Research Article

Toward a Clinically Reliable Class II Resin Composite Restoration: A Cross-Sectional Study into the Current Clinical Practice among Dentists in Saudi Arabia

Table 1

Survey questions, responses, and percentages.

QuestionsModalitiesNumber of responses (%)Total number of responses (%)

(i) Demographic aspects
(1) Age23–3097 (28%)343 (100%)
31–39126 (37%)
40–4979 (23%)
Above 5041 (12%)
(2) GenderMale233 (68%)343 (100%)
Female110 (32%)
(3) Where have you been practicing in Saudi Arabia?Eastern province127 (37%)338 (99%)
Western province77 (22%)
Middle province27 (8%)
Northern province33 (10%)
Southern province74 (22%)
(4) How long have you been practicing dentistry?Less than 5 years82 (24%)342 (100%)
5–10 years81 (24%)
10–15 years66 (19%)
More than 15113 (33%)
(ii) Practice frequency
(5) How many new class II resin composite restorations on average do you perform per week?Less than 10 restorations140 (41%)342 (100%)
More than 10 restorations134 (39%)
More than 20 restorations68 (20%)
(iii) Personal procedural preferences
(6) What is the kind of isolation that you use during class II resin composite restoration?
(More than one answer could be selected)
Cotton rolls230 (67%)343 (100%)
Rubber dam isolation112 (32%)
No isolation1 (1%)
(7) What is the type of resin composite material that you usually use for making class II restorations?Micro-hybrid143 (42%)340 (99%)
Nano-hybrid136 (39%)
Other (please specify)14 (4%)
I do not know47 (14%)
(8) What is the insertion technique that you follow in restoring class II cavities?Conventional incremental technique187 (55%)342 (100%)
Bulk-fill technique29 (8%)
Flowable bulk-fill followed by conventional composite126 (37%)
(9) What is the light curing unit that you usually use?Light emission diode (LED)294 (86%)247 (99%)
Quartz Tungsten Halogen (QTH)14 (4%)
I do not know34 (10%)
(10) What is the light curing direction that you use for curing resin composite in class II cavities?Occlusal direction93 (27%)341 (99%)
Three-directional curing (occlusal, buccal, lingual)248 (72%)
(11) Do you usually preheat resin composite before insertion?Yes43 (12%)341 (99%)
No298 (87%)
(12) Do you usually start by a layer of flowable composite on the gingival seat before progressing to the successive resin composite increment?Yes237 (69%)340 (99%)
No103 (30%)
(13) What is the type of adhesive system that you use for restoring class II cavities with resin composite?Etch-and-rinse174 (51%)341 (99%)
Selective etching technique53 (15%)
Self-etch technique50 (14%)
Any available system64 (19%)
(14) What is the type of matrix system that you use for restoring class II cavities with resin composite?Circumferential matrix–retainer device114 (33%)338 (98%)
Sectional matrix100 (29%)
Triodent V3 matrix23 (7%)
FenderMate matrix5 (2%)
AutoMatrix96 (28%)
(15) In restoring class II cavities with resin composite, do you first build a proximal wall of composite against the matrix before proceeding to the subsequent increment of composite?Yes265 (77%)338 (98%)
No73 (21%)
(iv) Post-restorative quality hypersensitivity and tightness of proximal contact
(16) How satisfied are you with the techniques that you use for producing tight plus proximal contacts upon testing proximal contacts using dental floss?Not at all23 (7%)337 (98%)
Kind of80 (23%)
Satisfied176 (51%)
Very satisfied58 (17%)
(17) Do you usually check the quality of your class II resin composite restorations using bitewing radiographs postoperatively?Yes97 (28%)343 (100%)
No125 (36%)
Sometimes119 (35%)
(18) How many faulty class II resin composite restorations do you repair and/or remake per month?Less than five183 (54%)342 (100%)
More than five69 (20%)
More than 1090 (26%)
(19) What is the main form of failure of class II resin composite you encounter in your clinical practice necessitating repair/remake?Fracture111 (32%)341 (99%)
Recurrent caries89 (26%)
Open contact59 (17%)
Pain64 (19%)
Discoloration20 (6%)
(20) What is the frequency of post-restorative hypersensitivity reported by the patient in the first week after your class II resin composite restoration?Rare (less than 2%)158 (46%)342 (100%)
Infrequent (less than 10%)109 (32%)
Sometimes (20% or more)66 (19%)
Frequent (more than 50%)9 (3%)