{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T14:33:52Z","timestamp":1777991632467,"version":"3.51.4"},"reference-count":57,"publisher":"Operative Dentistry","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n        <jats:p>This paper aims to raise a discussion from the perspective of maintaining long-term oral health, posing a critical question: What holds greater significance for maintaining oral health, the longevity of restorations or teeth? This question explores the aspects that truly matter in ensuring sustained oral health throughout an individual\u2019s life. Restoration longevity is well-researched, and evidence shows several risk factors influencing longevity. The dentist\u2019s decision-making factor may be of utmost importance, and further studies are needed to investigate its relevance. The critical risk factors for restoration longevity are active pathology (high caries risk), less prominent parafunction, and extensive defects such as endodontic treatment. However, tooth longevity and the main risk factors for tooth loss are not well-researched. The evidence shows dental caries, and its sequelae, are the principal reasons for tooth loss. Patient-related risk factors, especially those associated with lifestyle and health choices, play a major role in the longevity of restorations and, more importantly, tooth longevity. To provide personalized dental care with maximum patient benefit, clinicians should identify and record potential risk factors, promoting a healthy lifestyle to ensure tooth and dentition longevity. Moreover, the evidence suggests that decision-making frameworks based on minimal intervention principles offer the best standard for clinical practice, promoting a longstanding healthy oral environment.<\/jats:p>","DOI":"10.2341\/24-095-b","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T23:29:56Z","timestamp":1729207796000},"page":"655-664","source":"Crossref","is-referenced-by-count":5,"title":["Buonocore Memorial Lecture 2023: Longevity of Dental Restorations or Longevity of Teeth: What Matters?"],"prefix":"10.2341","volume":"49","author":[{"given":"NJM","family":"Opdam","sequence":"first","affiliation":[{"name":"Niek JM Opdam, DDS, PhD, Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AF","family":"Montagner","sequence":"additional","affiliation":[{"name":"*Anelise F Montagner, DDS, MS, PhD, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MS","family":"Cenci","sequence":"additional","affiliation":[{"name":"Maximiliano S Cenci, DDS, MS, PhD, Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"4","key":"b1","series-title":"Clinical Oral Investigations","first-page":"215","article-title":"Reprint of criteria for the clinical evaluation of dental restorative materials","volume":"9","author":"Cvar\n              JF","year":"2005","unstructured":"Cvar\n              JF\n             & RygeG (2005) Reprint of criteria for the clinical evaluation of dental restorative materialsClinical Oral Investigations9(4) 215-232."},{"issue":"1","key":"b2","series-title":"Dental Materials","first-page":"1","article-title":"Clinical studies in restorative dentistry: New directions and new demands","volume":"34","author":"Opdam\n              NJM","year":"2018","unstructured":"Opdam\n              NJM\n            , CollaresK, HickelR, BayneSC, LoomansBA, CenciMS, LynchCD, CorreaMB, DemarcoF, SchwendickeF, & WilsonNHF (2018) Clinical studies in restorative dentistry: New directions and new demandsDental Materials34(1) 1-12."},{"issue":"6","key":"b3","series-title":"Clinical Oral Investigations","first-page":"2573","article-title":"Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting","volume":"27","author":"Hickel\n              R","year":"2023","unstructured":"Hickel\n              R\n            , MesingerS, OpdamN, LoomansB, FrankenbergerR, CadenaroM, BurgessJ, PeschkeA, HeintzeSD, & K\u00fchnischJ (2023) Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reportingClinical Oral Investigations27(6) 2573-2592."},{"key":"b4","article-title":"Oral health","author":"World Health Organization","year":"2023","unstructured":"World Health Organization\n           (2023) Oral health. 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posterior restorations and glass-ionomer restorations \u2014 an updated meta-analysis of clinical outcome parametersDental Materials38(5) e109-e135."},{"issue":"9","key":"b10","series-title":"Journal of Dentistry","first-page":"1043","article-title":"Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysis","volume":"43","author":"Moraschini\n              V","year":"2015","unstructured":"Moraschini\n              V\n            , FaiCK, AltoRM, & Dos SantosGO (2015) Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysisJournal of Dentistry43(9) 1043-1050."},{"issue":"8","key":"b11","series-title":"Journal of Dentistry","first-page":"934","article-title":"Longevity of posterior resin composite restorations in adults \u2014 a systematic review","volume":"43","author":"\u00c1stvaldsd\u00f3ttir\n              \u00c1","year":"2015","unstructured":"\u00c1stvaldsd\u00f3ttir\n              \u00c1\n   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review and meta-analysisJournal of Dental Research95(9) 985-994."