{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T21:08:14Z","timestamp":1772831294797,"version":"3.50.1"},"reference-count":28,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Caries Res"],"abstract":"<jats:p>Introduction: The aim of this cross-sectional study was to explore the degree whereby dentists differentiate between repair versus replacement for failed restorations. A random selection of adult patients from North Norway was chosen from the larger Troms\u00f8 7 study. Methods: A randomized sample of 3,653 persons (11.5% of the total number of individuals invited to the Troms\u00f8 7 study, 51.5% women, aged 40\u201393 years) were included. Based on FDI\u2019s clinical criteria for the evaluation of restorations \u2013 2010, 17 calibrated dentists evaluated patients by clinical and radiographical pictures in a specially designed software developed for this purpose. The dental practitioners\u2019 opinions gave rise to the reported treatment decisions. Descriptive statistics and multivariable multilevel mixed-effect logistic regression models (STATA 17\/SE) were performed. Results: The participants\u2019 DMFT values ranged from 0 (0.9%) to 24 (8.8%) (median DMFT 21.3, mean 20.0). A total of 90.062 teeth (24.7 teeth per patient) were assessed. Re-treatment suggestions were made for 3,006 restorations, i.e., an average of 3.3% re-treatments. Of these, 25.3% (n = 814) were suggested for repair and 74.7% (n = 2,192) for replacement. Dental treatment was suggested for 1,597 patients and varying from 1 to 14 suggestions per patient. Secondary caries (37.6%) and restoration fracture (15.2%) were found to be most frequently used indications for re-treatment, surface properties the least. No significant difference was found between assessing dentists based on sex or age. Clustering by dentist level was checked using intra-class correlation coefficients, demonstrating that 16% of the variance in suggestions for restoration re-treatment was explained at the dentist level. Thus, a wide range of treatment suggestions was noted among the dentists. Conclusion: Need for restoration revision seems low in North Norway. There is a tendency towards larger and more indirect restorations, and the diagnosis of secondary caries is still a matter of uncertainty. <\/jats:p>","DOI":"10.1159\/000541777","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T17:00:39Z","timestamp":1730998839000},"page":"1-12","source":"Crossref","is-referenced-by-count":5,"title":["Dentists\u2019 Treatment Decisions Concerning Restorations in Adult Patients in North Norway: A Cross-Sectional Troms\u00f8 7 Study"],"prefix":"10.1159","author":[{"given":"Frode","family":"Staxrud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida","family":"Mulic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simen E.","family":"Kopperud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S53461"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2012.07.006"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s40496-018-0191-1"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.2341\/15-058-O"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2009.0191"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2012.06.007"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8240.2006.00007.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2011.06.001"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2022.02.009"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/0022034516639271"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2019.1634283"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.07.004"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr049"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-010-0432-8"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3109\/00016358609041295"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13040441"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13040441"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0238"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2012.02.001"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595x.2000.tb00540.x"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1995.0052"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/0109-5641(95)80006-9"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2001.65.10.tb03476.x"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2022.2117735"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515573272"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03432-x"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2017.1357080"}],"container-title":["Caries Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/cre\/article-pdf\/doi\/10.1159\/000541777\/4297922\/000541777.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/cre\/article-pdf\/doi\/10.1159\/000541777\/4297922\/000541777.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T14:53:35Z","timestamp":1745420015000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000541777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,7]]},"references-count":28,"URL":"https:\/\/doi.org\/10.1159\/000541777","archive":["Portico"],"relation":{},"ISSN":["0008-6568","1421-976X"],"issn-type":[{"value":"0008-6568","type":"print"},{"value":"1421-976X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,7]]}}}