Translating research into everyday clinical practice: Lessons learned from a USA dental practice-based research network
Open accessAbstract
Clinical studies are of paramount importance for testing and translation of the research findings to the community. Despite the existence of clinical studies, a significant delay exists between the generation of new knowledge and its application into the medical/dental community and their patients. One example is the repair of defective dental restorations. About 75% of practitioners in general dental practices do not consider the repair of dental restorations as a viable alternative to the replacement of defective restorations. Engaging and partnering with health practitioners in the field on studies addressing everyday clinical research questions may offer a solution to speed up the translation of the research findings. Practice-based research (PBR) offers a unique opportunity for practitioners to be involved in the research process, formulating clinical research questions. Additionally, PBR generates evidence-based knowledge with a broader spectrum that can be more readily generalized to the public. With PBR, clinicians are involved in the entire research process from its inception to its dissemination. Early practitioner interaction in the research process may result in ideas being more readily incorporated into practice. This paper discusses PBR as a mean to speed up the translation of research findings to clinical practice. It also reviews repair versus replacement of defective restorations as one example of the delay in the application of research findings to clinical...
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Claims the paper makes
18 of 88 cited sources checked · 5 supported · 1 flagged · accuracy not yet measured
- Premisecitation
Choice of repair over replacement differs among dentists according to dentist characteristics: those who placed the original restoration, graduated within the last 15 years, and work in large group practices repaired more often.
“Dentists who placed the original restoration, dentists who graduated from dental school within the last 15 years, and dentists who work in large group practices (3 or more practitioners) repaired defective restorations more often than they replaced the restorations [43].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] source
The Results report relative associations with repair, but the cited sentence says these dentists repaired restorations more often than they replaced them. The Results table shows the opposite for each named group: the same dentist repaired 32% and replaced 68%; the most recent graduates repaired 29% and replaced 71%; large-group dentists repaired 30% and replaced 70%. The Methods also do not define large groups as practices with three or more dentists; they define solo or small groups as having three or fewer. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
- Premisecitation
Enhancing the delivery of established therapies would save more lives than pursuing additional innovations in therapy.
“Enhancing the delivery of established therapies would save more lives than pursuing additional innovations in therapy [6,3].”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [6] source
- cites [3] source
The Concepts and Attitudes section treats improving the implementation of care as important. It does not say that better delivery of established therapies would save more lives than developing new therapies; instead, it cautions that knowledge is also lacking for many patient-care decisions. No page number is available in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
A substantial difference exists between the health care patients may be eligible for and the health care they actually receive.
“Therefore, a substantial difference exists between the health care that patients may be eligible for and the health care that they actually receive [3-5].”
Quote in the paperSubstantial claim2 of 3 sources checked - Premisecitation
A significant delay exists between the generation of new knowledge and its application into the medical/dental community and patients.
“A significant delay exists between the generation of breakthroughs and their transfer through applications serving individual patients when science is not efficiently translated to daily clinical practice.”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [3] source
The Abstract and Introduction describe a substantial chasm between knowledge and patient care, and Practical Barriers says researchers rarely have support to implement findings in practice. But Concepts and Attitudes cautions that the problem is not simply delayed translation of existing breakthroughs: relevant evidence is often lacking. The paper addresses primary care, not the dental community. Page numbers are unavailable in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measured - cites [4] source
- cites [5] source
- Premisecitation
Studies report a decline in use of dental amalgam due to inferior esthetic appearance, alleged adverse health effects, and environmental concerns.
“studies report a decline in the use of dental amalgam, because of its inferior esthetic appearance, alleged adverse health effects, and environmental concerns [65-69]”
Quote in the paperNot a substantial claim3 of 5 sources checked- cites [65] source
The sections “No adverse effects through dental amalgam?” and “Amalgam for mercury pollution” discuss health effects and environmental mercury pollution. The paper does not establish that amalgam use has declined or attribute a decline to its appearance or those concerns; the section on organized dentistry says worldwide use may increase. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites [66] source
The Introduction (page not provided) describes widespread concern about possible health effects of mercury exposure among dentists. It does not report a decline in dental amalgam use or attribute such a decline to appearance, health concerns, or environmental concerns. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites [67] source
The Predictions for future use of restorative materials (p. 6) reports that many surveyed students expected amalgam use to decrease, while the choice-of-material findings (p. 6) identify aesthetics and environmental concerns as reasons some preferred composite. Current clinical practices (p. 6) also reports that patient safety concerns influenced some students’ decisions. The paper does not establish an observed decline in amalgam use or show that these three concerns caused such a decline. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites [68] source
- cites [69] source
- Premisecitation
Clinicians still do not routinely consider the repair or sealing of restorations as a viable treatment option for defective restorations.