},{"issue":"5","key":"b23","series-title":"Quintessence International","first-page":"395","article-title":"Survival of all-ceramic restorations after a minimum follow-up of five years: A systematic review","volume":"47","author":"Araujo\n              NS","year":"2016","unstructured":"Araujo\n              NS\n            , ModaMD, SilvaEA, ZavanelliAC, MazaroJV, & PellizzerEP (2016) Survival of all-ceramic restorations after a minimum follow-up of five years: A systematic reviewQuintessence International47(5) 395-405."},{"issue":"4","key":"b24","series-title":"Journal of Prosthodontics Research","first-page":"389","article-title":"CAD\/CAM or conventional ceramic materials restorations longevity: A systematic review and meta-analysis","volume":"63","author":"Rodrigues\n              SB","year":"2019","unstructured":"Rodrigues\n              SB\n            , FrankenP, CelesteRK, LeituneVCB, & CollaresFM (2019) CAD\/CAM or conventional ceramic materials restorations longevity: A systematic review and meta-analysisJournal of Prosthodontics Research63(4) 389-395."},{"issue":"2","key":"b25","series-title":"Journal of Contemporary Dental Practice","first-page":"129","article-title":"Reasons for failure of CAD\/CAM restorations in clinical studies: A systematic review and meta-analysis","volume":"24","author":"Lampl\n              S","year":"2023","unstructured":"Lampl\n              S\n            , GurunathanD, KrithikadattaJ, MehtaD, & MoodleyD (2023) Reasons for failure of CAD\/CAM restorations in clinical studies: A systematic review and meta-analysisJournal of Contemporary Dental Practice24(2) 129-136."},{"key":"b26","series-title":"Journal of Dentistry","first-page":"1","article-title":"A systematic review and meta analysis of the longevity of anterior and posterior all-ceramic crowns","volume":"55","author":"Kassardjian\n              V","year":"2016","unstructured":"Kassardjian\n              V\n  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       \n           (2003) Periodontal reasons for tooth extraction in an adult population in JordanJournal of Oral Rehabilitation30(1) 110-112."},{"issue":"5","key":"b51","series-title":"International Dental Journal","first-page":"285","article-title":"Global goals for oral health 2020","volume":"53","author":"Hobdell\n              M","year":"2003","unstructured":"Hobdell\n              M\n            , PetersenPE, ClarksonJ, & JohnsonN (2003) Global goals for oral health 2020International Dental Journal53(5) 285-288."},{"issue":"8","key":"b52","series-title":"British Dental Journal","first-page":"515","article-title":"The dental demolition derby: Bruxism and its impact \u2014 Part 1: Background","volume":"232","author":"Thayer\n              M","year":"2022","unstructured":"Thayer\n              M\n             & AliR (2022) The dental demolition derby: Bruxism and its impact \u2014 Part 1: BackgroundBritish Dental Journal232(8) 515-521."},{"issue":"1","key":"b53","series-title":"Journal of Adhesive Dentistry","first-page":"105","article-title":"Prospective study on CAD\/CAM nanoceramic (composite) restorations in the treatment of severe tooth wear","volume":"24","author":"Crins\n              LAMJ","year":"2022","unstructured":"Crins\n              LAMJ\n            , OpdamNJM, KreulenCM, SterenborgBAMM, BronkhorstEM, FokkingaWA, HuysmansMDNJM, & LoomansBAC (2022) Prospective study on CAD\/CAM nanoceramic (composite) restorations in the treatment of severe tooth wearJournal of Adhesive Dentistry24(1) 105-116."},{"issue":"1","key":"b54","series-title":"BMC Oral Health","first-page":"77","article-title":"Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth","volume":"22","author":"Signori\n              C","year":"2022","unstructured":"Signori\n              C\n            , CaCIA Collaborative Group, UeharaJLS, RomeroVHD, MoroBLP, BragaMM, MendesFM, & CenciMS (2022) Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teethBMC Oral Health22(1) 77."},{"issue":"7","key":"b55","series-title":"Journal of Dental Research","first-page":"697","article-title":"Diagnostic strategies for restorations management: A 70-month RCT","volume":"103","author":"Romero\n              VHD","year":"2024","unstructured":"Romero\n              VHD\n            , SignoriC, UeharaJLS, MontagnerAA, van de SandeFH, MaydanaGS, ChavesET, SchwendickeF, CaCIA Collaborative Group, BragaMM, HuysmansMC, MendesFM, & CenciMS (2024) Diagnostic strategies for restorations management: A 70-month RCTJournal of Dental Research103(7) 697-704."},{"issue":"1","key":"b56","series-title":"Trials","first-page":"794","article-title":"The economic impact of two diagnostic strategies in the management of restorations in primary teeth: A health economic analysis plan for a trial-based economic evaluation","volume":"22","author":"Freitas\n              RD","year":"2021","unstructured":"Freitas\n              RD\n            , MoroBLP, PontesLRA, MaiaHCM, PassaroAL, OliveiraRC, GarbimJR, ViganoMEF, TedescoTK, DeeryC, RaggioDP, CenciMS, MendesFM, BragaMM, & CARDEC Collaborative Group \u2013 CARDEC-03 trial (2021) The economic impact of two diagnostic strategies in the management of restorations in primary teeth: A health economic analysis plan for a trial-based economic evaluationTrials22(1) 794."},{"key":"b57","series-title":"Journal of Dentistry","first-page":"103421","article-title":"Influence of different clinical criteria on the decision to replace restorations in primary teeth","volume":"101","author":"Moro\n              BLP","year":"2020","unstructured":"Moro\n              BLP\n            , FreitasRD, PontesLRA, P\u00e1ssaroAL, LenziTL, TedescoTK, EkstrandKR, BragaMM, RaggioDP, CenciMS, & MendesFM (2020) Influence of different 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