Are Brazilian dentists and dental students using the ICCC recommendations for caries management?

Sales, Guilherme Coelho; Marques, Marta Gomes; Rubin, Dayane Rezende; Nardoni, Daniele Nóbrega; Leal, Soraya Coelho; Hilgert, Leandro Augusto; Damé‐Teixeira, Nailê

doi:10.1590/1807-3107bor-2020.vol34.0062

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…The participants, including pediatric dentists, evaluated images and descriptions of clinical cases involving permanent teeth. 9 Similar results were observed in other countries. Studies with Russian and French dentists, and with students have shown that many participants still do not apply the concepts of MID when treating caries lesions.…”

Section: Introductionsupporting

confidence: 82%

“…7 The structure of the questionnaire was based on a previous study that evaluated Brazilian dentists' knowledge of terminology and recommendations on the removal of decayed tissue. 9 Prior to data collection, the questionnaire was read and evaluated by two pediatric dentists who work as professors in undergraduate dental studies. No changes were suggested.…”

Section: Variablesmentioning

confidence: 99%

“…Data were collected usi ng a n elect ron ic questionnaire (Google Forms) based on another one used in previous research. 9 An invitation to the pediatric dentists to participate in the study was published weekly on social media, and was sent by email to professionals belonging to the Regional Board of Dentistry (CRO-GO), in an effort to reach a broad target audience. The objectives of the study, information on participation, and the link to access the questionnaire were made available to pediatric dentists in an electronic message sent by the CRO-GO.…”

Section: Data Sources/measurementmentioning

confidence: 99%

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Minimal intervention procedures: evaluating how much pediatric dentists really know about this field

et al. 2022

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The aim of this cross-sectional study was to evaluate how much pediatric dentists know about the noninvasive, micro, and minimally invasive strategies for managing caries lesions in deciduous teeth. An electronic questionnaire was sent to pediatric dentists enrolled in the Regional Board of Dentistry. Information was collected concerning: 1) characteristics of the participants; 2) level of updated knowledge of noninvasive, micro and minimally invasive procedures for caries management in children; 3) agreement to sentences on the indicated procedures. The data were analyzed descriptively and with bivariate tests. Seventy pediatric dentists participated. Results showed high frequency of agreement with sentences on strategies for lesion caries management: 92.8% with the sentence on selective removal of decayed tissue; 90.0% on fluoridated toothpaste (≥1,000 ppm); 84.3% on silver diamine fluoride (SDF); 80.0% on the Hall technique; and 76.9% on the sealing of small dentine lesions. Level of agreement with sentences was not significantly related to variables of time since graduation, degree of updatedness, area of employment, or higher education degree (p > 0.05). A higher score on agreement toward SDF use was accompanied by a greater degree of self-declared updatedness on noninvasive, micro and minimally invasive procedures for caries management in children (rho 0.259; p = 0.031). Pediatric dentists consider themselves updated and agree with the sentences on recommended use of fluoridated toothpaste as of eruption of the first tooth, and on the selective removal of decayed tissue. Disagreement still continues regarding application of SDF to arrest lesion progression, sealing of small dentin lesions, and the Hall technique.

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Section: Introductionsupporting

confidence: 82%

Section: Variablesmentioning

confidence: 99%

Section: Data Sources/measurementmentioning

confidence: 99%

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Minimal intervention procedures: evaluating how much pediatric dentists really know about this field

et al. 2022

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“…Although there was an association between type of school, specialization, and treatment decision for defective amalgam restorations in the current study, this does contrast with findings from other studies. Other Brazilian studies have suggested that students from private dental schools are less-conservative in caries management than those from public schools 12,30 . These findings might be partially explained by the fact that better-prepared undergraduate students are selected by the admission process in Brazilian public dental schools 31 when compared to private dental schools.…”

Section: Discussionmentioning

confidence: 94%

“…There is a scarcity of recent studies from Brazil about the existence of an EPG regarding treatment decisions for defective restorations. In an investigation of the adherence of treatment decisions to the International Caries Consensus Collaboration recommendations, a majority (69%) of dentists and students chose only to polish amalgam restorations that had no compelling need for replacement 12 . Therefore, our objective for the current study is to quantify the EPG about defective restorations and identify dentist factors associated with this EPG among Brazilian dentists.…”

Section: Introductionmentioning

confidence: 99%

Evidence-practice gap in treatment decisions about defective composite and amalgam restorations among Brazilian dentists

Tagliaferro,

Riley III,

Gilbert

et al. 2023

Braz. J. Oral Sci.

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Better understanding of dentists’ decision-making about defective restorations is needed to close the evidence-practice gap (EPG). This study aimed to quantify the EPG about defective restorations and identify dentist factors associated with this EPG. Methods: 216 dentists from São Paulo State, Brazil, completed a questionnaire about three clinical case scenarios involving defective composite restorations with cementum-dentin margins (case 1) and enamel margins (case 2), and an amalgam (case 3) restoration. Dentists were asked what treatment, if any, they would recommend, including preventive treatment, polishing, re-surfacing, or repairing the restoration, or replacing the entire restoration. Replacing the entire restoration in any of these three scenarios was classified as inconsistent with the evidence, comprising an EPG. Bivariate analyses using Chi-square, ANOVA, or multiple comparison tests were performed (p<.05). Results: for defective composite restorations, 49% and 55% of dentists chose to replace the entire restoration for cases 1 and 2, respectively. Twenty-nine percent of dentists chose to replace the entire amalgam restoration. Dentists were significantly more likely to choose to replace the defective amalgam restoration than the composite restoration with a defect at the cementum-dentin margins or the enamel margins (both at p < .001). Female dentists were more likely to choose a conservative treatment than male dentists for cases 1 (p=.034) and 2 (p=.009). Dentists with a higher percentage of patients interested in individualized caries prevention were also more conservative in case 1 (p=.045). Conclusion: a substantial EPG regarding treatment decisions for defective restorations exists, especially for composite restorations. This study adds to the international evidence that an EPG exists in this clinical area and that global strategies need to be developed to close the gap.

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Brazilian dentist’s knowledge of minimum intervention dentistry for caries management: application of a developed knowledge scale (MIDDeC-KS) and evaluation of its psychometric properties

Souza,

Leonel Martins,

Jural

et al. 2023

Eur Arch Paediatr Dent

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Are Brazilian dentists and dental students using the ICCC recommendations for caries management?

Abstract: Marta Gomes MARQUES (a) Dayane Rezende RUBIN (a) Daniele Nóbrega NARDONI (a) Soraya Coelho LEAL (a) Leandro Augusto HILGERT (a) Nailê DAME-TEIXEIRA (a)

Cited by 3 publications

References 19 publications

Minimal intervention procedures: evaluating how much pediatric dentists really know about this field

Minimal intervention procedures: evaluating how much pediatric dentists really know about this field

Evidence-practice gap in treatment decisions about defective composite and amalgam restorations among Brazilian dentists

Brazilian dentist’s knowledge of minimum intervention dentistry for caries management: application of a developed knowledge scale (MIDDeC-KS) and evaluation of its psychometric properties

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