Revised FDI criteria for evaluating direct and indirect dental restorations—recommendations for its clinical use, interpretation, and reporting
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Published:2022-12-12
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Volume:
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ISSN:1436-3771
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Container-title:Clinical Oral Investigations
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language:en
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Short-container-title:Clin Oral Invest
Author:
Hickel Reinhard,Mesinger Sabine,Opdam Niek,Loomans Bas,Frankenberger Roland,Cadenaro Milena,Burgess John,Peschke Arnd,Heintze Siegward D.,Kühnisch Jan
Abstract
Abstract
Objectives
The FDI criteria for the evaluation of direct and indirect dental restorations were first published in 2007 and updated in 2010. Meanwhile, their scientific use increased steadily, but several questions from users justified some clarification and improvement of the living document.
Materials and methods
An expert panel (N = 10) initiated the revision and consensus process that included a kick-off workshop and multiple online meetings by using the Delphi method. During and after each round of discussion, all opinions were collected, and the aggregated summary was presented to the experts aiming to adjust the wording of the criteria as precisely as possible. Finally, the expert panel agreed on the revision.
Results
Some categories were redefined, ambiguities were cleared, and the descriptions of all scores were harmonized to cross-link different clinical situations with possible management strategies: reviewing/monitoring (score 1–4), refurbishment/reseal (score 3), repair (score 4), and replacement (score 5). Functional properties (domain F: fracture of material and retention, marginal adaptation, proximal contact, form and contour, occlusion and wear) were now placed at the beginning followed by biological (domain B: caries at restoration margin, hard tissue defects, postoperative hypersensitivity) and aesthetic characteristics (domain A: surface luster and texture, marginal staining, color match).
Conclusion
The most frequently used eleven categories of the FDI criteria set were revised for better understanding and handling.
Clinical relevance
The improved description and structuring of the criteria may help to standardize the evaluation of direct and indirect restorations and may enhance their acceptance by researchers, teachers, and dental practitioners.
Funder
Universitätsklinik München
Publisher
Springer Science and Business Media LLC
Subject
General Dentistry
Reference118 articles.
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