The Use of Dental Sealants by Ohio Dentists

Siegal, Mark D.; Garcia, Alvaro; Kandray, Diane P.; Giljahn, Lynn K.

doi:10.1111/j.1752-7325.1996.tb02389.x

Cited by 20 publications

(23 citation statements)

References 26 publications

(23 reference statements)

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“…This finding is in agreement with the north American studies which show that high percentage of dentists employ fissure sealants wherever indicated. [12,20] Regarding use of Fluoride, our findings match results of an American study6 but fluoride varnish is underutilized by respondents of this study as well as another study done to assess CAMBRA-based programs in North American dental Schools. [22] May be unlike fluoride gel, role of varnish has not been appropriately emphasized during undergraduate classes.…”

Section: Discussionsupporting

confidence: 87%

“…As a result, in USA after two decades, the students who received the preventive -based training when became clinicians Section: Dentistry started practicing it and the idea to treat caries by surgical intervention is gradually being replaced by preventive approaches. [17][18][19][20][21][22] Like many other countries, Pakistan seems to be a country where the dentists don't follow preventive -based protocols in their clinical practices. According to a study done very recently, dentists from Pakistan working in Saudi Arabia were found to place intracoronal restorations as a primary solution to treat caries.…”

Section: Introductionmentioning

confidence: 99%

“…[14] Placement of a restoration as a primary measure to control caries has long been considered incorrect and inefficient as it doesn't halt the caries process. [20][21][22][23][24] A question striking one's mind was whether graduating dentists from dental colleges in Karachi, Pakistan have the knowledge and training to treat caries using modern strategies or not? This study therefore, was planned to assess the status of knowledge for caries management of clinical students studying in various dental colleges in Pakistan and its implementation during clinical sessions.…”

Section: Introductionmentioning

confidence: 99%

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Status of Preventive Caries Management Skills of Clinical Students Studying in Various Dental Colleges in Karachi, Pakistan

Mirza¹,

Siddiqui²,

Asghar³

et al. 2017

Ann. Int. Med. Den.Res.

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Background: Unlike in the past, caries nowadays, is stressed to be treated by employing preventive strategies. Though in many countries, treating caries by surgical intervention is reducing but surprisingly most dentists in Karachi, Pakistan continue to treat it by drilling and placing a restoration as primary measure. A question comes to one's mind is whether the graduating dentist from dental colleges in Karachi receive information and training to management caries using preventive strategies or not? This study therefore, was planned to assess the status of teaching about these preventive protocols. Clinical students of dental colleges were chosen as study subjects as they in few months' time become clinicians and practice what they have learnt in their colleges. Aims and Objectives: To assess the knowledge and practices of dental students regarding caries management and practices. Methods: A face and content validated and pretested questionnaire with close-ended questions was used as a study tool. 250 Clinical dental students studying in five dental colleges in Karachi were the study subjects. Results: 215 responses were received at a healthy response rate of 86 %. The most responding students have the knowledge about currently recommended caries preventive strategies but its clinical implementation is very low. Fissure sealing and fluoride applications are the only preventive measures followed by sizeable amount of the responders. Conclusion: Participants of this study despite having knowledge about preventive caries management don't practice it in their clinics. For its implementation, CRA based curricula should be introduced.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Status of Preventive Caries Management Skills of Clinical Students Studying in Various Dental Colleges in Karachi, Pakistan

Mirza¹,

Siddiqui²,

Asghar³

et al. 2017

Ann. Int. Med. Den.Res.

