Hend Alnahedh.
Restorative decisions in extensively damaged teeth by practitioners in Riyadh, Saudi Arabia.
J Pak Dent Assoc Jan ;15(3):121-6.

OBJECTIVE: The restoration of extensively damaged vital and non-vital teeth involves the use of complex procedures to enhance retention and resistance form. To date little is known about the materials and techniques most commonly used by practitioners in the region of Riyadh, Saudi Arabia to restore these teeth. The objectives of this study were: (1) to investigate, by questionnaire, the selection and use of materials and techniques for restoration of badly broken down vital and non-vital teeth. (2) To investigate any differences in the choices made by dentists of different specialties and certification levels. METHOD: Two hundred and sixty questionnaires were distributed to practitioners selected at random from dentists practicing in the Riyadh city. RESULTS/CONCLUSION: A total of 98 usable questionnaires were returned, giving a response rate of 38%. Indirect cast post and core was the most widely used post system. Parapost (Whaledent) was the preferred prefabricated post, and amalgam was the most popular core build-up material followed by composite resin. When the amount of tooth loss was minimal, the majority of the respondents placed direct amalgam or composite restoration. In moderate tooth loss prefabricated post and amalgam or composite cores were selected but when tooth loss was severe the majority preferred cast post and core. In vital teeth retentive boxes were used the most and retentive pins were the least popular.

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