Evidence map›Paper›PMID 36504246›Full record

ArticleClinical oral investigations2023

Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting.

Reinhard Hickel, Sabine Mesinger, Niek Opdam, Bas Loomans, Roland Frankenberger, Milena Cadenaro, John Burgess, Arnd Peschke, Siegward D Heintze, Jan Kühnisch

Erratum issued 10 registry-linked trialsAbstract read
In one paragraph

Article in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 10 registered trials, which are not on this map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT06097143 nacompletednot on this map

Performance of Flowable Giomer Versus Nanofilled Flowable Composite With or Without Giomer Coat In Conservative Occlusal Cavities: 18 Months Randomized Clinical Trial

TypeinterventionalSponsorCairo UniversityRan2023 to 2025Enrolled42ConditionsOcclusal CariesArmsFlowable Giomer, Flowable Nano-filled composite with S-PRG barrier coat, Flowable Nano-filled composite
NCT06107218 naunknown statusnot on this map

Performance Of Occlusal Resin Composite Restorations Following Cavity Finishing Using Bioactive Glass Air Abrasion Versus Diamond Stone: A Randomized Controlled Trial

TypeinterventionalSponsorCairo UniversityRan2023 to 2025Enrolled78ConditionsAbrasion, Dental, Class I Dental CariesArmsBioactive Glass Air Abrasion Particles., Diamond Stone.
NCT06635382 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Evaluation of Dimethyl Sulfoxide Wet Bonding Technique: A Randomized Controlled Trial

TypeinterventionalSponsorManipal University College MalaysiaRan2024 to 2025Enrolled68ConditionsDimethyl SulfoxideArmsUniversal single bond adhesive, DMSO
NCT06780527 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Performance and Radiographic Assessment of Resin Composite Restoration After Dentin Biomodification by Grape Seed Extract in Vital Teeth With Deep Occlusal Carious Lesions. "18-M Randomized Clinical Trial"

TypeinterventionalSponsorCairo UniversityRan2025 to 2027Enrolled60ConditionsDeep Carious LesionsArms15% Grape seed extract as dentin pretreatment
NCT06881355 completednot on this mapstarted 2024, after this paper: background citation

Effect of Bruxism on the Clinical Success of Posterior Composite Restorations in Endodontically Treated Teeth: A Cross-sectional, Case-Control Study

TypeobservationalSponsorMuğla Sıtkı Koçman UniversityRan2024 to 2025Enrolled80ConditionsBruxism, Wear, Occlusal, FractureArmsBruxism diagnosis, Clinical evaluation
NCT06918639 recruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions

TypeobservationalSponsorUniversidad Rey Juan CarlosRan2024 to 2027Enrolled50ConditionsIrreversible Pulpitis, Pulpotomy of Permanent MolarsArmsPulpotomy
NCT07128589 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Evaluation of 3M(TM) Filtek(TM) Supreme Flowable Composites for Class IV and Veneers

TypeinterventionalSponsorNew York UniversityRan2025 to 2028Enrolled75ConditionsDental Restoration, Dental VeneersArms3MTM FiltekTM Supreme Flowable Composite
NCT07195201 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Evaluation of Onlay Restorations Produced by Additive and Subtractive Manufacturing in Vital Posterior Teeth: A Split-Mouth

TypeinterventionalSponsorAyse Tugba Erturk AvundukRan2025 to 2027Enrolled29ConditionsCAD-CAM, Prospective Study, 3D Printing, Clinical AssessmentArms3D Printed Onlay Restoration, CAD/CAM Onlay Restoration
NCT07289022 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of the Color Matching Ability and Clinical Success of Flowable Monochromatic and Polychromatic Composite Resins in Posterior Restorations

TypeinterventionalSponsorIstanbul UniversityRan2026 to 2031Enrolled30ConditionsDental CariesArmsdental composite
NCT07519382 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Comparing the Clinical Success of Milled and 3-D Printed Composite CAD/CAM Full Cuspal Coverage Onlays

TypeinterventionalSponsorSemmelweis UniversityRan2026 to 2036Enrolled164ConditionsTooth DecayArmsfull cuspal covarage onlay
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Interdisciplinary Delphi study by PROSEC North America: Recommendations on single indirect restorations made from ceramic and nonmetallic biomaterials for posterior teeth.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Pooled it
  2. Survival and Complication Rates of Feldspathic, Leucite-Reinforced, Lithium Disilicate and Zirconia Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Pooled it
  3. Pooled it
  4. Clinical Performance of Glass Ionomer Cement in Load-Bearing Restorations: A Systematic Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Pooled it
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Reinhard HickelDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany. hickel@dent.med.uni-muenchen.de.
Sabine MesingerDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany.
Niek OpdamDepartment of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Bas LoomansDepartment of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Roland FrankenbergerDepartment of Operative Dentistry, Endodontics, and Pediatric Dentistry Medical Center for Dentistry, University Medical Center Giessen and Marburg, Campus Marburg, Marburg, Germany.
Milena CadenaroDepartment of Medical Sciences, University of Trieste, Trieste, Italy and Children's Hospital "Burlo Garofolo," Institute for Maternal and Child Health, Trieste, Italy.
John BurgessLouisiana State University Health Sciences Center, New Orleans, LA, USA.
Arnd PeschkeIvoclarVivadent AG, Research & Development, Schaan, Liechtenstein.
Siegward D HeintzeIvoclarVivadent AG, Research & Development, Schaan, Liechtenstein.
Jan KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe FDI criteria for the evaluation of direct and indirect dental restorations were first published in 2007 and updated in 2010. Meanwhile, their scientific use increased steadily, but several questions from users justified some clarification and improvement of the living document. MATERIALS AND

methodsAn expert panel (N = 10) initiated the revision and consensus process that included a kick-off workshop and multiple online meetings by using the Delphi method. During and after each round of discussion, all opinions were collected, and the aggregated summary was presented to the experts aiming to adjust the wording of the criteria as precisely as possible. Finally, the expert panel agreed on the revision.

resultsSome categories were redefined, ambiguities were cleared, and the descriptions of all scores were harmonized to cross-link different clinical situations with possible management strategies: reviewing/monitoring (score 1-4), refurbishment/reseal (score 3), repair (score 4), and replacement (score 5). Functional properties (domain F: fracture of material and retention, marginal adaptation, proximal contact, form and contour, occlusion and wear) were now placed at the beginning followed by biological (domain B: caries at restoration margin, hard tissue defects, postoperative hypersensitivity) and aesthetic characteristics (domain A: surface luster and texture, marginal staining, color match).

conclusionThe most frequently used eleven categories of the FDI criteria set were revised for better understanding and handling. CLINICAL RELEVANCE: The improved description and structuring of the criteria may help to standardize the evaluation of direct and indirect restorations and may enhance their acceptance by researchers, teachers, and dental practitioners.

Indexed as

Dental CariesDental Restoration, PermanentColorComposite ResinsDental Marginal AdaptationDental Restoration FailureDentistsEsthetics, DentalFollow-Up StudiesHumansProfessional RoleSurface PropertiesComposite ResinsCalibrationClinical assessmentCrownDental fillingDental restorationFailureRepairWear

Identifiers

PMID36504246
PMCPMC10264483

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.