Evidence map›Paper›PMID 26610834›Full record

ArticleJournal of the American Dental Association (1939)2015

Repair or replacement of restorations: A prospective cohort study by dentists in The National Dental Practice-Based Research Network.

Valeria V Gordan, Joseph L Riley, D Brad Rindal, Vibeke Qvist, Jeffrey L Fellows, Deborah A Dilbone, Solomon G Brotman, Gregg H Gilbert, National Dental Practice-Based Research Network Collaborative Group

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04491981 (Longevity of Restoration Repairs Using Composite Resin Versus High Viscosity Glass Ionomer in Primary Molars), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04491981 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Longevity of Restoration Repairs Using Composite Resin Versus High Viscosity Glass Ionomer in Primary Molars: Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2021 to 2023Enrolled312ConditionsDental Caries, Dental Caries in ChildrenArmsEncapsulated Glass Ionomer Cement, Composite resin
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Model-Based Cost-Effectiveness of Direct Restorations: Amalgam Dominates.Community dentistry and oral epidemiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Valeria V Gordan
Joseph L Riley
D Brad Rindal
Vibeke Qvist
Jeffrey L Fellows
Deborah A Dilbone
Solomon G Brotman
Gregg H Gilbert
National Dental Practice-Based Research Network Collaborative Group
Florida College · USHealthPartners · USKaiser Permanente Center for Health Research · USUniversity of Alabama at Birmingham · USUniversity of Copenhagen · DKUniversity of Florida · US

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
Dental PBRN Network ChairU01DE016747 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2005 to 2011
$17.3M
Dental Practice-Based Research Network Coordinating CtrU01DE016746 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FUNKHOUSER, ELLEN M · 2005 to 2011
$7.0M
NIDCR NIH HHS DE-16746NIDCR NIH HHS DE-16747NIDCR NIH HHS DE-22516NIDCR NIH HHS U01 DE016746NIDCR NIH HHS U01 DE016747NIDCR NIH HHS U19 DE022516
6 · The paper itself

Abstract

backgroundA prospective cohort study that included dentists in The National Dental Practice-Based Research Network was conducted to quantify 12-month failures of restorations that were repaired or replaced at baseline. The study tested the hypothesis that no significant differences exist in failure percentages between repaired and replaced restorations after 12 months. It also tested the hypothesis that certain dentist, patient, and restoration characteristics are significantly associated with the incidence of restoration failure.

methodsDentists recorded data for 50 or more consecutive defective restorations. The restorations that were either repaired or replaced were recalled after 12 months and characterized for developing defects.

resultsDentists (N = 195) recorded data on 5,889 restorations; 378 restorations required additional treatment (74 repaired, 171 replaced, 84 teeth received endodontic treatment, and 49 were extracted). Multivariable logistic regression analysis indicated that additional treatment was more likely to occur if the original restoration had been repaired (7%) compared with replaced (5%) (odds ratio [OR], 1.6; P < .001; 95% confidence interval [CI], 1.2-2.1), if a molar was restored (7%) compared with premolars or anterior teeth (5% and 6%, respectively) (OR, 1.4; P = .010; 95% CI, 1.1-1.7), and if the primary reason was a fracture (8%) compared with other reasons (6%) (OR, 1.3; P = .033; 95% CI, 1.1-1.6).

conclusionsAn additional treatment was more likely to occur within the first year if the original restoration had been repaired (7%) compared with being replaced (5%). However, repaired restorations were less likely to need an aggressive treatment (replacement, endodontic treatment, or extraction) than replaced restorations. PRACTICAL IMPLICATIONS: One year after repair or replacement of a defective restoration, the failure rate was low. However, repaired restorations were less likely to need an aggressive treatment than replaced restorations.

Indexed as

Dental Restoration FailureDental Restoration, PermanentDental Restoration RepairFemaleHumansMaleMiddle AgedPractice Patterns, Dentists'Prospective StudiesRisk FactorsTime FactorsUnited StatescohortdecisiondefectiveLongevitypractice-based researchrepairreplacementrestorations

Identifiers

PMID26610834
PMCPMC4663659
OpenAlexW2178994611

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.