A cross-sectional survey investigating care of the primary dentition by paediatric dental specialists in Japan and the UK

Fukai, Kakuhiro; Ohno, Hideo; Blinkhorn, Anthony

doi:10.1111/j.1875-595x.2011.00109.x

Cited by 11 publications

(13 citation statements)

References 9 publications

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“…Variations in approach to treatment among dentists has been demonstrated in similar studies conducted in England and Japan. Variation in clinical decision‐making among practitioners seems to be a worldwide issue. The wide disparity in the approach to the care of pre‐school children with dental caries between GDPs and PDs, and within the groups, is at odds with an evidence‐based approach to health care.…”

Section: Discussionmentioning

confidence: 96%

The care of the primary dentition by general dental practitioners and paediatric dentists

Lee

McGrath

Yiu

2013

International Dental Journal

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Section: Discussionmentioning

confidence: 96%

The care of the primary dentition by general dental practitioners and paediatric dentists

Lee

McGrath

Yiu

2013

International Dental Journal

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“…The associated risk of bias is likely to lead to some distortions (via the Hawthorne effect or selection bias, for example). Last, we only assessed decision-making in permanent teeth, while a number of studies investigated dentists’ behavior in primary teeth [ 30 , 31 ]. Given the clinical decisions to be made and their consequences being very different in primary versus permanent teeth, we had decided to not include studies on primary teeth.…”

Section: Discussionmentioning

confidence: 99%

Understanding dentists’ management of deep carious lesions in permanent teeth: a systematic review and meta-analysis

Schwendicke

Göstemeyer

2016

Implementation Sci

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BackgroundIncreasing evidence supports selective/incomplete (SE) or stepwise (SW) instead of non-selective/complete tissue removal for deep carious lesions in vital teeth, mainly as pulpal risks are significantly reduced. Our aims were to analyze the proportion of dentists who utilize SE/SW for deep lesions in permanent teeth and to identify barriers and facilitators of utilizing SE/SW.MethodsWe included studies that were original, and reported on the proportion of dentists utilizing SE/SW (quantitative studies), or reported on barriers or facilitators of such utilization (qualitative studies). Electronic databases (PubMed, CENTRAL, Embase, PsycINFO) were searched and screening and data extraction performed by two reviewers. Random-effects meta-analysis and meta-regression were used for quantitative synthesis of the proportion of dentists utilizing SE/SW. Thematic analysis was performed to assess barriers and facilitators on SE/SW utilization. Identified themes were translated into the constructs of the theoretical domains framework.ResultsFrom 1728 articles, nine studies were included, all using quantitative methods. Four thousand one hundred ninety-nine dentists had been surveyed. The mean (95% CI) proportion of dentists using SE/SW for deep lesions was 53 % (44/62 %). More recent studies reported significantly higher proportions (p < 0.05). Reported estimates and thematic analysis found dentists’ age and an understanding of the disease caries and the scientific rationale behind different removal strategies to affect dentists’ behavior. Guidelines, peers, and the social and professional identity were further associated with the motivation of utilizing SE/SW. Environmental incentives, sanctions, or restrictions, mainly of financial but also regulatory character, impacted on decision-making, as did the specific indication (the patient, the tooth) and the beliefs on how well different treatments perform.ConclusionsAround half of all dentists rejected evidence-based carious tissue removal strategies. A range of factors can be addressed for improving implementation. Future studies should use mixed qualitative-quantitative methods to yield a deeper understanding of dentists’ decision-making.Trial registrationPROSPERO CRD42016038047 Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0505-4) contains supplementary material, which is available to authorized users.

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“…Bad breath, gum bleeding, and missing front teeth and back teeth were all given about the same weight. One possible reason for this difference is that there are differences in regular access to dental care between Japan and the U.K., each of which has its own unique health insurance system 12) . In the U.K., the national health system focuses on prevention, thereby encouraging regular dental attendance.…”

Section: Discussionmentioning

confidence: 99%

Dental Patient Preferences and Choice in Clinical Decision-Making

Fukai¹,

Yoshino

Ohyama

et al. 2012

Bull. Tokyo Dent. Coll.

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In economics, the concept of utility refers to the strength of customer preference. In health care assessment, the visual analogue scale (VAS), the standard gamble, and the time trade-off are used to measure health state utilities. These utility measurements play a key role in promoting shared decision-making in dental care. Individual preference, however, is complex and dynamic. The purpose of this study was to investigate the relationship between patient preference and educational intervention in the field of dental health. The data were collected by distributing questionnaires to employees of two companies in Japan. Participants were aged 18-65 years and consisted of 111 males and 93 females (204 in total). One company (Group A) had a dental program of annual check-ups and health education in the workplace, while the other company (Group B) had no such program. Statistical analyses were performed with the t-test and Chi-square test. The questionnaire items were designed to determine: (1) oral health-related quality of life, (2) dental health state utilities (using VAS), and (3) time trade-off for regular dental check-ups. The percentage of respondents in both groups who were satisfied with chewing function, appearance of teeth, and social function ranged from 23.1 to 42.4%. There were no significant differences between groups A and B in the VAS of decayed, filled, and missing teeth. The VAS of gum bleeding was 42.8 in Group A and 51.3 in Group B (p<0.05). The percentage of persons having a regular dental check-up every three months was 34.1 and 31.3% in Groups A and B respectively. These results suggest that low preference results from lack of opportunity or utilization of dental care in the worksite. Ascertaining the factors involved in patient preference may have significant potential benefits in shared decision-making.

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A cross-sectional survey investigating care of the primary dentition by paediatric dental specialists in Japan and the UK

Abstract: Japanese and UK specialists in paediatric dental care choose different interventions for the same clinical problems.

Cited by 11 publications

References 9 publications

The care of the primary dentition by general dental practitioners and paediatric dentists

The care of the primary dentition by general dental practitioners and paediatric dentists

Understanding dentists’ management of deep carious lesions in permanent teeth: a systematic review and meta-analysis

Dental Patient Preferences and Choice in Clinical Decision-Making

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