Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists
Abstract Background Current knowledge on treatment strategies and choice of restorative materials when treating deep caries or severe dental developmental defects (DDDs) in young individuals is scarce. Therefore, the aim was to investigate Norwegian dentists´ treatment decisions and reasons for trea...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Oral Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12903-019-0744-2 |
| _version_ | 1818029654938746880 |
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| author | M. M. Uhlen H. Valen L. S. Karlsen A. B. Skaare A. Bletsa V. Ansteinsson A. Mulic |
| author_facet | M. M. Uhlen H. Valen L. S. Karlsen A. B. Skaare A. Bletsa V. Ansteinsson A. Mulic |
| author_sort | M. M. Uhlen |
| collection | DOAJ |
| description | Abstract Background Current knowledge on treatment strategies and choice of restorative materials when treating deep caries or severe dental developmental defects (DDDs) in young individuals is scarce. Therefore, the aim was to investigate Norwegian dentists´ treatment decisions and reasons for treatment choice when treating deep caries in primary teeth and severe DDDs in permanent teeth in children. Methods A pre-coded questionnaire was sent electronically to all dentists employed in the Public Dental Service (PDS) in Norway (n = 1294). The clinicians were asked about their background characteristics and how often they registered DDDs. Three clinical cases were presented to the dentists and asked to prioritize treatment options and reasons for their choice. Results After three reminders, 45.8% of the dentists answered. Most clinicians were general practitioners (96.3%), females (77.9%), under 41 year-olds (59.4%), graduated in 2001 or later (61.1%), and representing all regions of Norway. The respondents registered molar incisor hypomineralisation (MIH), other DDDs and dental fluorosis (DF) frequently, 523 (91.1%), 257 (44.8%) and 158 (27.5%), respectively. In case 1a with severe dental caries in a primary molar, the preferred treatment was resin-modified glass ionomer cement (RMGIC) (58.3%), followed by glass ionomer cement (GIC) (17.9%) and zinc oxide-eugenol (ZOE) (13.2%). Extraction, compomer or stainless steel crowns (SSC) were preferred by 0.9, 0.7 and 0.4%, respectively. In case 1b, which was identical to case 1a, but treated under general anaesthesia, the preferred treatment alternatives were RMGIC (37.1%), resin composite (RC) (17.6%) and GIC (17.2%). Extraction and SSC were chosen by 15.1 and 7.2%, respectively. In case 2, showing a severely hypomineralised and symptomatic first permanent molar, the dentists preferred RC (38.4%), followed by RMGIC (26.6%) and GIC (19.0%). Extraction and SSC were chosen by 8.7 and 5.4%, respectively. The treatment choices were not significantly affected by the dentists’ background characteristics. The reasons for dentists’ treatment decisions varied for each patient case; patient cooperation, prognosis of the tooth and own experience were the dominant reasons. Conclusions A notable disparity in treatment choices was shown indicating that Norwegian dentists evaluate each case individually and base their decisions on what they consider best for the individual patient. |
| first_indexed | 2024-12-10T05:23:08Z |
| format | Article |
| id | doaj.art-2b0f3936a302412eaaa869443d988d6c |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-10T05:23:08Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-2b0f3936a302412eaaa869443d988d6c2022-12-22T02:00:45ZengBMCBMC Oral Health1472-68312019-05-011911810.1186/s12903-019-0744-2Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentistsM. M. Uhlen0H. Valen1L. S. Karlsen2A. B. Skaare3A. Bletsa4V. Ansteinsson5A. Mulic6Oral Health Centre of Expertise in Eastern Norway (OHCE-E)Nordic Institute for Dental Materials (NIOM)Oral Health Centre of Expertise in Eastern Norway (OHCE-E)Oral Health Centre of Expertise in Southern Norway (OHCE-S)Oral Health Centre of Expertise in Western Norway Hordaland (OHCE-W Hordaland)Oral Health Centre of Expertise in Eastern Norway (OHCE-E)Nordic Institute for Dental Materials (NIOM)Abstract Background Current knowledge on treatment strategies and choice of restorative materials when treating deep caries or severe dental developmental defects (DDDs) in young individuals is scarce. Therefore, the aim was to investigate Norwegian dentists´ treatment decisions and reasons for treatment choice when treating deep caries in primary teeth and severe DDDs in permanent teeth in children. Methods A pre-coded questionnaire was sent electronically to all dentists employed in the Public Dental Service (PDS) in Norway (n = 1294). The clinicians were asked about their background characteristics and how often they registered DDDs. Three clinical cases were presented to the dentists and asked to prioritize treatment options and reasons for their choice. Results After three reminders, 45.8% of the dentists answered. Most clinicians were general practitioners (96.3%), females (77.9%), under 41 year-olds (59.4%), graduated in 2001 or later (61.1%), and representing all regions of Norway. The respondents registered molar incisor hypomineralisation (MIH), other DDDs and dental fluorosis (DF) frequently, 523 (91.1%), 257 (44.8%) and 158 (27.5%), respectively. In case 1a with severe dental caries in a primary molar, the preferred treatment was resin-modified glass ionomer cement (RMGIC) (58.3%), followed by glass ionomer cement (GIC) (17.9%) and zinc oxide-eugenol (ZOE) (13.2%). Extraction, compomer or stainless steel crowns (SSC) were preferred by 0.9, 0.7 and 0.4%, respectively. In case 1b, which was identical to case 1a, but treated under general anaesthesia, the preferred treatment alternatives were RMGIC (37.1%), resin composite (RC) (17.6%) and GIC (17.2%). Extraction and SSC were chosen by 15.1 and 7.2%, respectively. In case 2, showing a severely hypomineralised and symptomatic first permanent molar, the dentists preferred RC (38.4%), followed by RMGIC (26.6%) and GIC (19.0%). Extraction and SSC were chosen by 8.7 and 5.4%, respectively. The treatment choices were not significantly affected by the dentists’ background characteristics. The reasons for dentists’ treatment decisions varied for each patient case; patient cooperation, prognosis of the tooth and own experience were the dominant reasons. Conclusions A notable disparity in treatment choices was shown indicating that Norwegian dentists evaluate each case individually and base their decisions on what they consider best for the individual patient.http://link.springer.com/article/10.1186/s12903-019-0744-2Dental cariesDental developmental defectsMIHHypomineralisationDental treatmentRestorative options |
| spellingShingle | M. M. Uhlen H. Valen L. S. Karlsen A. B. Skaare A. Bletsa V. Ansteinsson A. Mulic Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists BMC Oral Health Dental caries Dental developmental defects MIH Hypomineralisation Dental treatment Restorative options |
| title | Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists |
| title_full | Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists |
| title_fullStr | Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists |
| title_full_unstemmed | Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists |
| title_short | Treatment decisions regarding caries and dental developmental defects in children - a questionnaire-based study among Norwegian dentists |
| title_sort | treatment decisions regarding caries and dental developmental defects in children a questionnaire based study among norwegian dentists |
| topic | Dental caries Dental developmental defects MIH Hypomineralisation Dental treatment Restorative options |
| url | http://link.springer.com/article/10.1186/s12903-019-0744-2 |
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