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“…However, the survey also showed that the decision not to adopt a technology, such as sealants for adults or fluoride varnishes, was related to cost or the lack of coverage by insurance and a perceived lack of caries risk by the adult patients and thus reduced benefit to the procedure. Other survey‐based studies have reached similar conclusions (4). In a repeat survey by Fiset and Grembowski (10) conducted in 1997 after the Washington State Dental Service began reimbursing for fluoride varnish, use had increased significantly, but only to 44% (from 32%), suggesting that reimbursement alone was not the most important factor.…”

supporting

confidence: 74%

Use of caries prevention services in the Northwest PRECEDENT dental network

Ferracane

Hilton

Korpak

et al. 2010

Community Dentistry and Oral Epidemiology

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Objective This cross-sectional study assessed the use of caries preventive services by Northwest PRECEDENT dental network practitioners and compared the caries experience of patients who received such services in the past 12 months with those who had not. Methods An oral health survey was conducted on approximately 20 patients seen by each of 97 private practice dental practitioners in the network. Eligible patients (total of 1877 aged 3–92) were randomly assessed for the occurrence of one or more new caries lesions as well as having received the following preventive services within the past 12 months: fluoride varnish or gel, sealant in molar or premolar, and prophylaxis. Patients were stratified by gender and age (1–17 years old, 18–64 years old, and 65+ years old). Logistic regression was used to investigate the association between the practitioner characteristics and the use of preventive services, as well as the preventive services and the presence of a new caries lesion in the past 12 months. Results The percent of patients in age category 1–17 years old / 18–64 years old / 65+ years old receiving each preventive treatment varied as follows: 95%/85%/81% for prophylaxis, 87%/24%/22% for fluoride, and 27%/2%/0% for sealant. There was a very limited association between the use of a specific preventive service and practitioner gender, and no significant association between use of services and practice location (rural, urban or suburban). There was a significant association between greater use of sealants for dentists with 0–15 years of practice experience as compared with those having more than 25 years of experience. For the 1–17 year old age group, males had about 1.7 times the odds of having a new lesion than females in the past 12 months, and patients receiving a sealant had 1.9 times the odds of having a new caries lesion. In the 18–64 year old group, receiving a prophylaxis in the past 12 months was significantly associated with lower odds for having a new lesion (odds ratio = 0.57). Conclusions This study reports that aside from prophylaxis, which more than 85% of the patients had received, about one-third of the patients overall received preventive services consisting of either sealants or some type of fluoride treatment in private dental practices in the Northwest PRECEDENT network.

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“…Many studies have reported on the use of caries preventive agents in children (6,11,15-20) whereas others have reported on their effectiveness in achieving improved oral outcomes (9,21-24). Fewer studies have focused on the use of prevention in adults (25-28).…”

Section: Discussonmentioning

confidence: 99%

General Practitioners' Use of Caries-Preventive Agents in Adult Patients Versus Pediatric Patients

Riley¹,

Gordan²,

Rindal³

et al. 2010

The Journal of the American Dental Association

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Background Evidence suggests that caries prevention reduces caries in adults. This study tested the frequency of recommended caries prevention agents for children compared to adult patients. Methods This study surveyed 467 Dental Practice-Based Research Network general dentists who practice within the United States and treat both pediatric and adult patients. Dentists were asked the percentage of their patients who are administered or recommended dental sealants, in-office and at-home fluoride, chlorhexidine rinse, and xylitol gum. Results Adults were less likely to receive in-office caries preventive agents compared to pediatric patients. However, the rate of recommendation for at-home preventive regimens was very similar. Dentists with a conservative approach to caries treatment were the most likely to use caries prevention at similar rates in adults as in children. In addition, practices with a greater number of patients with dental insurance were significantly less likely to provide in-office fluoride or sealants to adult patients than to their pediatric patients. Conclusion In-office caries prevention agents are more commonly used by general dentists for their pediatric patients compared to their adult patients. Practice Implications Some general dentists should consider providing additional in-office prevention agents for their adult patients who are at increased risk for dental caries.

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The Use of Dental Sealants by Ohio Dentists

Cited by 20 publications

References 26 publications

Status of Preventive Caries Management Skills of Clinical Students Studying in Various Dental Colleges in Karachi, Pakistan

Status of Preventive Caries Management Skills of Clinical Students Studying in Various Dental Colleges in Karachi, Pakistan

Use of caries prevention services in the Northwest PRECEDENT dental network

General Practitioners' Use of Caries-Preventive Agents in Adult Patients Versus Pediatric Patients

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