“clinicians still do not routinely consider the repair or sealing of restorations as a viable treatment option for the treatment of defective restorations [38-43].”
Quote in the paperSubstantial claim2 of 6 sources checked- cites [38]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [39]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [40] source
The Results (page unavailable) report that 65% of surveyed dentists would replace a composite restoration with a defective dentin margin, supporting reluctance to repair in that scenario. But 49% would repair one with a defective enamel margin, so the broader claim that clinicians do not routinely consider repair is overstated. These passages do not establish how routinely dentists consider sealing. (LLM, conf=0.84)
Experimental — accuracy not yet measured - cites [41]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [42] source
- cites [43] source
The Discussion reports that 75% of participating dentists chose replacement over repair, and the Methods define repair to include sealing margins. This supports the claim that these dentists more often replaced defective restorations, but the study observed treatment choices rather than whether clinicians considered repair or sealing viable; it also does not report sealing separately. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
Close to 75% of clinicians participating in Dental PBRN chose replacement more often than repair for treatment of defective restorations.
“close to 75 percent of clinicians participating in Dental PBRN also chose replacement more often than repair for the treatment of defective restorations [39,43,45].”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites [39]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [43] source
The Results report that 75% of defective restorations were replaced and 25% repaired, and the Discussion says DPBRN dentists replaced restorations more often than they repaired them. The 75% figure describes restorations, not the proportion of clinicians who individually chose replacement more often. (LLM, conf=0.90)
Experimental — accuracy not yet measured - cites [45] source
- Premisecitation
Most dentists (75%) participating in a practice-based study involving close to 10,000 restorations chose replacement over repair when they had not placed the original restoration.
“most of the dentists (75%) participating in a practice-based study [43] involving close to 10,000 restorations chose replacement over repair of defective restorations when they had not placed the original restoration (p<0.001).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] source
The Results report 9,484 restorations and show that replacement was more likely when another dentist had placed the original restoration (p<.001). But 75% is the replacement rate across all restorations; the rate for restorations placed by another dentist is 77%. These percentages describe restorations, not the proportion of dentists who chose replacement. (LLM, conf=0.92)
Experimental — accuracy not yet measured
- Premisecitation
Practicing dentists reported diagnosis of secondary caries as the main reason for restoration treatment, followed by restoration fracture, marginal degradation, and margin discoloration.
“Practicing dentists [43] reported the diagnosis of secondary caries as the main reason for restoration treatment, followed by restoration fracture, marginal degradation, and margin discoloration.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] source
- Premisecitation
Longitudinal cohort studies have demonstrated that the success rate of treatment for failed restorations does not necessarily surpass the clinical performance of other alternative treatments such as repairing, sealing, or monitoring.
“longitudinal cohort studies have demonstrated that the success rate of treatment for failed restorations not necessarily surpass the clinical performance of other alternative treatments such as repairing, sealing, or monitoring teeth at risk [25-32].”
Quote in the paperSubstantial claim1 of 8 sources checked- cites [25] source
- cites [26] source
- cites [27] source
- cites [28] source
- cites [29]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [30] source
The Conclusions (page unavailable) report that repairing or sealing defective restorations produced results similar to replacement after two years. But the Results say the untreated group deteriorated, so this paper does not support monitoring as a comparably effective alternative. It describes its own study as a clinical trial, not a longitudinal cohort study. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [31] source
- cites [32] source
- Premisecitation
The time lag between discovery and generalized adoption by the medical/dental profession ranges from 17 to 24 years depending on study and subject area.
“The time lag between discovery and its generalized adoption by the medical/dental profession has ranged from 17 to 24 years depending on the study and subject area [5].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [5] source
- Interpretationreasoning
PBR speeds up the translation of research findings.
“it speeds up the translation of research findings as passive absorption of knowledge usually either does not work or is very slow.”
Quote in the paperSubstantial claim - Interpretationreasoning
If a dentist cannot clearly reject a secondary caries diagnosis, they will most likely choose replacement over nonsurgical treatment.
