Findings

What do systematic reviews say?

1,052 questions · 1,797 findings · 134 reviews

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No studies found 10 · 0.6%GRADE not reported 1,630 · 90.7%Very low 95 · 5.3%Low 23 · 1.3%Moderate 22 · 1.2%High 17 · 0.9%

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 5: open margin

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 5: open…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Very high
RR 5.19 [3.39, 7.94]
10 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 8:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Continent: Asia
RR 1.50 [1.08, 2.08]
11 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration

The intervention showed no clear difference in composite: Preference for replacement over repair - Scenario 1:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Continent: Asia
RR 0.78 [0.56, 1.10]
11 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity

The intervention led to lower composite: Preference for replacement over repair - Scenario 8:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Very high
RR 0.40 [0.27, 0.59]
10 studies
GRADE not reported

Replacement of the defective restoration vs Repair of the defective restoration

Composite: Preference for replacement over repair - Scenario 1: partial loss or fracture of the restoration · Dentists managing a defective direct resin composite restoration (posterior occlusal Class I; standardized vignette of a 30-year-old,…

For a defective composite restoration with partial loss or fracture of the restoration, surveyed dentists most often preferred repair over replacement (pooled RR 0.72; p = 0.002); ungraded.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Not applicable (single time-point survey, June to October 2023) · Multinational (21 countries across Africa, Asia, Europe, South America); general dental practice · Overall (all 21 countries pooled)
RR 0.72 [0.58, 0.89]
21 studies · 3680 participants
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 6: superficial discoloration

The intervention led to lower composite: Preference for replacement over repair - Scenario 6:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Continent: Africa
RR 0.31 [0.18, 0.51]
2 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 2: loss of dental hard substance adjacent to the restoration

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 2: loss…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Coverage: Covering cost of minimally invasive treatment
RR 5.97 [4.09, 8.70]
Studies not reported
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 7: non-stable (mobile) restoration

The intervention led to higher composite: Preference for replacement over repair - Scenario 7:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: High
RR 11.31 [6.70, 19.08]
7 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 5: open margin

The intervention showed no clear difference in composite: Preference for replacement over repair - Scenario 5: open…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Medium
RR 1.90 [0.78, 4.64]
2 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 5: open margin

The intervention led to higher composite: Preference for replacement over repair - Scenario 5: open…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Coverage: Covering cost of minimally invasive treatment
RR 3.09 [1.65, 5.79]
Studies not reported
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 7: non-stable (mobile) restoration

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 7:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Low
RR 25.94 [1.88, 358.26]
2 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 8:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Very high
RR 1.87 [1.32, 2.64]
10 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 3: secondary caries

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 3:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Very high
RR 6.56 [4.37, 9.86]
10 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity

The intervention led to lower composite: Preference for replacement over repair - Scenario 8:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Continent: Europe
RR 0.32 [0.27, 0.37]
6 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 3: secondary caries

The intervention showed no clear difference in composite: Preference for replacement over repair - Scenario 3:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Medium
RR 0.70 [0.05, 10.26]
2 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 7: non-stable (mobile) restoration

The intervention led to higher composite: Preference for replacement over repair - Scenario 7:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Very high
RR 19.06 [7.76, 46.80]
10 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 4: marginal discoloration

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 4:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Continent: Asia
RR 5.71 [3.51, 9.28]
11 studies
GRADE not reported

Intervention not reported

Composite: Preference for replacement over repair - Scenario 6: superficial discoloration

The intervention led to lower composite: Preference for replacement over repair - Scenario 6:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
Coverage: Covering cost of minimally invasive treatment
RR 0.26 [0.16, 0.41]
Studies not reported
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 3: secondary caries

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 3:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: Medium
RR 5.73 [2.83, 11.57]
2 studies
GRADE not reported

Intervention not reported

Amalgam: Preference for replacement over repair - Scenario 8: disruption of occlusal integrity

The intervention led to higher amalgam: Preference for replacement over repair - Scenario 8:…; GRADE not reported.

1 finding from 1 review

Clinical Decision-Making of Repair vs. Replacement of Defective Direct Dental Restorations: A Multinational… 2025 All outcomes
HDI: High
RR 1.85 [1.43, 2.39]
7 studies
GRADE not reported