Concordance between clinical practice and published evidence

Norton, Wynne E.; Funkhouser, Ellen; Makhija, Sonia K.; Gordan, Valeria V.; Bader, James D.; Rindal, D. Brad; Pihlstrom, Daniel J.; Hilton, Thomas J.; Frantsve‐Hawley, Julie; Gilbert, Gregg H.

doi:10.14219/jada.2013.21

Cited by 59 publications

(29 citation statements)

References 42 publications

(40 reference statements)

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“…While it cannot be asserted that network dentists are entirely representative, we can state that they have much in common with dentists at large, while also offering substantial diversity in these characteristics. This assertion is warranted because (1) substantial percentages of network dentists are represented in the various response categories of the characteristics listed in Table 1, (2) findings from several network studies document that network dentists report patterns of diagnosis and treatment that are similar to patterns determined from nonnetwork general dentists (Gordan et al, 2009; Norton et al, 2014), and (3) the similarity of network dentists to nonnetwork dentists using the best available national source, the 2010 American Dental Association Survey of Dental Practice (American Dental Association, 2012; Makhija et al, 2009). Although not stated as an objective in the NCI workshop, Shelley et al (2012), in their review of dental studies, expanded on the concept about properties of a sampling frame.…”

Section: Discussionmentioning

confidence: 99%

Survey Methods to Optimize Response Rate in the National Dental Practice–Based Research Network

et al. 2016

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Surveys of health professionals typically have low response rates, and these rates have been decreasing in the recent years. We report on the methods used in a successful survey of dentist members of the National Dental Practice–Based Research Network. The objectives were to quantify the (1) increase in response rate associated with successive survey methods, (2) time to completion with each successive step, (3) contribution from the final method and personal contact, and (4) differences in response rate and mode of response by practice/practitioner characteristics. Dentist members of the network were mailed an invitation describing the study. Subsequently, up to six recruitment steps were followed: initial e-mail, two e-mail reminders at 2-week intervals, a third e-mail reminder with postal mailing a paper questionnaire, a second postal mailing of paper questionnaire, and staff follow-up. Of the 1,876 invited, 160 were deemed ineligible and 1,488 (87% of 1,716 eligible) completed the survey. Completion by step: initial e-mail, 35%; second e-mail, 15%; third e-mail, 7%; fourth e-mail/first paper, 11%; second paper, 15%; and staff follow-up, 16%. Overall, 76% completed the survey online and 24% on paper. Completion rates increased in absolute numbers and proportionally with later methods of recruitment. Participation rates varied little by practice/practitioner characteristics. Completion on paper was more likely by older dentists. Multiple methods of recruitment resulted in a high participation rate: Each step and method produced incremental increases with the final step producing the largest increase.

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Section: Discussionmentioning

confidence: 99%

Survey Methods to Optimize Response Rate in the National Dental Practice–Based Research Network

et al. 2016

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“…While it cannot be asserted that network dentists are entirely representative, they have much in common with dentists at large, while also offering substantial diversity in these characteristics. This assertion is warranted because: 1) substantial percentages of network GDs are represented in the various response categories of the characteristics listed in Table 2; 2) findings from several network studies document that network GDs report patterns of diagnosis and treatment that are similar to patterns determined from non-network GDs,(23, 33–34) and 3) the similarity of network GDs to non-network GDs using the best available national source, the 2010 ADA Survey of Dental Practice. (35)…”

Section: Discussionmentioning

confidence: 99%

General Dentists' Use of Isolation Techniques during Root Canal Treatment: From the National Dental Practice-based Research Network

Lawson

Gilbert

Funkhouser

et al. 2015

Journal of Endodontics

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Introduction A preliminary study done by a National Dental Practice-Based Research Network precursor observed that 44% of general dentists (GDs) reported always using a rubber dam (RD) during root canal treatment (RCT). This full-scale study quantified use of all isolation techniques, including RD use. Methods Network practitioners completed a questionnaire about isolation techniques used during RCT. Network Enrollment Questionnaire data provided practitioner characteristics. Results 1,490 of 1,716 eligible GDs participated (87%); 697 (47%) reported always using a RD. This percentage varied by tooth type. These GDs were more likely to always use a RD: do not own a private practice; perform less than 10 RCT/month; have postgraduate training. Conclusions Most GDs do not use a RD all the time. Ironically, RDs are used more frequently by GDs who do not perform molar RCT. RD use varies with tooth type and certain dentist, practice, and patient characteristics.

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“…While we cannot assert that network dentists are entirely representative of US dentists, we can state that they have much in common with dentists at large, while also offering substantial diversity in these characteristics. This assertion is warranted because: 1) substantial percentages of network dentists are represented in the various response categories of the characteristics in the Enrollment Questionnaire; 2) findings from several network studies document that network dentists report patterns of diagnosis and treatment that are similar to patterns determined from non-network dentists 27–29 and 3) the similarity of network dentists to non-network dentists using the best available national source, the ADA Survey of Dental Practice. 30 …”

Section: Discussionmentioning

confidence: 99%

Management of dentin hypersensitivity by practitioners in The National Dental Practice-Based Research Network

Kopycka‐Kedzierawski¹,

Meyerowitz²,

Litaker³

et al. 2017

The Journal of the American Dental Association

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Objectives Dentin hypersensitivity (DH) is a condition commonly encountered in clinical dental practice. The primary objective of this study was to identify the treatments recommended to manage DH among United States dentists. Methods A multicenter study of 1862 patients with DH, diagnosed and treated by 171 National Dental Practice-Based Research Network dentists was conducted. Results The most common treatment recommended was over-the-counter desensitizing (OTC) potassium nitrate toothpaste (alone or in combination with other treatments) to 924 (50%) patients; followed by application of fluoride varnish (FV) to 516 (28%) patients; and then by prescription of fluoride toothpaste to 314 (17%) patients. Restorative treatments were recommended to 151 (8%) of patients. The most common single treatment recommendation was desensitizing OTC potassium nitrate toothpaste, recommended to 335 (18%) patients. The most frequent combination of two treatment modalities was FV and desensitizing OTC potassium nitrate toothpaste, recommended to 100 (5%) patients. A total of 48% (890/1862) of patients with DH were recommended one treatment modality and 35% (644/1862) were recommended a combination of two treatment modalities, most frequently (100/1862, 5%) an application of FV along with desensitizing OTC potassium nitrate toothpaste. Conclusions Desensitizing OTC potassium nitrate toothpaste and fluoride products were the most widely recommended products to manage DH in the practice setting. Practical implications Our results suggest that the majority of network clinicians preferred noninvasive treatment modalities when treating DH.

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Concordance between clinical practice and published evidence

Cited by 59 publications

References 42 publications

Survey Methods to Optimize Response Rate in the National Dental Practice–Based Research Network

Survey Methods to Optimize Response Rate in the National Dental Practice–Based Research Network

General Dentists' Use of Isolation Techniques during Root Canal Treatment: From the National Dental Practice-based Research Network

Management of dentin hypersensitivity by practitioners in The National Dental Practice-Based Research Network

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