Journal article
Management of initial carious lesions Iowa survey
The Journal of the American Dental Association (1939), Vol.150(9), pp.755-765
09/01/2019
DOI: 10.1016/j.adaj.2019.03.024
PMID: 31324334
Abstract
Background. The authors explore Iowa dentists' agreement with the International Caries Classification and Management System (ICCMS) in the nonsurgical management of initial carious lesions in patients at low, moderate, and high caries risk and identify factors related to their agreement.
Methods. Electronic surveys were mailed to 916 actively practicing dentists who are alumni of the College of Dentistry at The University of Iowa. Questions included clinical scenarios that used text, clinical photographs, and radiographic images of initial carious lesions. Dentists were asked what type of treatment they would recommend. Treatment options included no treatment, nonsurgical treatment, or surgical treatment. Logistic regression analyses were used to assess associations among agreement with ICCMS, characteristics of the dentist's practice, and patients' caries risk level.
Results. A total of 138 Iowa dentists responded to the survey. Agreement with ICCMS regarding nonsurgical management of initial carious lesions for patients at low, moderate, and high risk levels were 73%, 59%, and 51% respectively. Compared with their counterparts, dentists who agreed with the recommendations for nonsurgical treatment were more likely to dry the teeth during caries detection (95% confidence interval [CI], 1.02 to 12.67, P = .0468), use magnification (95% CI, 1.16 to 7.17, P = .0225) for caries detection, have graduated less than 20 years ago (P = .0024), practice in public health settings (P = .0089), and perform a caries risk assessment (95% CI, 1.10 to 4.29, P = .0262).
Conclusions. Dentists who dry teeth, use magnification for caries detection, graduated in the past 20 years, practice in a public health setting, and perform a caries risk assessment were significantly more likely to make decisions that were consistent with the guidelines of the ICCMS.
Practical Implications. Knowledge of evidence-based options personalized for a patient's risk status is essential for applying the best management of initial caries lesions.
Details
- Title: Subtitle
- Management of initial carious lesions Iowa survey
- Creators
- Amira Elgreatly - University of IowaJustine L. Kolker - University of IowaSandra Guzman-Armstrong - University of IowaFang Qian - University of IowaJohn J. Warren - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of the American Dental Association (1939), Vol.150(9), pp.755-765
- Publisher
- Amer Dental Assoc
- DOI
- 10.1016/j.adaj.2019.03.024
- PMID
- 31324334
- ISSN
- 0002-8177
- eISSN
- 1943-4723
- Number of pages
- 11
- Language
- English
- Date published
- 09/01/2019
- Academic Unit
- Preventive and Community Dentistry; Operative Dentistry; Dental Research
- Record Identifier
- 9984367719702771
Metrics
4 Record Views