“if the dentist is unable to clearly reject a secondary caries diagnosis, he or she will most likely choose replacement as opposed to other options of nonsurgical treatment”
Quote in the paperSubstantial claim - Premisecitation
Restorations may become defective due to clinician factors, patient factors, and/or material properties.
“Restorations may become defective due to a number of reasons related to either clinician factors, patient factors, and/or material properties [50].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [50]
- Premisecitation
Removal of existing restorations may cause additional stress on the tooth with possible pulp and dentin reactions.
“The removal of existing restorations may also cause additional stress on the tooth with possible pulp and dentin reactions to thermal, chemical, bacterial, or mechanical stimuli [22,23]”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationcitation
Without objective criteria, it is challenging to correctly differentiate between secondary caries and staining or degradation of the restoration margin.
“Without objective criteria, it becomes challenging to correctly differentiate between secondary caries and staining or degradation of the restoration margin [59].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [59]
- Premisecitation
Previous studies have shown no relationship between development of secondary caries and size of leakage or gap, except when the crevice exceeds 250 μm or 400 μm.
“previous studies [60-62] have shown no relationship between the development of secondary caries and the size of the leakage or gap, except in cases in which the crevice exceeds 250 μm[62] or 400 μm [63].”
Quote in the paperSubstantial claim0 of 4 sources checked - Premisecitation
Sealed composite restorations placed over cavitated carious lesions arrested the clinical progress of the lesions.
“sealed composite restorations placed over cavitated carious lesions arrested the clinical progress of the lesions [33].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] source
- Premisecitation
Patients who change dentists are far more likely to have restorations replaced and not necessarily repaired.
“patients who change dentists are far more likely to have restorations replaced and not necessarily repaired.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [49]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
Removal of an existing restoration significantly removes sound tooth structure, resulting in subsequently larger dental restorations.
“removal of the existing restoration will significantly remove sound tooth structure resulting in subsequently larger dental restorations.”
Quote in the paperSubstantial claim0 of 5 sources checked - Premisecitation
The first restoration placed in an unrestored tooth can affect the overall longevity of the tooth.
“The first restoration placed in an unrestored tooth can affect the overall longevity of the tooth as proposed by the life-cycle of a tooth [24].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] source
- The authors state this as an assumption: The life-cycle model assumes that the first restoration is placed around age six and that replacements every eight to twelve years lead to tooth loss by age 56.
- Premisecitation
Sealed restorations exhibited superior clinical performance and longevity compared with unsealed restorations in a long-term clinical study over 10 years.
“sealed restorations exhibited superior clinical performance and longevity compared with unsealed restorations.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] source
- Premisecitation
Probability of changing from amalgam to another material varied according to characteristics: replacement, non-molar, maxillary arch, single surface.
“The change was most likely to take place when (1) the treatment was a replacement; (2) the tooth was not a molar; (3) the tooth was in the maxillary arch; and (4) the original restoration involved a single surface [45].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] source
- Premisecitation
Passive dissemination of knowledge, guidelines, and attendance at meetings are not necessarily effective for translation of research into practice.
“passive dissemination of knowledge, guidelines, and attendance at meetings are not necessarily effective for the translation of research into practice [77].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [77] source
- Premisecitation
Traditional journal articles, workshops, academic classes, conferences, patient education, and financial incentives show small to modest effects.
“Traditionally, journal articles, workshops, academic classes, and conferences have been the usual mode of educating practitioners. Patient education and financial incentives have also been used, with all methods showing small to modest effects [6,70].”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Presentations on study results given by fellow practitioner-investigators rather than academicians seem to have greater influence on practitioners.
“presentations on study results given by fellow practitioner-investigators, rather than academicians, seem to have a greater influence on practitioners as opposed to clinical faculty presentations [6].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [6] source
- Premisecitation
The main reason clinicians join the network is the desire to be part of a community that can generate and answer research questions with new knowledge.
“The desire to be a part of a community that has the possibility to generate research questions and to answer them with new knowledge is the main reason that clinicians join the network [78,79].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [78]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [79]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
In one PBR study, one third of clinicians changed their responses to clinical case scenarios after a meeting.
“At the end of the meeting one third of clinicians actually changed, in the second questionnaire, how they responded to the clinical case scenario questions.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [73]
- Premisecitation
Change in intention is consistent with health change theory, which suggests this step is a prelude to subsequently implementing change.
“This “change in intention” is consistent with the health change theory, which suggests that this step is a prelude to the subsequent “next step” of actually implementing change [74,75].”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
Restorative material was five times more likely to be changed when the original restoration was amalgam.
