Designing a customized clinical practice guideline regarding antibiotic prophylaxis for Iranian general dentists

Savadi, Najmeh; Barati, Omid; Mirhadi, Hossein; Golkari, Ali

doi:10.1186/s12903-019-0905-3

Cited by 3 publications

(3 citation statements)

References 47 publications

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“…A good practical example in improving the system is shown in the study by SAVIDI et al . ( 23 ) with developing guidelines about AP, giving Iranian general dentists problem-orientated clinical practice guidelines matching their own community population’s needs.…”

Section: Discussionmentioning

confidence: 99%

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Šutej¹,

Par²,

Lepur³

et al. 2021

J Clin Exp Dent

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Background The objective of this study was to assess the attitude, practice, and knowledge of Croatian dentists regarding infective endocarditis (IE) prophylaxis. Material and Methods A cross-sectional, self-reporting questionnaire survey was conducted with the participation of 348 Croatian dentists. The questionnaire was designed to collect information on participants’ work experience, place of work, their attitudes related to the treatment of IE-risk patients, knowledge and adherence to IE antibiotic prophylaxis guidelines. Results Knowledge and adherence to the current guidelines decreased with the higher years of experience. Compliance with the current guidelines varied, mostly because of respondents’ insecurity regarding which guidelines to follow. AHA guidelines have been most frequently the first choice (25% participants). Surprisingly, 23% of dentists didn’t follow any of the official guidelines. The majority of participants (68%) have declared a lack of preparedness or willingness to treat the patients at risk of IE. Dentists with specialty or working at university/hospital have shown a higher level of knowledge and preparedness to treat IE-risk patients. Conclusions The lack of knowledge of guidelines and consequent inconsistencies in IE antibiotic prophylaxis in Croatian dental practice indicates the need for urgent improvement. Key words: Antibiotic prophylaxis, dentistry, infective endocarditis.

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Section: Discussionmentioning

confidence: 99%

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Šutej¹,

Par²,

Lepur³

et al. 2021

J Clin Exp Dent

View full text Add to dashboard Cite

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“…The same model was administered for adaptation in the previous adaptation studies in medical and dental elds (37,(40)(41)(42). The included guidelines were appraised in the present study using AGREE II.…”

Section: Discussionmentioning

confidence: 99%

Clinical practice guideline adaptation for risk-based caries management in 18- 55 years old Iranian adults

Pakdaman

Gholizadeh

Eshrati

et al. 2022

Preprint

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Purpose: To adapt an evidence based clinical practice guideline (CPG) for risk-based management of caries in 18-55 years old Iranian adults.Methods: A multidisciplinary adaptation team reviewed evidence-based guidelines such as NICE, SIGN, and ADA according to the defined clinical questions. In addition, databases such as PubMed and google scholar were searched and CPGs were screened and appraised employing AGREE II (Appraisal of Guidelines for Research & Evaluation II) tool. Clinical scenarios were developed and their level of evidence, clinical advantage and adaptability was assessed. Following a two-round of ranking by experts, final recommendations were selected using RAND-UCLA appropriateness method.Results: Of 17 guides, 5 CPGs were selected as source adaptation guidelines. For assessing risk of caries in adult population, reduced Cariogram (without saliva tests) and CAMBRA were selected. In addition, adaptation team recommended 53 risk-based recommendations on preventive measures, operative intervention threshold and follow up intervals for Iranian adults.Conclusions: Our study demonstrated an adapted guide for risk-based management of tooth decay in Iranian adults. This helps local dentists in decision making and promoting oral health of adults. Further research on the feasibility of the adapted guideline in Iranian population is needed.

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“…An ideal solution is to build consensus by considering different inputs and perspectives, and the Delphi method is deemed a reliable approach with minimal bias [ 9 – 11 ]. Several studies have employed the Delphi method, notably those in the field of dentistry, such as developing curricula for periodontics and orthodontics [ 9 , 11 , 12 ], general dental practitioners’ competencies [ 10 ], and clinical practice guidelines on antibiotic prophylaxis [ 13 ]. Sequential surveys are answered (in isolation) by experts to indicate the likelihood of potential occurrences in the area of interest [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying relevant topics and their competency levels for dental materials science: a fuzzy Delphi study

et al. 2023

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Background Dental materials science is an important core course in undergraduate dental programs which integrates foundational concepts of chemical engineering and materials science into clinical dentistry. The present study aimed to identify relevant dental materials science topics for Malaysian undergraduate dental curricula and to determine their appropriate competency levels in terms of cognitive and psychomotor taxonomies. Methods Potential dental materials science topics were drafted in alignment with the revised national competency statement. The list of topics was further amended after comparing it with those recommended topics in the literature. Fuzzy Delphi method was applied. Experts were selected based on the different inclusion criteria. They ranked the topics using a five-point Likert scale and recommended the appropriate cognitive and psychomotor levels. Next, fuzzy evaluation was performed. Consensus was deemed for a topic to be included if (a) the average expert agreement was ≥ 75%, (b) the d-construct threshold value for each topic was ≤ 0.2 and (c) the average fuzzy number was ≥ 0.5. Results Sixty-two experts participated in the study. They accepted 33 out of 36 potential dental materials science topics. The average Likert score and fuzzy number ranged from 3.63 to 4.92 and 0.526 to 0.784, respectively. Furthermore, “Endodontic materials” was ranked as the most significant topic. Meanwhile, many topics required dental students to demonstrate a cognitive level of “Apply” and a psychomotor level of “Guided response”. Based on mean scores, “Impression materials” was rated as the most cognitively demanding topic, whilst “Temporary restorative materials” was the most demanding topic for psychomotor taxonomy. Conclusion The present study has identified relevant dental materials science topics and their appropriate cognitive and psychomotor levels using the Fuzzy Delphi approach. The findings of the present study form the basis for future studies to develop measurable learning outcomes, design corresponding innovative pedagogy and propose assessment criteria for each topic.

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Designing a customized clinical practice guideline regarding antibiotic prophylaxis for Iranian general dentists

Cited by 3 publications

References 47 publications

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Clinical practice guideline adaptation for risk-based caries management in 18- 55 years old Iranian adults

Identifying relevant topics and their competency levels for dental materials science: a fuzzy Delphi study

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