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      Indirect Restorations and Fixed Prosthodontics: Materials and Techniques Used by General Dentists of New Zealand

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          Abstract

          Background

          To investigate the selection and use of materials and techniques for core buildup, indirect restorations, and fixed prosthodontics by general dentists in New Zealand.

          Methods

          A questionnaire comprising 19 sections and 125 questions was distributed via mail to 351 general dentists in New Zealand who were selected from the Dental Council of New Zealand's 2016 register.

          Results

          The majority of the respondents (68.8%) reported using resin composite light-cured materials for the core buildup of vital posterior teeth. A large number of respondents (52%) did not use dentine pins, with the majority of them (25%) being recent graduates (<10 years). Fibre posts were used by 61.6% of the dentists surveyed. The majority of dentists (54.6%) reported using addition-cured silicone impression material for crown and bridge impressions. Glass-ionomer cements (37.5% of participants) and resin-modified glass-ionomer cements (35.8%) were the most common luting cements used. Direct resin composite veneers were the preferred material of choice rather than indirect restoration of anterior teeth (40.4%).

          Conclusions

          The study showed that New Zealand dentists surveyed are using current state-of-the-art materials and techniques, with their choice of material being greatly influenced by clinical indications and patients aesthetic demands.

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          Most cited references28

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          Changes in dental caries 1953-2003.

          In the first half of the 20th century, indices and methods of conducting surveys of the level of dental diseases were developed. Modern epidemiological studies began in the fifties and many reliable studies have been conducted after 1960. In the following decades, a substantial decline of caries prevalence was documented in the majority of the highly industrialized countries, with reductions of lifetime caries experience exceeding 75%. The decline comes to an end when low or very low levels of prevalence are reached. Children of low socioeconomic status and immigrants from outside Western Europe, however, generally have higher disease levels and may cause increases in caries prevalence. For this and other reasons, caries epidemiology will remain an indispensable part of dental public health. Copyright 2004 S. Karger AG, Basel
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            The use of CAD/CAM in dentistry.

            Computer-aided design (CAD) and computer-aided manufacturing (CAM) have become an increasingly popular part of dentistry over the past 25 years. The technology, which is used in both the dental laboratory and the dental office, can be applied to inlays, onlays, veneers, crowns, fixed partial dentures, implant abutments, and even full-mouth reconstruction. This article discusses the history of CAD/CAM in dentistry and gives an overview of how it works. It also provides information on the advantages and disadvantages, describes the main products available, discusses how to incorporate the new technology into your practice, and addresses future applications. Copyright © 2011 Elsevier Inc. All rights reserved.
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              12-year survival of composite vs. amalgam restorations.

              Information about the long-term clinical survival of large amalgam and composite restorations is still lacking. This retrospective study compares the longevity of three- and four-/five-surface amalgam and composite restorations relative to patients' caries risk. Patient records from a general practice were used for data collection. We evaluated 1949 large class II restorations (1202 amalgam/747 composite). Dates of placement, replacement, and failure were recorded, and caries risk of patients was assessed. Survival was calculated from Kaplan-Meier statistics. After 12 years, 293 amalgam and 114 composite restorations had failed. Large composite restorations showed a higher survival in the combined population and in the low-risk group. For three-surface restorations in high-risk patients, amalgam showed better survival.
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                Author and article information

                Contributors
                Journal
                Int J Dent
                Int J Dent
                IJD
                International Journal of Dentistry
                Hindawi
                1687-8728
                1687-8736
                2019
                10 January 2019
                : 2019
                : 5210162
                Affiliations
                Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin 9016, New Zealand
                Author notes

                Academic Editor: Carlos A. Munoz-Viveros

                Author information
                http://orcid.org/0000-0002-8534-4472
                Article
                10.1155/2019/5210162
                6348825
                30733804
                ef15c14b-3682-4a5f-9ecc-b828dc12b214
                Copyright © 2019 Paul A. Brunton et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 September 2018
                : 12 November 2018
                : 21 November 2018
                Funding
                Funded by: University of Otago
                Categories
                Research Article

                Dentistry
                Dentistry

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