“The restorative material was five times more likely to be changed when the original restoration was amalgam.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] source
- Premisecitation
The improvement was towards using more prevention and delaying the treatment process in certain instances.
“The improvement was towards using more prevention and delaying the treatment process in certain instances, according to the latest evidence-based research results.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [73]
- Interpretationreasoning
PBRNs can be an effective venue for translation of research findings because participants serve as change agents.
“PBRNs can be an effective venue for translation of research findings as participants serve as change agents.”
Quote in the paperSubstantial claim - Premisecitation
New methods and materials have better acceptance if transmitted by leaders in the field, such as a trusted opinion leader or mentor.
“Research has shown that new methods and materials will have better acceptance if transmitted by leaders in the field. This is not necessarily an individual with the highest degree or visibility, but is someone trusted as an opinion leader or mentor [6,71].”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
Clinicians were receptive to changing how they treat patients as a result of being engaged in the scientific process with fellow clinicians.
“Clinicians were receptive to changing how they treat patients as a result of being engaged in the scientific process with their fellow clinicians [73].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [73]
- Premisecitation
Many existing restorations are still amalgam.
“many of existing restorations are still amalgam [45].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] source
- May combine two claims. 11
- Classified as probably not a substantial claim. 9
May combine two claims.
PremisecitationClinical diagnosis of secondary caries is ill-defined and marginal staining is often mistakenly diagnosed as caries lesions.
“The clinical diagnosis of secondary caries is ill-defined [51-56] and marginal staining is often mistakenly diagnosed by clinicians as caries lesions [11,12,57,58].”
Quote in the paperSubstantial claim1 of 10 sources checked- cites [51] source
- cites [52] source
- cites [53]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [54] source
- cites [55] source
- cites [56] source
- cites [11]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [12] source
The citation group attached to this source concerns the claim that clinicians often mistake marginal staining for caries. The Materials and methods section distinguishes marginal discolouration from secondary caries, and the Results report their recorded frequencies, but neither establishes that staining was often misdiagnosed. The Discussion says secondary-caries diagnosis is ill-defined, but that is the separately cited first clause. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites [57] source
- cites [58] source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationReplacement of defective restorations is one of the most frequent problems encountered by general practitioners and accounts for over 50% of work in general dental practice.
“Replacement of defective restorations is one of the most frequent problems encountered by general practitioners today and accounts for over 50% of the work performed in general dental practice [11-13].”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites [11]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [12] source
The Materials and methods section (page unavailable) reports that 49% of restorations placed in permanent teeth by surveyed Norwegian general dentists were replacements, supporting that replacement is common. It does not establish that replacement accounts for over 50% of all work in general dental practice; the percentage is below 50% and has a narrower denominator. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [13] source
May combine two claims.
PremisecitationPatient characteristics associated with greater likelihood of repair versus replacement include older age, original material different than amalgam, restorations in molar teeth, and fewer surfaces.
“Some patients’ characteristics were also associated with a greater likelihood of repair versus replacement, such as older patient age, original restorative material different than amalgam, restorations in molar teeth, and fewer surfaces in the original restoration [43].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenPBR generates evidence-based knowledge with a broader spectrum that can be more readily generalized to the public.
“Additionally, PBR generates evidence-based knowledge with a broader spectrum that can be more readily generalized to the public.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningEngaging and partnering with health practitioners on studies addressing everyday clinical questions may offer a solution to speed up translation.
“Engaging and partnering with health practitioners in the field on studies addressing everyday clinical research questions may offer a solution to speed up the translation of the research findings.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationPassive absorption of knowledge usually either does not work or is very slow.
“passive absorption of knowledge usually either does not work or is very slow.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [77] source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
InterpretationreasoningEarly practitioner interaction in the research process may result in ideas being more readily incorporated into practice.
“Early practitioner interaction in the research process may result in ideas being more readily incorporated into practice.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningRepair of defective restorations offers a less invasive and more conservative approach and has the potential to delay the re-restoration cycle.
“Repair of defective restorations offers a less invasive and more conservative approach to restoration replacement and has the potential to delay the re-restoration cycle.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningTraditional federally-funded or corporate-funded research in academic institutions has significant value that can complement PBRN studies.
