Abstract
Objective: To assess the knowledge and clinical practice of adhesive protocol of composite restorations among dental practitioners
working in dental hospitals and clinics of Islamabad.
Study Design: Descriptive cross sectional study
Place and Duration: Islamabad Medical and Dental College, from 1st October 2017 to 20th March 2018.
Methodology: A pre piloted questionnaire was used to record information related to knowledge and clinical practice of adhesive
protocols in composite restorations. The questionnaire contained questions regarding increment selection, adhesive approach,
adhesive preference, isolation approach, bond strength, postoperative sensitivity. Data was assessed for knowledge regarding
adhesive protocols and its clinical application in light of responses obtained in questionnaire.
Results: Among total of 172 respondents 97.1% utilized incremental technique for composite restoration and 84.3% used etch and
rinse approach for adhesion. About 46.5% of the respondents identified the IV generation adhesives as “gold standard”. Regarding
clinical practice, IV generation adhesives were used by 29.7% of the practitioners. The knowledge of recommended isolation method
for adhesive restorations was identified as rubber dam by 88.4% but only 4.7% identified the clinical practice of always applying it
while doing an adhesive restoration.
Conclusion: Most of the dental practitioners possess evidence based knowledge regarding adhesive protocols for composite
restorations. However the clinical practice of an occasional use of rubber dam and the use of simplified adhesives is not in accordance
with the established evidence based practice
Muhammad Usman Ashraf, Usman Anwer Bhatti, Beenish Qureshi, Qirat Ashfaq, Awais Niaz, Tassadaq Khurshid. (2019) Knowledge and clinical practice of adhesive protocols for composite restorations among dental practitioners in Islamabad, Isra Medical Journal, Volume 11, Issue 4.
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