ArticleInternational dental journal2025
Clinical Difficulties Related to Direct Composite Restorations: A Multinational Survey.
Article in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07212413 (Postoperative Sensitivity in Class II Restorations), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Postoperative Sensitivity in Class II Restorations: A Randomized Clinical Trial Comparing Snow-Plow and Resin Coating Techniques
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dental Resin Composites Modified with Chitosan: A Systematic Review.Marine drugs · 2025Pooled it
- EFCD Expert Non-Consensus on Material and Technique Use for Direct Class II Composites With Guidance on Restoring Complex Cavities.The journal of adhesive dentistry · 2026Article
- Cariogenic Risk Modifies the Effect of Marginal Adaptation on Caries Adjacent to Posterior Composite Restorations: A Stratified Multivariate Analysis.Clinics and practice · 2026Article
- Comparative clinical evaluation of direct-indirect heat tempered and direct composite restoration technique in noncarious cervical lesions: A split-mouth randomized clinical.Journal of conservative dentistry and endodontics · 2026Article
- Effects and Properties of Deproteinizing Methods in Dentin: A Comprehensive Narrative Review.Journal of functional biomaterials · 2026Review
- Are flowable composite resins containing bioactive particles truly biocompatible?Journal of clinical and experimental dentistry · 2026Review
- Optimizing Dental Resin-Based Composite Polymerization with Distance and Exposure Variables: Preliminary Study.Materials (Basel, Switzerland) · 2026Article
- Self-Adhesive Flowable Resin Composites-Are We Going Somewhere?Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026Review
- Prospective Quasi-Experimental Study of Postoperative Pain Following Class II Composite Restorations Using the Snow-Plow and Resin-Coating Techniques.Journal of clinical medicine · 2025Article
- Influence of filling technique on fracture resistance of giomer-restored MOD-cavities.BMC oral health · 2025Article
- Students' performance in clinical class II composite restorations: a case study using analytic rubrics.BMC medical education · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsComposite materials are widely used in dentistry for direct tooth restorations. However, they are highly sensitive to the working technique employed during the restorative procedure. Even minor procedural errors can have a significant impact on the quality including the longevity of the restoration. Hence the aim of this study was to determine the material preferences and analyse the clinical problems associated with direct composite restorations in a cohort of dentists.
methodsA 20-item online questionnaire was created in English and administered 1830 general dentists and specialists in 13 countries. The first section of the questionnaire included four questions to elicit demographic data, and the second section comprised 16 questions focused on material preferences for conservative restorations, durability of composite restorations, and the most challenging stages the dentists faced during the composite restorative procedures.
resultsRespondents decided most often to use composite materials for the tooth restorations (OR 997.4, 95% CI 233.8-4254.8, P value <.001). Most respondents indicated that the durability of composite restorations was approximately 7 to 10 years (41.5%). Among the factors affecting durability, maintenance of a dry cavity was the most often reported reason (47.1%) and the foremost challenge faced by dentists (61.0%) during the composite restorative procedures.
conclusionsOur study confirmed that resin-based composites are the most popular material for direct restoration in many countries. Although working with this material is difficult and involves multiple steps, maintaining a dry cavity during bonding, and material application may affect the therapeutic success and durability of these restorations. Clinicians need to be attentive to this issue and be prepared to adapt their decision-making and consider opting for alternative restorative materials, if appropriate.
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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.