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Thesis
Management of initial caries lesions: Iowa survey
University of Iowa
Master of Science (MS), University of Iowa
Spring 2017
DOI: 10.17077/etd.44iqxuod
Abstract
<p>The purpose of this study was to investigate factors related to Iowa dentists’ management of initial caries lesions for low, moderate and high-risk patients and their agreement with the International Caries Classification and Management System (ICCMS) Guidelines.</p>
<p>A survey with three patient scenarios (low, moderate and high-risk) was electronically sent to 916 University of Iowa alumni dentists who were in active practice. Information on dentists’ demographics and practice characteristics were also collected in the survey. Descriptive statistics were conducted to profile the variables of interest. Bivariate analyses were performed to assess the factors associated with the management of initial caries lesions for each scenario.</p>
<p>138 (response rate=15%; male=83 and female=55) practicing dentists in Iowa completed the survey. Of these (mean age= 48.3±12.3 years, mean years of clinical practice= 21.4±12.5), 30.4% completed a formal post-graduate training program, and 35.5% were solo practitioners. Agreement with ICCMS guidelines regarding the management of initial caries lesions for low, moderate and high-risk scenarios was approximately 73%, 59%, and 51% respectively. Odds of having agreement with ICCMS in the low risk scenario for those who frequently dry the tooth was 3.56 times that of those who don’t dry the tooth for caries detection (p=0.0468). Odds of having agreement with ICCMS in the moderate risk for those who graduated < 20 years ago was 6 times that of those who graduated >20 years ago (p=0.0024). Odds of having agreement with ICCMS in the moderate risk scenario for those who practiced in public health setting was 14 times that of those who practiced in solo or group practices (p=0.0089) and for those who frequently used magnification was 2.9 times that of those who don’t use magnification (p=0.0225). Odds of having agreement with ICCMS in the high risk scenario for those who frequently performed CRA was 2 times that of those who don’t perform CRA (p=0.0262).</p>
<p>The majority of Iowa dentists agreed with ICCMS guidelines in the non-surgical management of initial caries lesions regardless of patient risk level. Iowa dentists had the highest agreement with the ICCMS guidelines for low-risk scenario and agreement was associated with routinely drying teeth for caries detection. Evidence based decisions individualized for a patients’ risk status are essential for determining the best management of dental caries lesions.</p>
Details
- Title: Subtitle
- Management of initial caries lesions: Iowa survey
- Creators
- Amira Elgreatly - University of Iowa
- Contributors
- Justine L. Kolker (Advisor)Sandra Guzman-Armstrong (Advisor)John J. Warren (Committee Member)Fang Qian (Committee Member)
- Resource Type
- Thesis
- Degree Awarded
- Master of Science (MS), University of Iowa
- Degree in
- Oral Science
- Date degree season
- Spring 2017
- Publisher
- University of Iowa
- DOI
- 10.17077/etd.44iqxuod
- Number of pages
- xii, 142 pages
- Copyright
- Copyright © 2017 Amira Elgreatly
- Comment
This thesis has been optimized for improved web viewing. If you require the original version, contact the University Archives at the University of Iowa: https://www.lib.uiowa.edu/sc/contact/.
- Language
- English
- Description illustrations
- illustrations (some color)
- Description bibliographic
- Includes bibliographical references (pages 135-142).
- Academic Unit
- Oral Pathology, Radiology and Medicine
- Record Identifier
- 9983777143302771
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