The concepts of minimally invasive dentistry and its impact on clinical practice: a survey with a group of Brazilian professionals

Abstract

This cross-sectional study aimed to assess the knowledge and attitudes of 123 Brazilian dentists in relation to the concepts and practice of minimally invasive dentistry (MID). Data were collected through a questionnaire developed and validated by experts. Statistical analysis was performed using an spss program and Pearson's chi-square test. Most participants had up to 10 years experience after graduation (69.9%), were specialised (60.2%) and worked in public and private service (43.1%). Regarding current concepts of dental caries, 87.0% were unaware and 65.9% answered that the treatment involves only the restorative phase. In relation to caries lesion arrest, 39.8% replied that it depended on the total removal of carious tissue. Most of them were aware of MID procedures (82.1%) but 49.6% did not follow them in daily practice. From these participants, 48.4% did not believe in the technique or did not know how to perform it. Decisions on partial or total removal of carious dentine, behaviour in relation to the procedures (permanent or temporary) and the practice of MID were not influenced by how long since the professionals had graduated or become specialised. It can be concluded that scientific evidence reaches most of the professionals, but does not benefit all patients, as many practitioners still follow the principles of total removal of carious tissue. Teaching should include making professionals fully aware of the carious process and encourage them to fully adopt the techniques and attitudes of MID.

Knowledge, Attitude, Behavior, and Practice toward Minimal Intervention Dentistry among Dental Professionals in Bengaluru City, India

“…8,9 The attitude of dental practitioners in this study toward caries risk assessment was 43% similar to another Indian study of 49.66%, where it was reported that they would use caries activity test in the future, and half of the samples agreed to such an assessment in Riyadh and AlKharj. 4,9 About 96% of the dental professionals agreed that fluoride application was an effective way of preventing caries similar to the responses in the other Indian study and also among Iranian senior dental students. 9,10 A substantive percentage (29%) of the dental practitioners in this study were of the opinion that the GV Black principles could be applied for initial caries.…”

“…The results were similar to the study of Brazilian dental professionals where majority had adequate knowledge about MID procedures. 4 However, it was observed that more than half (51.5%) of the respondents either had no knowledge or only possessed a little knowledge about MID in a study done in Riyadh and AlKharj. 3 An overall positive attitude (18.84 ± 2.21) toward MID was observed in this study; positive attitude toward the application of pit and fissure sealant (79%) is in agreement with another Indian study (86%).…”

“…In the present study, only 9.4% of the dental professionals "always" practiced MID procedures; in contrast, 49.4% of Brazilian dentists practiced MID procedures. 4,5 A major section of the dental professionals chose incorrect treatment options for preventive treatment (codes 2-4) than for the treatment with minimal decay or more extensive decay requiring surgical approach. A majority of Australian dental students chose correct modality, i.e., remineralizing for the lesions confined to enamel, whereas similar to this study, more than 50% of the Brazilian and 77% Iranian dentist chose to intervene and restore a caries lesion confined to enamel.…”

Odontologia Minimamente Invasiva, uma Análise sobre Facetas Cerâmicas: Revisão de Literatura / Minimally Invasive Dentistry, an Analysis of Ceramic Veneers: Literature Review

“…Quando uma lesão de cárie avança para cavitação superficial e a dentina está envolvida, sua camada afetada pode ser remineralizada. Para esse fim, materiais bioativos ou infiltrantes resinosos, podem ser aplicados no substrato dental para corrigir este problema (KATZ et al, 2013).…”

Comparação de diferentes pré-tratamentos de superfície na remineralização de esmalte com flúor em tratamento de lesões com mancha branca e sua resistência após desafio ácido

“…A abordagem dessas lesões incipientes nãocavitadas, detectadas como manchas brancas caracterizam a Odontologia de mínima intervenção. (KATZ et al, 2013).…”