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. 2023 Dec;35(8):1301-1314.
doi: 10.1111/jerd.13108. Epub 2023 Jul 18.

Development of clinical criteria for the evaluation of indirect restorations

Silvana Pizzini Montenegro  1   2 , Juliana Cabral Ramidan  1 , Marcela Mendes Medeiros Michelon  1   2 , Ricardo Caldeira Breves  1   2 , Giuliana Vasconcelos de Souza Fonseca  3 , Mayla Kezy Silva Teixeira  4 , Eduardo José Veras Lourenço  4 , Daniel de Moraes Telles  4
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Development of clinical criteria for the evaluation of indirect restorations

Silvana Pizzini Montenegro et al. J Esthet Restor Dent. 2023 Dec.

Abstract

Objective: To propose the development and validation of criteria for evaluating the clinical performance of indirect restorations, considering the variables related to the operator, material, and/or patient.

Materials and methods: The experimental design of this study was divided into three stages. Stage 1: development of the new criteria items by specialists in Prosthodontics. Step 2: creation of the criteria, named UERJ criteria, with the description of the parameters that indicate the quality of the restoration, the possible associated complications, and a detailed description of each classification. As well as the development of a form of variables. Step 3: validation of the UERJ criteria.

Results: Cohen's Kappa statistic registered for both intra- and inter-examiner agreements a coefficient >0.91 with a p-value <0.0001. The validity of the UERJ criteria was evaluated by tests of sensitivity (0.96) and specificity (0.91) and had a satisfactory accuracy (92.7%), a positive (10.99), and negative (0.05) likelihood ratio and high values predictive variables, with positive (PPV) 0.84 (high specificity) and negative (VPN) 0.98 (high sensitivity), with a confidence interval of 95%.

Conclusion: The UERJ criteria is a valid instrument for evaluating the clinical performance of indirect restorations.

Clinical significance: The UERJ criteria, developed exclusively for the analysis of indirect restorations, elucidates the details necessary to identify the causes of failures and complications of these restorations.

Keywords: USPHS; calibration; clinical criteria; dental restoration; validation study.

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References

REFERENCES

    1. Nejatidanesh F, Amjadi M, Akouchekian M, Savabi O. Clinical performance of CEREC AC Bluecam conservative ceramic restorations after five years-a retrospective study. J Dent. 2015;43(9):1076-1082.
    1. Opdam NJM, Collares K, Hickel R, et al. Clinical studies in restorative dentistry: new directions and new demands. Dent Mater. 2018;34(1):1-12.
    1. Jokstad A, Bayne S, Blunck U, Tyas M, Wilson N. Quality of dental restorations. FDI Commission Project 2-95. Int Dent J. 2001;51(3):117-158.
    1. Cvar JF, Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. 1971. Clin Oral Investig. 2005;9(4):215-232.
    1. Chadwick B, Treasure E, Dummer P, et al. Challenges with studies investigating longevity of dental restorations-a critique of a systematic review. J Dent. 2001;29(3):155-161.

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