Use of Restorative Materials in Primary Teeth – A Retrospective University-Based Study


  • Luciana Antonio Pion
  • Raquel Assed Bezerra Segato
  • Paulo Nelson-Filho
  • Léa Assed Bezerra da Silva
  • Alexandra Mussolino de Queiroz
  • Francisco Wanderley Garcia Paula-Silva


Dental Materials, Tooth, Deciduous, Therapeutics, Dental Caries


Objective: To investigate the types of restorative materials used for restorative treatment in primary teeth through a retrospective university-based study. Material and Methods: The sample consisted of all clinical records of children attended at the Pediatric Dentistry Clinic at the School of Dentistry of Ribeirão Preto at the University of São Paulo in Brazil. Inclusion criteria were primary anterior and posterior teeth that received dental restorations for treatment of dental caries lesions, dental trauma or dental development defects from 2013 to 2018. Restoration repairs and interim restorations during this period were also recorded. Descriptive analyzes were performed to assess the distribution according to the type of restorative material used over the years. Results: A total of 5,236 restorative procedures were performed in primary teeth, including restoration repair and interim restorations. Of those, 69% were done in posterior teeth and 31% in anterior teeth. Sixty percent of the procedures performed during this period were made of composite resin and a lower percentage of glass ionomer cement (18%) followed by silver amalgam (1%). The number of interim restorations was smaller but proportional to those of composite resin over the years. Conclusion: A tendency to carry out restorative treatment of primary teeth with composite resin during the 6 years of follow-up was observed.


Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, et al. Restorations in primary teeth: a systematic review on survival and reasons for failures. Int J Paediatr Dent 2018; 28(2):123-39.

Sanches K, de Carvalho FK, Nelson-Filho P, Assed S, Silva FW, de Queiroz AM. Biological restorations as a treatment option for primary molars with extensive coronal destruction--report of two cases. Braz Dent J 2007; 18(3):248-52.

Franzon R, Opdam N, Guimarães L, Demarco F, Casagrande L, Haas A, et al. Randomized controlled clinical trial of the 24-months survival of composite resin restorations after one-step incomplete and complete excavation on primary teeth. J Dent 2015; 43(10):1235-41.

Van de Sande F, Collares K, Correa M, Cenci M, Demarco F, Opdam N. Restoration survival: revisiting patients' risk factors through a systematic literature review. Oper Dent 2016; 41(S7):S7-S26.

dos Santos APP, Nadanovsky P, de Oliveira BH. A systematic review and meta‐analysis of the effects of fluoride toothpastes on the prevention of dental caries in the primary dentition of preschool children. Community Dent Oral Epidemiol 2013; 41(1):1-12.

Tedesco TK, Gimenez T, Floriano I, Montagner AF, Camargo LB, Calvo AFB, et al. Scientific evidence for the management of dentin caries lesions in pediatric dentistry: a systematic review and network meta-analysis. PLoS One 2018; 13(11):e0206296.

Dhar V, Hsu K, Coll J, Ginsberg E, Ball B, Chhibber S, et al. Evidence-based update of pediatric dental restorative procedures: dental materials. J Clin Pediatr Dent 2015; 39(4):303-10.

Bakhshandeh A, Qvist V and Ekstrand KR. Sealing occlusal caries lesions in adults referred for restorative treatment: 2–3 years of follow-up. Clin Oral Investig 2012; 16(2):521-9.

Bernardo M, Luis H, Martin MD, Leroux BG, Rue T, Leitão J, et al. Survival and reasons for failure of amalgam versus composite posterior restorations placed in a randomized clinical trial. J Am Dent Assoc 2007; 138(6):775-83.

Worthington HV, Khangura S, Seal K, Mierzwinski-Urban M, Veitz-Keenan A, Sahrmann P, et al. Direct composite resin fillings versus amalgam fillings for permanent posterior teeth. Cochrane Database Syst Rev 2021; 8(8):Cd005620.

Wilson AD and Kent BE. A new translucent cement for dentistry. The glass ionomer cement. Br Dent J 1972; 132(4):133-5.

Frencken JE, Holmgren CJ. How effective is ART in the management of dental caries? Community Dent Oral Epidemiol 1999; 27(6):423-30.

Frencken JE, Van 't Hof MA, Van Amerongen WE, Holmgren CJ. Effectiveness of single-surface ART restorations in the permanent dentition: a meta-analysis. J Dent Res 2004; 83(2):120-3.

Olegário IC, de Brito Pacheco AL, de Araújo MP, de Miranda Ladewig N, Bonifácio CC, Imparato JCP, et al. Low-cost GICs reduce survival rate in occlusal ART restorations in primary molars after one year: A RCT. J Dent 2017; 57:45-50.

