Selection of restorative materials in permanent teeth in general dental practice

In this study, we recorded the type of restoration and the materials used in 24,429 restorations in permanent teeth by 243 Norwegian clinicians in general practice. Demographic information included patient's gender and age, and clinician's gender, years since graduation, and practice setting (private or salaried). The overall recorded use of restorative materials in permanent teeth shows that 32% are amalgams, just over 40% composites, and about 25% glass ionomer type materials. Three percent are "other" materials. A marked shift away from amalgam restorations is noted both in the clinician's estimated use during the last 2 decades and by comparing the present use of materials with that in failed restorations. Tooth-colored materials are more commonly used in adolescents, especially glass ionomer materials, and in female patients. In patients less than or equal to 18 years, amalgam is used in 25% of all restorations. The use of amalgam is similar in private practice and in public health service practice, but private practitioners use more composites and salaried dentists more glass ionomers. The clinician's gender does not have any effect on the selection of restorative materials. The change from amalgam to tooth-colored material is particularly noticeable for Class I and Class V restorations. Amalgam is the predominant material in 2- and 3-surface Class II restorations.