Clinical decision and consideration of restorative dentistry

Authors

  • Tarik Mohammed Ali Alakkad Department of Restorative Dentistry, Al Thager Hospital, Jeddah, Saudi Arabia
  • Rayed Mayah Alshammari Dental Department, Hail Dental Center, Hail, Saudi Arabia
  • Sakinah Ali Alsaeed General Dental Clinic, Primary Care, Al Ahsa Health Cluster Ministry of Health, Al Ahsa, Saudi Arabia
  • Ali Jasim Al Sulail Dental Department, Dammam Medical Complex, Dammam, Saudi Arabia
  • Bushra Ali Alqahtani Dental Department, Armed Forces Hospital Southern Region, Abha, Saudi Arabia
  • Mohammed Abdullaziz AlShaikh General Dental Clinic, Primary Care, Al Ahsa Health Cluster Ministry of Health, Al Ahsa, Saudi Arabia
  • Razan Abdulrahman Abudeeb College of Dentistry, King Saud University, Riyadh, Saudi Arabia
  • Afnan Hassan Sayed College of Dentistry, Jazan University, Jazan, Saudi Arabia
  • Saqer Nasser Alsubaie College of Dentistry, King Saud University, Riyadh, Saudi Arabia
  • Zeena Jafar Dental Department, Dr. Abdulaziz Alajaji Dental Polyclinic, Khobar, Saudi Arabia
  • Abdulrahman Mohammed Alghamdi College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20250053

Keywords:

Ethical considerations, Long-term maintenance, Minimally invasive techniques, Patient-centered care, Restorative dentistry

Abstract

Restorative dentistry is a rapidly evolving field dedicated to restoring oral health, function and aesthetics through innovative materials, techniques and patient-centered approaches. The integration of ethical and long-term considerations into clinical decision-making has become increasingly critical in ensuring sustainable and equitable care. Advances in restorative materials, such as nanocomposites and bioactive substances, have enhanced the durability, functionality and aesthetic outcomes of treatments. Adhesive technologies and minimally invasive approaches further prioritize the preservation of natural tooth structure while improving treatment longevity. Patient-centered treatment models, including shared decision-making (SDM) and motivational interviewing (MI), are reshaping how clinicians engage with patients. These frameworks emphasize collaboration, trust and behavioral changes, ensuring that clinical interventions align with individual preferences and lifestyles. Such approaches not only improve treatment adherence but also enhance patient satisfaction and long-term oral health. Ethical considerations in restorative care address issues like overtreatment, equitable access and informed consent. Balancing the demands of complex rehabilitations with patients’ financial, psychological and systemic health factors ensures that restorative care remains sustainable and aligned with professional values. Additionally, proactive planning for long-term maintenance reduces the need for invasive interventions and extends the lifespan of restorations. Innovative techniques, such as the shortened dental arch concept and atraumatic restorative treatment, offer practical solutions in resource-constrained settings, contributing to a more inclusive approach to oral health care. By combining advancements in technology, patient-centered care and ethical practices, restorative dentistry continues to evolve, delivering effective, individualized and sustainable outcomes that improve the overall quality of life for diverse patient populations.

Metrics

Metrics Loading ...

References

Almossaen RE, Albalawi B, Aldahian N, AlToukhi H, Aldakkan B. The impact of ai and machine learning in predicting the success of dental restorations. J Healthcare Sci. 2024;4(12):713-20. DOI: https://doi.org/10.52533/JOHS.2024.41211

Alghamdi NM, Bakawwasah MI, Alshehri SS, Bosaleh AH, Ali M, Ghazwi AH. Comparison of Single-Visit Versus Multiple-Visit Endodontic Procedures. 2024. DOI: https://doi.org/10.52533/JOHS.2024.41222

Wynne T, Ma Y, Zhao W, Zhang S. Treatment decisions of patients with Class II Division 2 malocclusion and severe tooth wear: a systematic review. BDJ open. 2024;10(1):65. DOI: https://doi.org/10.1038/s41405-024-00248-x

Hickel R, Peschke A, Tyas A, Mjor I, Bayne S, Peters M. Clinical criteria for the evaluation of direct and indirect restorations. Update and clinical examples. J Adhes Dent. 2015;12(1):259-68.