“Traditional federally-funded or corporate-funded research in academic institution has significant value that can complement the studies that are conducted in PBRNs.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningResults of these studies serve as a basis to obtain IRB approval for conducting randomized controlled trials, which provide the highest level of evidence.
“The results of the studies serve now as basis to obtain institutional review board approval for conducting randomized, controlled clinical trials which provide the highest level of evidence.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningAcademic research addresses different questions that can provide more rapid answers to clinicians' questions and lead to follow-up by PBRNs.
“Academic research addresses different questions that can provide more rapid answers to clinician's questions and lead to follow-up by PBRNs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenFor these studies to be generalizable to most patients, they would be conducted in a general practice setting.
“in order for these studies to be generalizable to most patients, they would be conducted in a general practice setting.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIn a PBR study, most treated restorations were amalgam (56%), replaced primarily (56% of cases) with direct tooth-colored materials.
“The PBR study showed that most of the restorations that were treated in the study were amalgam (56%), which were replaced primarily (56% of cases) with direct tooth-colored restorative materials.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [45] source
May combine two claims.
PremisecitationAcquiring new information is necessary but not enough for a change in behavior.
“Acquiring new information is necessary, but not enough for a change in behavior [76].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [76] source
Probably not a substantial claim: may not pass S4 (based). May combine two claims.
InterpretationreasoningResults from PBR can be more generalizable to the public at large, therefore facilitating application of findings for policy changes and establishment of standard of care.
“The results from PBR can be more generalizable to the public at large, therefore it facilitates the application of the findings for policy changes and the establishment of standard of care.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationParticipating in PBRN activities may create openness to change, and practitioner-investigators act as agents for change.
“Participating in PBRN activities may create openness to change and the practitioner-investigators act as agents for change [73].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [73]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
PremisecitationSeveral long-term prospective studies have supported repair versus replacement of restorations, but these studies did not randomly assign treatment.
“Even though several long-term prospective studies have supported the repair versus replacement of restorations, these studies did not randomly assign the treatment ([81-83].”
Quote in the paperSubstantial claim0 of 3 sources checked
The authors state this as an assumption.
The life-cycle model assumes that the first restoration is placed around age six and that replacements every eight to twelve years lead to tooth loss by age 56.
“In this model the first restoration placed on a tooth is when the patient is around age six, and subsequent restoration replacements every eight to twelve years lead to progressively larger restorations and, ultimately, to tooth loss when patient reaches age 56.”
The paper relies on this without support.
Most research is conducted in academic and industry settings rather than by the end users.
“Part of the problem lies in the fact that most research is done in academic and industry environments and not directly by the end users.”
The paper relies on this without support.
Academic studies are often narrowly focused and apply to a limited subset of patients or circumstances.
“Whereas studies in academia are often narrowly focused and may apply to a limited subset of patients or circumstances”
The paper relies on this without support.
Practice-based research involves a broad spectrum of patients and practitioners.
“practice-based research involves a broad spectrum of patients and practitioners.”
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Two-year clinical evaluation of repair versus replacement of composite restorations
Gordan, V. V., Shen, C., Riley, J., & Mjör, I. A. (2006) · Journal of Esthetic and Restorative Dentistry · doi:10.1111/j.1708-8240.2006.00007.x · Cited by 131 · see citing works
Self-citationSealing, Refurbishment and Repair of Class I and Class II Defective Restorations
Moncada, G., Martin, J., Fernández, E., Hempel, M. C., Mjör, I. A., & Gordan, V. V. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0191 · Cited by 125 · see citing works
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Increasing the Longevity of Restorations by Minimal Intervention: A Two-year Clinical Trial
Moncada, G., Fernández, E., Martín, J., Arancibia, C., Mjör, I., & Gordan, V. V. (2008) · Operative Dentistry · doi:10.2341/07-113 · Cited by 117 · see citing works
Self-citationGordan, V. V., Garvan, C. W., Blaser, P. K., Mondragon, E., & Mjör, I. A. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0098 · Cited by 114 · see citing works
Self-citationSurvival analysis of posterior restorations using an insurance claims database.
