June 2014

Volume 31, Issue 2

Dentists’ perspectives on caries-related treatment decisions

Authors: J. Gomez R.P. Ellwood S. Martignon I.A. Pretty
doi: 10.1922/CDH_3341Gomez08

Abstract

Objective: To assess the impact of patient risk status on Colombian dentists’ caries related treatment decisions for early to intermediate caries lesions (ICDAS code 2 to 4). Methods: A web-based questionnaire assessed dentists’ views on the management of early/intermediate lesions. The questionnaire included questions on demographic characteristics, five clinical scenarios with randomised levels of caries risk, and two questions on different clinical and radiographic sets of images with different thresholds of caries. Results: Questionnaires were completed by 439 dentists. For the two scenarios describing occlusal lesions ICDAS code 2, dentists chose to provide a preventive option in 63% and 60% of the cases. For the approximal lesion ICDAS code 2, 81% of the dentists chose to restore. The main findings of the binary logistic regression analysis for the clinical scenarios suggest that for the ICDAS code 2 occlusal lesions, the odds of a high caries risk patient having restorations is higher than for a low caries risk patient. For the questions describing different clinical thresholds of caries, most dentists would restore at ICDAS code 2 (55%) and for the question showing different radiographic thresholds images, 65% of dentists would intervene operatively at the inner half of enamel. No significant differences with respect to risk were found for these questions with the logistic regression. Conclusion: The results of this study indicate that Colombian dentists have not yet fully adopted non-invasive treatment for early caries lesions. Key words: caries detection, clinical decision-making, treatment thresholds, caries management, Colombia, general dental practitioners

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Editorial - Delivering Better Oral Health 2014 – What’s new in the third edition? 66-67 Download
The extent of food advertising to children on Greek television: focus on foods potentially detrimental to oral health 68-74 Download
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Preventing caries in young children of immigrant Bangladeshi families in New York: Perspectives of mothers and paediatricians 80-84 Download
Predicting geographically distributed adult dental decay in the greater Auckland region of New Zealand 85-90 Download
Dentists’ perspectives on caries-related treatment decisions 91-98 Download
Determinants and trends in dental expenditures in the adult US population: Medical Expenditure Panel Survey 1996-2006 99-104 Download
The caries experience of 5-year-old children in Scotland, Wales and England in 2011-2012: Reports of cross-sectional surveys using BASCD criteria 105-110 Download
What are the most accurate predictors of caries in children aged 5 years in the UK? 111-116 Download
Bruxism and health related quality of life in Southern Italy’s prison inmates 117-122 Download
Oral health inequalities in Italian schoolchildren a cross-sectional evaluation 123-128 Download

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