Variation in caries treatment proposals among dentists in Norway: the best interest of the child

Rønneberg, Anne; Skaare, Anne B.; Hofmann, Bjørn; Espelid, Ivar

doi:10.1007/s40368-017-0298-4

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…Some researchers have found a more-conservative approach towards prevention and treatment of dental caries among female dentists [23][24][25][26] . In contrast, other studies have found no statistically significant relationship between dentist gender and choices for caries prevention or treatment [27][28][29] . A previous Brazilian study has also found no association between dentists' gender and decision making for restoring dental caries as seen in radiographs 30 .…”

Section: Discussionmentioning

confidence: 80%

Methods for caries prevention in adults among dentists from a brazilian community

et al. 2020

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Little is known about dental practice patterns of caries prevention in adults among Brazilian dentists. Aim: To quantify procedures used for caries prevention for adult patients among dentists from a Brazilian community. Methods: Dentists (n=197) who reported that at least 10% of their patients are more than 18 years old participated in the first Brazilian study that used a translated version of the “Assessment of Caries Diagnosis and Caries Treatment” from the U.S. National Dental Practice-Based Research Network. A questionnaire about characteristics of their practice and patient population were also completed by the dentists. Generalized linear regression models and a hierarchal clustering procedure were used (p<0.05). Results: In-office fluoride application was the preventive method most often reported. The main predictors for recommending some preventive agent were: female dentist (dental sealant; in-office fluoride; non-prescription fluoride) and percentage of patients interested in caries prevention (dental sealant; in-office fluoride; non-prescription fluoride). Other predictors included private practice (dental sealant), percentage of patients 65 years or older (in-office fluoride), graduation from a private dental school (non-prescription fluoride), years since dental school graduation (chlorhexidine rinse) and using a preventive method (recommending sealant/fluoride/chlorhexidine rinse/sugarless, xylitol gum). Cluster analysis showed that dentists in the largest subgroup seldom used any of the preventive agents. Conclusion: Dentists most often reported in-office fluoride as a method for caries prevention in adults. Some practitioner, practice and patients’ characteristics were positively associated with more-frequent use of a preventive agent.

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Section: Discussionmentioning

confidence: 80%

Methods for caries prevention in adults among dentists from a brazilian community

et al. 2020

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“…This might imply that some of the self-reported restraint situations during dental treatment have occurred outside the Norwegian PDS. Rønneberg et al discussed how dentists’ educational backgrounds might influence the prevalence and acceptance of the use of restraint (Rønneberg et al 2017 ). Thus, this finding might indicate that dentists should be especially aware of patients with unknown dental history regarding behavioural objectives.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, a qualitative study of Norwegian non-specialist dentists indicated that the use of restraint often is legitimised when applied in combination with conscious sedation (Aarvik et al 2021 ). In 2017, Rønneberg et al reported that 12% of dentists in the Norwegian PDS used restraint to administer acute dental treatment to young children (Rønneberg et al 2017 ). Furthermore, 50% would give a new appointment with conscious sedation.…”

Section: Discussionmentioning

confidence: 99%

Patient-self-reported history of restraint among 17-year-olds: a retrospective study of records by non-specialist dentists in the public dental service in Hordaland, Norway

Aarvik

Svendsen

Agdal

2022

Eur Arch Paediatr Dent

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Purpose The primary purposes were to examine dental records of Norwegian adolescents’ with and without self-reported history of restraint for information about oral health (DMFT), total scheduled time in the Public Dental Service (PDS) (dental appointments, cancelled and missed appointments), and reluctant behaviour and/or dental fear and anxiety (DFA). Another purpose was to explore their dental records for information recorded by the dentist concerning the use of restraint. Methods Data on patient-self-reported history of restraint and DFA were collected in a population-based cross-sectional survey of 17-year-olds in the PDS in Hordaland, Norway, 2019. Patients were divided into two groups: self-reported restraint group (N1 = 26) and self-reported non-restraint group (N2 = 200). Data on oral health and dental treatment, total scheduled time of the PDS, reluctant behaviour or DFA, and information on the use of restraint were extracted from the dental records written by non-specialist dentists using a pre-set protocol covering the period from 2002 to 2019. Results A total of 206 dental records were analysed. Adolescents with self-reported history of restraint (n1 = 18) had higher DMFT and greater descriptions of reluctant behaviour and/or DFA, and total scheduled time compared with the self-reported non-restraint group (n2 = 188). The use of restraint was recorded in the dental records of one patient from the self-reported restraint group and in two patients from the self-reported non-restraint group. Conclusions The adolescents with self-reported history of restraint had higher DMFT, higher scheduled time attending the PDS, and had more descriptions of reluctant behaviour and/or signs of DFA compared with the self-reported non-restraint group. The patient records contained limited information concerning restraint, and there were significant discrepancies between patient-self-reported history of restraint and the recording of restraint by the dentist in the patients’ records.

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“…This alarming data on dental caries and its non-treatment may reveal that low priority is given to children under 6 years of age and the failures in the primary and secondary preventive measures [10]. Also, it should be emphasized that the treatment is technically challenging, and is often dictated by the extent of the lesions, child behavior [11] and the costs for patients/reimbursement system for dentists [12]. The high prevalence of the disease, added to its impact at both individual and collective levels, the possibility of prevention and treatment performed ECC a public health problem [13].…”

Section: Introductionmentioning

confidence: 99%

“…The decision to treat the ECC should be based on individual (such as risk assessment) and family (e.g., compliance of the patient's caregiver's willingness to change behaviors that affect oral health) [12,14], as well as the professional's experience [11]. As an aid for the decisionmaking process, there are several published guidelines/ guidance/policies.…”

Section: Introductionmentioning

confidence: 99%

Recommended procedures for the management of early childhood caries lesions – a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

et al. 2020

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Background: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. Methods: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. Results: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions. Conclusions: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/ guidance/policies for ECC lesions.

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Variation in caries treatment proposals among dentists in Norway: the best interest of the child

Abstract: Use of BMT and sedation is related to region of education and years of experience. Awareness of ethical principles with the child´s best interest in mind, should receive increased attention.

Cited by 11 publications

References 25 publications

Methods for caries prevention in adults among dentists from a brazilian community

Methods for caries prevention in adults among dentists from a brazilian community

Patient-self-reported history of restraint among 17-year-olds: a retrospective study of records by non-specialist dentists in the public dental service in Hordaland, Norway

Recommended procedures for the management of early childhood caries lesions – a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

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