Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting

Reinhard Hickel, Sabine Mesinger, Niek Opdam, Bas Loomans, Roland Frankenberger, Milena Cadenaro, John Burgess, Arnd Peschke, Siegward D Heintze, Jan Kühnisch, Reinhard Hickel, Sabine Mesinger, Niek Opdam, Bas Loomans, Roland Frankenberger, Milena Cadenaro, John Burgess, Arnd Peschke, Siegward D Heintze, Jan Kühnisch

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.

Keywords: Calibration; Clinical assessment; Crown; Dental filling; Dental restoration; Failure; Repair; Wear.

Conflict of interest statement

The authors declare no competing interests.

The authors declare no potential conflict of interest with respect to the authorship and publication of this article, including financial interests and the provision of study materials by the manufacturer for free or at a discount. Ivoclar Vivadent covered partially the travel expenses for one person to attend the group workshop at the Department of Conservative Dentistry and Periodontology in Munich, Germany on June 3–4, 2019.

© 2022. The Author(s).

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Source: PubMed

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