Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions
Aim: There is sparse research on the effect of factors related to the dentist and patient in the caries management decision-making process. This in vitro study explored the influence of factors related to dentists and patients on the management decision of occlusal noncavitated caries lesions in chi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | International Dental Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653922001666 |
| _version_ | 1811155570078515200 |
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| author | Mai E. Khalaf Asma Alyahya Muawia A. Qudeimat |
| author_facet | Mai E. Khalaf Asma Alyahya Muawia A. Qudeimat |
| author_sort | Mai E. Khalaf |
| collection | DOAJ |
| description | Aim: There is sparse research on the effect of factors related to the dentist and patient in the caries management decision-making process. This in vitro study explored the influence of factors related to dentists and patients on the management decision of occlusal noncavitated caries lesions in children. Materials and methods: Five investigators in the specialties of dental public health (DPH), paediatric, prosthetic, and operative dentistry and a general dentist (GDP) participated in this study. Initially, the investigators were asked to independently assess the occlusal surfaces of 175 noncavitated permanent molars and choose a management recommendation using 2 caries risk patients’ scenarios. After 1 month, investigators were trained and calibrated to use the International Caries Detection and Assessment System (ICDAS) scoring system. Then, they examined the same teeth, recorded the highest/worst ICDAS score, and chose a management recommendation. Two weeks later, the investigators repeated the teeth examination using magnification loupes and again chose a management recommendation. The teeth were sectioned to study the relationship between the presence of caries and the management recommendations. Results: For the low– and the high–caries risk scenarios, ICDAS training increased the operative intervention by 20% to 27% and 14% to 22%, respectively, for both the GDP and the paediatric dentist (P < .0001). For the low–caries risk scenario, using the magnifying loupes increased the operative recommendations for the DPH, GDP, and the operative dentist by 5% to 23% (P < .05). Compared to the low–caries risk scenario, teeth for patients with high caries risk received more surgical interventions (9%-30%) at all examination conditions for the GDP and the paediatric and operative dentists (P < .0001). Conclusions: For occlusal noncavitated caries lesions, enhancing dentists’ caries detection skills had a significant impact on decisions of surgical intervention. This also influenced the appropriateness of the treatment recommended for the different caries risk groups. |
| first_indexed | 2024-04-10T04:35:26Z |
| format | Article |
| id | doaj.art-b4ec57d240484324ab3ea2f059187e2b |
| institution | Directory Open Access Journal |
| issn | 0020-6539 |
| language | English |
| last_indexed | 2024-04-10T04:35:26Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj.art-b4ec57d240484324ab3ea2f059187e2b2023-03-10T04:33:59ZengElsevierInternational Dental Journal0020-65392023-04-01732251258Management Thresholds for Molars With Occlusal Noncavitated Caries LesionsMai E. Khalaf0Asma Alyahya1Muawia A. Qudeimat2Department of General Dental Practice, Kuwait University, KuwaitDepartment of Developmental and Preventive Sciences, Kuwait University, KuwaitDepartment of Developmental and Preventive Sciences, Kuwait University, Kuwait; Corresponding author. Faculty of Dentistry, Kuwait University, PO Box 24923, Safat-13110, Kuwait.Aim: There is sparse research on the effect of factors related to the dentist and patient in the caries management decision-making process. This in vitro study explored the influence of factors related to dentists and patients on the management decision of occlusal noncavitated caries lesions in children. Materials and methods: Five investigators in the specialties of dental public health (DPH), paediatric, prosthetic, and operative dentistry and a general dentist (GDP) participated in this study. Initially, the investigators were asked to independently assess the occlusal surfaces of 175 noncavitated permanent molars and choose a management recommendation using 2 caries risk patients’ scenarios. After 1 month, investigators were trained and calibrated to use the International Caries Detection and Assessment System (ICDAS) scoring system. Then, they examined the same teeth, recorded the highest/worst ICDAS score, and chose a management recommendation. Two weeks later, the investigators repeated the teeth examination using magnification loupes and again chose a management recommendation. The teeth were sectioned to study the relationship between the presence of caries and the management recommendations. Results: For the low– and the high–caries risk scenarios, ICDAS training increased the operative intervention by 20% to 27% and 14% to 22%, respectively, for both the GDP and the paediatric dentist (P < .0001). For the low–caries risk scenario, using the magnifying loupes increased the operative recommendations for the DPH, GDP, and the operative dentist by 5% to 23% (P < .05). Compared to the low–caries risk scenario, teeth for patients with high caries risk received more surgical interventions (9%-30%) at all examination conditions for the GDP and the paediatric and operative dentists (P < .0001). Conclusions: For occlusal noncavitated caries lesions, enhancing dentists’ caries detection skills had a significant impact on decisions of surgical intervention. This also influenced the appropriateness of the treatment recommended for the different caries risk groups.http://www.sciencedirect.com/science/article/pii/S0020653922001666Dental cariesClinical decision-makingCaries riskCaries management |
| spellingShingle | Mai E. Khalaf Asma Alyahya Muawia A. Qudeimat Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions International Dental Journal Dental caries Clinical decision-making Caries risk Caries management |
| title | Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions |
| title_full | Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions |
| title_fullStr | Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions |
| title_full_unstemmed | Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions |
| title_short | Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions |
| title_sort | management thresholds for molars with occlusal noncavitated caries lesions |
| topic | Dental caries Clinical decision-making Caries risk Caries management |
| url | http://www.sciencedirect.com/science/article/pii/S0020653922001666 |
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