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Agreement among dentists’ recommendations for restorative treatment
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Symptomatology and clinical features of hypersensitive teeth
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Placement and replacement of restorations by selected practitioners
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Teaching students the repair of resin-based composite restorations
Gordan, V. V., Mjör, I. A., Blum, I. R., et al. (2003) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2003.0160 · Cited by 93 · see citing works
Self-citationSimecek, J. W., Diefenderfer, K. E., & Cohen, M. E. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0134 · Cited by 91 · see citing works
Gordan, V. V., Garvan, C. W., Richman, J. S., Fellows, J. L., Rindal, D. B., Qvist, V., Heft, M. W., Williams, O. D., Gilbert, G. H., & _, _. (2009) · Operative Dentistry · doi:10.2341/08-131-c · Cited by 91 · see citing works
Self-citationAn in vitro study of restorative dental treatment decisions and dental caries
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Clinical evaluation of replacement of Class V resin based composite restorations
Gordan, V. V. (2001) · Journal of Dentistry · doi:10.1016/s0300-5712(01)00030-6 · Cited by 83 · see citing works
Self-citationVariation in caries recording and restorative treatment plan among university teachers
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Quality Improvement: Science and Action
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“Additionally, presentations on study results given by fellow practitioner–investigators, rather than academicians, seem to have a greater influence on practitioners as opposed to clinical faculty presentations [6].”
BackgroundMethodInfluentialThe neglected purpose of comparative-effectiveness research
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Lessons Learned During the Conduct of Clinical Studies in The Dental PBRN
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Alternative treatments to replacement of defective amalgam restorations
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Self-citationCould Alkali Production Be Considered an Approach for Caries Control?
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Self-citationMinimal Invasive Treatment for Defective Restorations: Five-Year Results Using Sealants
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In vitro evaluation of margins of replaced resin based composite restorations
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Self-citationReplacement versus repair of defective restorations in adults: resin composite
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Self-citationReplacement versus repair of defective restorations in adults: amalgam
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Gordan (2011) · doi:10.14219/jada.archive.2011.0123 · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
6 of the 85 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- Gordan, 2003, Letter to the Editor of the Journal of the American Dental Association, The Journal of the American Dental Association, 134, 1170
- Gordan, 2009, Letter to the Editor of the Journal of the American Dental Association, The Journal of the American Dental Association, 140, 1078
- Gordan, 2010, Letter to the Editor of the Journal of the American Dental Association, The Journal of the American Dental Association, 141, 248
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Cited by
Sorted by citations
Clinical studies in restorative dentistry: Design, conduct, analysis
Schwendicke, F., & Opdam, N. J. M. (2017) · Dental Materials · doi:10.1016/j.dental.2017.09.009 · Cited by 36 · see citing works
Dentists’ decisions to conduct caries risk assessment in a Dental Practice‐Based Research Network
Kakudate, N., Sumida, F., Matsumoto, Y., Yokoyama, Y., Riley, J. L., Gilbert, G. H., & Gordan, V. V. (2014) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12127 · Cited by 34 · see citing works
Self-citationPatient Age and Dentists' Decisions About Occlusal Caries Treatment Thresholds
Kakudate, N., Sumida, F., Matsumoto, Y., Yokoyama, Y., Gilbert, G. H., & Gordan, V. V. (2014) · Operative Dentistry · doi:10.2341/13-141-c · Cited by 24 · see citing works
Self-citationMason, K. N. (2022) · The Cleft Palate-Craniofacial Journal · doi:10.1177/10556656221123916 · Cited by 20 · see citing works
Practical considerations for conducting dental clinical trials in primary care
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Twenty years of handling evaluations and practice-based research by the PREP Panel
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Promoting clinical scholarship in the clinical arena.
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- Authors
- Gordan, V. V.
- Affiliations
- University of Florida Health (US)
- Corresponding author
- Gordan, Valeria V.
- ORCID
- Gordan, Valeria V.
- Venue
- Dental Materials
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 29
- Issue
- 1
- Pages
- 3-9
- ISSN
- 0109-5641 (ISSN-L)
- PMC
- PMC3524332
- OpenAlex
- W2081568213
- Cited by
- 20
- References
- 85
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 1 · 2022: 3 · 2021: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 2
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Dental Materials (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Dental and Craniofacial Research (DE-22516, DE16746, U01DE016746, DE16747, U01DE016747, U19DE022516)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Keywords
- practice-based research, research translation, dental restorations, restoration replacement, clinician involvement in research, evidence-based dentistry, general dental practice, research dissemination
- MeSH terms
- Cooperative Behavior, General Practice, Dental, Humans, United States, Practice Patterns, Dentists', Evidence-Based Dentistry, Translational Research, Biomedical, Dental Restoration Repair
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read under definition version 3 (extract-v3) on 2026-09-28.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.
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