The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning

Alani, Aws; Bishop, Kate; Djemal, Serpil

doi:10.1038/sj.bdj.2011.92

Cited by 25 publications

(21 citation statements)

References 18 publications

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“…Here we find the capacity to reflect and exchange ideas with other professionals, which might lead clinicians to reconsider their initial treatment decisions 24 . This is one of the most frequently used methods to clarify doubts regarding ethical issues 25 .…”

Section: Personal Characteristicsmentioning

confidence: 99%

“…Just as theoretical knowledge is essential in clinical decision-making, practical and technical skills can be as important when planning treatments 24 . Dentists favor treatments they are better prepared for.…”

Section: Education Receivedmentioning

confidence: 99%

“…Dentists favor treatments they are better prepared for. For instance, if an endodontic treatment fails, endodontists prefer to retreat, while the specialists will probably choose tooth extraction 24 .…”

Section: Education Receivedmentioning

confidence: 99%

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Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Matthews

Cartes‐Velásquez

2017

Odontoestomatología

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Abstract:There is an immense variety of orthodontic techniques. Each of them has specific uses and indications from which to select the most appropriate options for each clinical situation. The aim of this article is to review the recent literature on the factors that influence or explain the therapeutic decisions made in dentistry with a focus on orthodontics. It has been found that the education received, individual preferences and the mastery of different techniques, features and personal values, as well as the clinical and economic situation of the patient, the health system and the dentist-patient relationship take on a major role in the treatment selected. Ethical and social principles, such as behavioral theories, are applicable to these professional aspects. It is important to understand the decision-making process and the selection of treatments because of the impact they have on patient care and satisfaction, on reaching the therapeutic objectives, on how public health services work, and on the quality of services. There are currently few studies that focus on the process of clinical decision-making. Therefore, it is necessary to expand the scope of research, including qualitative research, in order to better understand decision-making.

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Section: Personal Characteristicsmentioning

confidence: 99%

Section: Education Receivedmentioning

confidence: 99%

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Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Matthews

Cartes‐Velásquez

2017

Odontoestomatología

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“…However, for posterior tooth restorations, other factors like strength and durability are also paramount as posterior teeth have to bear with masticatory load. Dental practitioner's clinical skill and experience is one of the factors which is signifi cantly involved for the selection of fi lling material that fi nally leads to clinical success and patient's satisfaction 17 . This study aimed to fi nd out the following objectives based on the dental practitioners' view ; (1) the choice of material for different tooth cavities in permanent teeth i.e.…”

Section: Introductionmentioning

confidence: 99%

Dentists' perspective on preference for direct restorative materials for different tooth cavities: A study from two colleges in Kathmandu, Nepal

Poudel

Gautam

Pokhrel³

et al. 2014

J. Kathmandu Med. Coll.

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Background: Restoration of carious teeth is required to preserve anatomy, function and aesthetics of a tooth. Proper restoration of carious teeth is paramount for the prevention of progression of a dental caries so as to obviate the need for root canal treatment. Location, extent, type, duration and cost play the major roles for the selection of a dental fi lling material. Objective: This study was set to know the preference of dentists for the selection of fi lling materials for different tooth cavities. Methods: This was cross-sectional observational study carried out at Kantipur Dental College and KIST Medical College for a period of six months. Pre-structured questionnaires were distributed to the dentists who were in dental practice and collected questionnaires were analyzed for the results. Data were compiled, entered and analyzed using Microsoft Excel 2007 and Epi Info 2000. Yates corrected Chi square test was used wherever applicable and level of signifi cance was set at <0.05. Results: Out of 65 questionnaires distributed to the dental practitioners, 57 (87.7%) questionnaires were returned. Composite was the material of choice as the restorative material for all kinds of tooth cavities except for class V for which glass ionomer cement was the main choice (52.6%). After composite, dental amalgam was second most preferred material for posterior tooth restorations. Order of preference for fi lling materials for posterior restorations were: composite (52.6%), dental amalgam (47.4%), miracle mix (68.3%; P<0.05) and glass ionomer cement (42.1%). Majority of practitioners (78.9%, P<0.05) opined that strength and durability of restorative material is the main guiding factor for the selection of the fi lling material for posterior tooth restorations. Additionally, dental amalgam had higher (68%, P< 0.05) patient satisfaction with respect to cost and longevity or durability and was associated with less tiring and time consuming procedure (84%; P<0.05) on dentists' view. Conclusion: Majority of dentists opined that composite is the more preferred fi lling material for both anterior and posterior tooth restorations. For posterior tooth cavities (mainly for class I, II and VI) after composite, the order preference for fi lling materials was amalgam, miracle mix and glass ionomer cement.

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“…There are many factors related to the dentist that influence this process, such as: initial 6 and continuing education, 7 practical skills, 8 experience, 7,9 individual characteristics, 8 beliefs and personal values, 10 and sociodemographic characteristics (sex and age).…”

mentioning

confidence: 99%

A qualitative analysis of perceptions of orthodontists in Concepción about removable orthodontic appliances.

Matthews¹

2017

J Oral Res

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Objective: To determine the utilization, attitudes and perceptions about removable orthodontic appliances (ROA) among a sample of Chilean orthodontists. Materials and methods: Data collection was performed using semi-structured interviews with 10 orthodontists from diverse professional backgrounds. The analysis was performed using the "Grounded Theory" methodology, using Atlas.ti v.6.0.15. Results: We interviewed four men and six women (31 to 75 years old), with 7 to 53 years of experience as dentists, and 1 to 10 years of experience as orthodontists. All orthodontists have experience in private practice, five in public service, and one in a military institution. One-hundred and thirty-three codes were grouped into seven categories identified as follows: perception of orthodontists, control over treatment, ROA characteristics, ROA indications and contraindications, patients' attitude to ROA, selection of treatment, and ROA utilization. Conclusion: In the selection of ROA, different factors are involved, including the characteristics of the dentist, of the patient, and the social context. The key factor in the utilization of ROA is the perception of control over treatment.

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The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning

Cited by 25 publications

References 18 publications

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Dentists' perspective on preference for direct restorative materials for different tooth cavities: A study from two colleges in Kathmandu, Nepal

A qualitative analysis of perceptions of orthodontists in Concepción about removable orthodontic appliances.

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