ACE Panel report finds 4 out of 5 respondents repair defective restorations

Repairing restorations may be more conservative, minimally invasive approach than replacement     

Many dentists repair defective restorations, but the repairs depend on the proper selection of cases, material and technique, according to an ADA Clinical Evaluators Panel report published in the April issue of The Journal of the American Dental Association.

When a restoration defect is limited and localized and the remaining tooth structure’s condition is sound, repairing the restoration may be a more conservative, minimally invasive approach than replacement, according to the ACE Panel report. The report includes responses from 400 ACE Panel member dentists about how they decide whether to repair or replace defective restorations and the technical aspects they consider when making a repair.

About 4 out of 5 respondents said they repair defective restorations. For those who said they make restoration repairs, the top three restoration conditions requiring repair were noncarious marginal defects (87%), partial loss or fracture of the restoration (79%) and crown margin repair because of carious lesions (73%).