Decisions about restorative dental treatment among dentists attending a postgraduate continuing professional development course

Maidment, Y; Durey, Kathryn; Ibbetson, Richard

doi:10.1038/sj.bdj.2010.979

Cited by 4 publications

(4 citation statements)

References 23 publications

(22 reference statements)

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“…Dentists have an interest in evidence-based practice principles to improve their personal knowledge, skills, and treatment quality [ 59 ]. Most dental practitioners are open to integrating new standards into their practice, although outdated procedures were still prevalent under certain circumstances [ 58 ] due to non-clinical factors such as NHS regulations. Likewise, in TMJ disc displacement cases, frontline clinicians expressed high degrees of uncertainty due to lack of knowledge, skills, and experience within the area [ 56 ].…”

Section: Resultsmentioning

confidence: 99%

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

et al. 2023

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Clinical decision-making for diagnosing and treating oral and dental diseases consolidates multiple sources of complex information, yet individual clinical judgements are often made intuitively on limited heuristics to simplify decision making, which may lead to errors harmful to patients. This study aimed at systematically evaluating dental practitioners’ clinical decision-making processes during diagnosis and treatment planning under uncertainty. A scoping review was chosen as the optimal study design due to the heterogeneity and complexity of the topic. Key terms and a search strategy were defined, and the articles published in the repository of the National Library of Medicine (MEDLINE/PubMed) were searched, selected, and analysed in accordance with PRISMA-ScR guidelines. Of the 478 studies returned, 64 relevant articles were included in the qualitative synthesis. Studies that were included were based in 27 countries, with the majority from the UK and USA. Articles were dated from 1991 to 2022, with all being observational studies except four, which were experimental studies. Six major recurring themes were identified: clinical factors, clinical experience, patient preferences and perceptions, heuristics and biases, artificial intelligence and informatics, and existing guidelines. These results suggest that inconsistency in treatment recommendations is a real possibility and despite great advancements in dental science, evidence-based practice is but one of a multitude of complex determinants driving clinical decision making in dentistry. In conclusion, clinical decisions, particularly those made individually by a dental practitioner, are potentially prone to sub-optimal treatment and poorer patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

et al. 2023

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“…This introduces a relevant bias, as the image is 2-dimensional, which can interfere with the interpretation of certain findings, and an image does not permit the use of instruments to optimize inspection of the oral cavity, such as cheek retractors and tongue depressors. Despite these limitations, series of clinical photographs of selected patients is a method frequently employed in surveys in the field of dentistry (17-19). The most common are those that directly evaluate orofacial cosmetic appearance or its affective and psychological implications (18), although they have also been used to compare treatment plans (17) and to analyze the results of orthodontic treatment (19).…”

Section: Discussionmentioning

confidence: 99%

“…Despite these limitations, series of clinical photographs of selected patients is a method frequently employed in surveys in the field of dentistry (17-19). The most common are those that directly evaluate orofacial cosmetic appearance or its affective and psychological implications (18), although they have also been used to compare treatment plans (17) and to analyze the results of orthodontic treatment (19). A library of clinical photographs enables multicenter studies of oral health to be designed, evaluating intercultural differences and including respondents with different levels of training in dentistry (20).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an oral health scale of infectious potential using a telematic survey of visual diagnosis

Relvas¹,

Limeres²,

Tomás³

et al. 2013

Med Oral

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Objective: To compare the results of a subjective estimation of oral health through review of a set of intraoral photographs with those of an objective oral health scale of infectious potential. Method: The pool of patients was made up of 100 adults. Using an infectious-potential scale based on dental and periodontal variables, we assigned 1 of the 4 grades of the scale (range, 0 to 3; 0 corresponds to an excellent oral health status and 3 to the poorest oral health status) to each subject. A total of 20 representative subjects were selected from the pool of patients, 5 subjects for each one of the grades of the scale, and a standardized photographic record was made. One thousand dentists practicing in Spain were sent the survey by e-mail and 174 completed forms were received. We then calculated the concordance of the oral health status indicated by the respondents after visualising the photographs on comparison with the results of the oral health scale of infectious potential; concordance was termed correct grade allocation (CGA). Results: The majority of respondents (69.1%) achieved a CGA in 8 to 12 cases and none achieved more than 15 CGAs. The poorest CGA rates were found with grades 1 and 2, with a mean of 1.74 ± 1.09 and 1.87 ± 1.18, respectively, out of a maximum of 5. The concordance in terms of CGA was high for grade 0 (70.5%), very low for grade 1 (10.8%), low for grade 2 (37.3%), and moderate for grade 3 (42.6%). Conclusion: In comparison with visual examination of the oral cavity, the use of objective scale that establishes a reliable diagnosis of oral health in terms of infectious potential was found to be advantageous. Key words:Diagnosis, intraoral photographies, oral health scale, objective estimation, visual examination.

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“…Six key studies identified economic, organisational, career breaks and gender factors as barriers to continuing professional development (CPD) . Dental practitioners favoured tried and tested learning activities . What these studies do not say is why dentists undertake CPD or in what way they are motivated to participate in learning.…”

Section: Introductionmentioning

confidence: 99%

Understanding continuous professional development participation and choice of mid‐career general dental practitioners

Brown

Wassif

2015

Eur J Dental Education

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Dentists working in primary care in the UK are undertaking CPD which is influenced by the pragmatic requirements of running a small business and to meet regulatory requirements. In this sample, dentists are not critically reflecting on their education needs when choosing their CPD activity. Protected learning time and organisational feedback and support are recommended as a way to promote more meaningful reflection on learning and to improve professional development.

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Decisions about restorative dental treatment among dentists attending a postgraduate continuing professional development course

Cited by 4 publications

References 23 publications

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

Evaluation of an oral health scale of infectious potential using a telematic survey of visual diagnosis

Understanding continuous professional development participation and choice of mid‐career general dental practitioners

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