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ACE Panel’s 10 Question Survey — Adhesive Systems (Sample Survey)

1- How often do you use adhesive systems in your practice?

  • 0-5 times/day
  • 5-10 times/day
  • 10-15 times/day
  • >15 times/day
  • Not applicable

2- When placing a direct composite restoration, which is your preferred product?

  • 3M ESPE
  • Kerr
  • Dentsply
  • Kuraray
  • Ivoclar-Vivadent
  • Ultradent
  • Bisco
  • Heraeus-Kulzer
  • GC America
  • Voco

3- When cementing an all ceramic veneer, which is your preferred product?

  • 3M ESPE
  • Kerr
  • Dentsply
  • Kuraray
  • Ivoclar-Vivadent
  • Ultradent
  • Bisco
  • Heraeus-Kulzer
  • GC America
  • Voco

4- How would you rate the adhesive systems you use overall?

  • Excellent
  • Very good
  • Good
  • Fair
  • Poor
  • Does not meet clinical expectation

5- Which factors affect your decision when buying or switching to a new adhesive system?

  • Fellow dentist’s experience
  • Past personal experience
  • Compatibility with other restorative/cementation systems
  • Cost-benefit
  • Shelf-life/Storage conditions
  • Number of steps
  • Manufacturer’s representative/Advertisement
  • Scientific publications

6- Which of the following surfaces do you consider to be the most challenging to bond?

  • Uncut enamel
  • Cut enamel
  • Dentin
  • Ceramic
  • Cementum

7- What is the most frequent reason for replacement a restoration in your practice?

  • Hypersensitivity
  • Secondary caries
  • Loss of anatomy/Wear
  • Patient’s concern about marginal discoloration

8- What best describes your practice?

  • General practice
  • Prosthodontics
  • Periodontics
  • Endodontics
  • Orthodontics and dentofacial orthopedics
  • Oral and maxilofacial surgery
  • Pediatric dentistry
  • Other, please specify_____________

9- How many years you have been in practice?

  • 0 to 5
  • 6 to 10
  • 11 to 20
  • 21 to 30
  • More than 30 years

10- How satisfied were you with the survey experience?

  • Very Dissatisfied
  • Somewhat Dissatisfied
  • Neutral
  • Somewhat Satisfied
  • Very Satisfied