Minimally invasive management of dental caries: contemporary teaching of posterior resin-based composite placement in U.S. and Canadian dental schools

J Am Dent Assoc. 2011 Jun;142(6):612-20. doi: 10.14219/jada.archive.2011.0243.

Abstract

Background: Resin-based composites are an increasingly popular material for restoring posterior teeth, permitting minimally invasive cavity preparations and esthetic restorations. The authors investigated current teaching of the placement of posterior resin-based composites in U.S. and Canadian dental schools.

Methods: In late 2009 and early 2010, the authors, with the assistance of the Consortium of Operative Dentistry Educators (CODE), invited 67 dental schools to participate in an Internet-based survey.

Results: The response rate was 73 percent. Although all schools taught the placement of resin-based composites in occlusal and most occlusoproximal cavities, eight schools (16 percent) did not teach placement of three-surface occlusoproximal resin-based composite restorations in permanent molars. Resin-based composites accounted for 49 percent of direct posterior restorations placed by dental students in 2009 and 2010, a 30 percent increase from 2005.

Conclusions: Teaching placement of posterior resin-based composites continues to increase in dental schools in the United States and Canada, with predoctoral students gaining, on average, an equal amount of experience placing posterior resin-based composites and amalgams in terms of numbers of restorations.

Clinical implications: Evidence-based, up-to-date teaching programs, including those in operative dentistry, are needed to best prepare students for careers in dentistry.

MeSH terms

  • Bicuspid / pathology
  • Canada
  • Composite Resins*
  • Contraindications
  • Curing Lights, Dental / classification
  • Curriculum
  • Dental Amalgam
  • Dental Caries / therapy*
  • Dental Cavity Preparation / classification
  • Dental Cavity Preparation / methods
  • Dental Materials*
  • Dental Polishing / methods
  • Dental Restoration, Permanent / instrumentation
  • Dental Restoration, Permanent / methods*
  • Dentistry, Operative / education*
  • Education, Dental*
  • Esthetics, Dental
  • Humans
  • Matrix Bands
  • Molar / pathology
  • Resin Cements
  • Rubber Dams
  • Schools, Dental
  • Surveys and Questionnaires
  • Time Factors
  • United States

Substances

  • Composite Resins
  • Dental Materials
  • Resin Cements
  • Dental Amalgam