Pani SC, Al Abbassi MF, Al Saffan AD, Al Sumait MA, Shakir AN. Factors influencing Saudi dental students' preference of amalgam or composite for posterior dental restorations. Saudi J. Oral Sci 2014; 1(1):30-6.

Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health 2006; 6(S1):S2.

American Academy of Pediatric Dentistry. Clinical Affairs Committee--Infant Oral Health Subcommittee. Guideline on infant oral health care. Pediatr Dent 2012; 34(5):e148-152.

Kassebaum N, Bernabé E, Dahiya M, Bhandari B, Murray C, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res 2015; 94(5):650-8.

Petersen PE. World Health Organization global policy for improvement of oral health‐World Health Assembly 2007. Int Dent J 2008; 58(3):115-21.

Lynch CD, Wilson N. Managing the phase-down of amalgam: part I. Educational and training issues. Br Dent J 2013; 215(3):109-13.

Alexander G, Hopcraft M, Tyas M, Wong R. Dentists' restorative decision‐making and implications for an ‘amalgamless’ profession. Part 1: a review. Aust Dent J 2014; 59(4):408-19.

Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry for managing dental caries - a review: report of a FDI task group. Int Dent J 2012; 62(5):223-43.

Wilson NH and Lynch CD. The teaching of posterior resin composites: planning for the future based on 25 years of research. J Dent 2014; 42(5):503-16.

Ericson D, Kidd E, McComb D, Mjör I, Noack MJ. Minimally invasive dentistry-concepts and techniques in cariology. Oral Health Prev Dent 2003; 1(1):59-72.

Smales RJ, Yif H-K. The atraumatic restorative treatment (ART) approach for the management of dental caries. Quintessence Int 2002; 33(6):427-32.

Ismail AI. Reactor paper: minimal intervention techniques for dental caries. J Public Health Dent 1996; 56(3):155-60.

Phantumvanit P, Songpaisan Y, Pilot T, Frencken JE. Atraumatic Restorative Treatment (ART): a three‐year community field trial in Thailand-survival of one‐surface restorations in the permanent dentition. J Public Health Dent 1996; 56(3):141-5.

Demarco FF, Collares K, Correa MB, Cenci MS, MORAES RRd, Opdam NJ. Should my composite restorations last forever? Why are they failing? Braz Oral Res 2017; 31(suppl 1):e56.

Elderton R. Clinical studies concerning re-restoration of teeth. Adv Dent Res 1990; 4(1):4-9.

Moncada G, Fernández E, Martín J, Arancibia C, Mjör I, Gordan VV. Increasing the longevity of restorations by minimal intervention: a two-year clinical trial. Oper Dent 2008; 33(3):258-64.

Gordan VV, Riley III JL, Geraldeli S, Rindal DB, Qvist V, Fellows JL, et al. Repair or replacement of defective restorations by dentists in The Dental Practice-Based Research Network. J Am Dent Assoc 2012; 143(6):593-601.

Mendes da Silva C, Figueiredo MC, Casagrande L, Larissa Lenzi T. Survival and Associated Risk Factors of Atraumatic Restorative Treatment Restorations in Children with Early Childhood Caries. J Dent Child 2020; 87(1):12-7.

Gimenez T, Bispo BA, Souza DP, Viganó ME, Wanderley MT, Mendes FM, et al. Does the Decline in Caries Prevalence of Latin American and Caribbean Children Continue in the New Century? Evidence from Systematic Review with Meta-Analysis. PLoS One 2016; 11(10):e0164903.

Yamalik N, Nemli SK, Carrilho E, Dianiskova S, Melo P, Lella A, et al. Implementation of evidence-based dentistry into practice: analysis of awareness, perceptions and attitudes of dentists in the World Dental Federation-European Regional Organization zone. Int Dent J 2015; 65(3):127-45.

Haron IM, Sabti MY, Omar R. Awareness, knowledge and practice of evidence-based dentistry amongst dentists in Kuwait. Eur J Dent Educ 2012; 16(1):e47-52.

Hopper L, Morris L, Tickle M. How primary care dentists perceive and are influenced by research. Community Dent Oral Epidemiol 2011; 39(2):97-104.

Norton WE, Funkhouser E, Makhija SK, Gordan VV, Bader JD, Rindal DB, et al. Concordance between clinical practice and published evidence: findings from The National Dental Practice-Based Research Network. J Am Dent Assoc 2014; 145(1):22-31.




How to Cite

Pion, L. A., Segato, R. A. B., Nelson-Filho, P., da Silva, L. A. B., de Queiroz, A. M., & Paula-Silva, F. W. G. (2023). Use of Restorative Materials in Primary Teeth – A Retrospective University-Based Study. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 23, e220025. Retrieved from



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