is in the same safety class as gold and composite fillings” (FDA) and does not pose the safety concerns as once thought. Compared to other dental materials, such as composite and glass ionomer, amalgam is the “most studied and tested.” (NCAHF) Many
The next step would be to successfully complete an Expanded Function Dental Assisting program through an accredited institution approved by the Ohio State Dental Board. The Dental Assistant must then apply and pass the state board examination. Duties vary from state to state but according to the Ohio State Dental Board’s list of permissible duties, having the Expanded Function Dental Assistant certification enables the Assistant to then perform advanced remediable tasks such as placement of dental sealants, placement of restorative materials limited to amalgam restorative materials, and placement of restorative materials limited to non-metallic restorative materials, including direct-bonded restorative materials. This is in addition to all of the basic remediable tasks that a Certified Dental Assistant can already perform. This means that for a patient who requires an amalgam or a composite filling, the dentist can begin the examine the patient, administer local anesthetic, remove the decay, and the doctor can move on to another patient while the Expanded Function Dental Assistant can move over to the operator’s position and place the restoration and adjust the occlusion, finish, and polish if need be. If the patient is in the office for dental sealants, the doctor can examine the
Improper use of abrasives can lead to roughening and reduction of the tooth and restorative materials. The dental hygienist should be able to distinguish between tooth structures, and restorative materials and must use the proper procedure for finishing, polishing, or cleaning each surface. It is also imperative for the clinician to understand the relative hardness of various intraoral materials and
Dental crowns. Broken, cracked, or decayed tooth? We can repair the structural integrity of your tooth as well as restore your ability to chew comfortably.
Over 443,000 people die from smoking each year! Smoking, alcohol, drugs, and much more, are all preventable yet they all kill hundreds of thousands of people each year. With, D.A.R.E. there are fewer and fewer people who do these things and overall fewer deaths due to them. Now I will tell you about the D.A.R.E. program.
Thanks to CEREC technology, you only need a single visit to your dentist to complete the restoration. It takes only
With all these results, many variations among materials, operators, and patients can contribute to these clinical failures. Therefore, further clinical research and studies are necessary to evaluate the performance of the restorative materials and to determine the factors related to the failures as many conditions cannot be reproduced in the labatory. In previous studies, evaluations of the studies showed that in a period of 5-12 years, the success was 85 to 98 percent. In the longest follow-up mentioned by Dr.
A composite filling is a glass and colored plastic mixture used to restore decay. Composite fillings provide excellent resistance and durability to fracture that need to withstand pressure from constant chewing. They reshape disfigured teeth and change the color of the teeth.
We offer beautiful, aesthetically pleasing composite resin fillings. These fillings are tooth-colored and durable. We will even replace your old, dysfunctional amalgam fillings if necessary. Let us find and fill your cavities before they become larger dental issues.
If you experience tooth decay to a severe enough degree that dental fillings are not feasible, yet there is enough healthy tooth left that a dental crown is not necessary, your tooth can be restored with the use of inlays and onlays.
Evidence-based decision making exemplifies a practice of conscientiously using the best obtainable data and evidence when making managerial decisions. There are five steps in the evidence-based decision model. The first step is to identify the problem or opportunity, step two is to gather internal evidence or information about the problem and evaluate its relevance and validity. The third step is to gather external evidence about the problem from published research, step four is to gather views from stakeholders affected by decision and consider ethical implications. Finally, the fifth step is to integrate and critically appraise all data and then make a decision (Kreitner & Kinicki, 2013).
The Chairside Economical Restoration Esthetic Ceramics (CEREC), uses modern technology to create safe, accurate, biocompatible crown, inlays, onlays, veneers, and bridges. This is all completed in one visit to the dentist. It has three main parts to it-the CEREC Acquisition Unit, CEREC Camera, and CEREC Milling Unit. Since 1980, the CEREC has evolved and is the future of dentistry.
Esthetic restorations are in vogue today and their demand is increasing day by day. Composites represent two major advances in restorative dentistry. Composite resins have been introduced into the field of conservative dentistry to minimise the drawbacks of the acrylic resins that replaced silicate cements (the only aesthetic materials previously available) in the 1940s. In 1955, Buonocore used orthophosphoric acid to improve the adhesion of acrylic resins to the surface of the
Initially, for the purpose of denture base, vulcanized rubber (vulcanite) has been in use. It was introduced in the year 1855 to the field of dentistry (Tandon et al., 2010). However, there were several issues faced with respect to its fabrication as well as the aesthetics. With this, the year 1937 saw the advent of PMMA which replaced vulcanite as it had enhanced properties (Machado et al., 2007). It also was less expensive than vulcanite and aesthetically more pleasing. From then on, PMMA has been in use. Recently, additional polymers such as nylons, vinyl acrylic and light activated urethane dimethymethcarylate have been evaluated for use as denture base materials (Diaz-Arnold et al., 2008). Even if these materials do exhibit very capable properties, none of them have been deemed superior to PMMA. However, clinical studies (Ray et al., 2014; Dhiman & Chowdhury, 2009) have reported midline fractures to be a common problem in maxillary complete dentures due to fatigue