Hickel R, Brüshaver K, Ilie N. Repair of restorations–criteria for decision making and clinical recommendations. Dental Materials. 2013;29(1):28-50. DOI: https://doi.org/10.1016/j.dental.2012.07.006

Puckett AD, Fitchie JG, Kirk PC, Gamblin J. Direct composite restorative materials. Dental Clinics of North America. 2007;51(3):659-75. DOI: https://doi.org/10.1016/j.cden.2007.04.003

Cramer N, Stansbury J, Bowman C. Recent advances and developments in composite dental restorative materials. J Dental Res. 2011;90(4):402-16. DOI: https://doi.org/10.1177/0022034510381263

Tyas M, Burrow M. Adhesive restorative materials: a review. Australian dental journal. 2004;49(3):112-S21. DOI: https://doi.org/10.1111/j.1834-7819.2004.tb00059.x

Khurshid Z, Zafar M, Qasim S, Shahab S, Naseem M, AbuReqaiba A. Advances in nanotechnology for restorative dentistry. Materials. 2015;8(2):717-31. DOI: https://doi.org/10.3390/ma8020717

Pini NP, Aguiar FHB, Lima DANL, Lovadino JR, Terada RSS, Pascotto RC. Advances in dental veneers: materials, applications and techniques. Clinical, Cos Inves Dent. 2012:9-16. DOI: https://doi.org/10.2147/CCIDE.S7837

Rich B, Goldstein GR. New paradigms in prosthodontic treatment planning: a literature review. The J Prosth Dent. 2002;88(2):208-14. DOI: https://doi.org/10.1067/mpr.2002.127886

Aminsobhani M, HafeziMotlagh K, MahjourianQomi R. Management and saving a traumatized poor prognosis maxillary central incisor for 18 years: A patient‐centered treatment. Clinical Case Reports. 2023;11(9):7905. DOI: https://doi.org/10.1002/ccr3.7905

Dietschi D. State-of-the-art patient-centered treatment & management of tooth wear. J Cosmetic Dent. 2022;38(1):45-8.

Torres CRG, Barbe AG, Noack MJ, Wicht MJ. Diagnosis and treatment planning. modern operative dentistry. Principles for Clin Prac. 2020:1-42. DOI: https://doi.org/10.1007/978-3-030-31772-0_1

Moye J, Catlin C, Kwak J, Wood E, Teaster PB. Ethical concerns and procedural pathways for patients who are incapacitated and alone: implications from a qualitative study for advancing ethical practice. Paper presented at: HEC Forum. 2017. DOI: https://doi.org/10.1007/s10730-016-9317-9

Witter DJ, van Palenstein Helderman WH, Creugers NH, Käyser AF. The shortened dental arch concept and its implications for oral health care. Community Dent and Oral Epidemiol. 1999;27(4):249-58. DOI: https://doi.org/10.1111/j.1600-0528.1999.tb02018.x

Jepsen S, Schwarz F, Cordaro L. Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European workshop on periodontology on bone regeneration. J Clin Periodontol. 2019;46:277-86. DOI: https://doi.org/10.1111/jcpe.13121

Frencken JE. Atraumatic restorative treatment and minimal intervention dentistry. British Dent J. 2017;223(3):183-9. DOI: https://doi.org/10.1038/sj.bdj.2017.664

Murray C. Advanced restorative dentistry–a problem for the elderly? An ethical dilemma. Australian Dent J. 2015;60:106-13. DOI: https://doi.org/10.1111/adj.12289

Resnick B, Simpson M. Establishing the Restorative Care Philosophy. Restorative care nursing for older adults: A guide for all care settings. 2004;2:13.

Ahmad I. Risk management in clinical practice. Part 5. Ethical considerations for dental enhancement procedures. British dental journal. 2010;209(5):207-14. DOI: https://doi.org/10.1038/sj.bdj.2010.769

McNally ME, Dharamsi S, Bryant SR, MacEntee MI. Ethical considerations for the oral healthcare of frail elders. Oral Healthcare and the Frail Elder: A Clinical Perspect. 2010;2:13-30. DOI: https://doi.org/10.1002/9781118786789.ch2

Downloads

Published

2025-01-23

How to Cite

Alakkad, T. M. A., Alshammari, R. M., Alsaeed, S. A., Sulail, A. J. A., Alqahtani, B. A., AlShaikh, M. A., Abudeeb, R. A., Sayed, A. H., Alsubaie, S. N., Jafar, Z., & Alghamdi, A. M. (2025). Clinical decision and consideration of restorative dentistry. International Journal Of Community Medicine And Public Health, 12(2), 1079–1084. https://doi.org/10.18203/2394-6040.ijcmph20250053

Issue

Vol. 12 No. 2 (2025): February 2025

Section

Review Articles
Crossref
Scopus
Google Scholar
Europe PMC