COVID-19 as an opportunity for minimally-invasive dentistry: a national cross-sectional survey

Maldupa, Ilze; Slepcova, Olga; Vidulskane, Ilona; Brinkmane, Anda; Senakola, Egita; Uribe, Sergio

doi:10.1186/s12903-022-02432-7

Cited by 5 publications

(9 citation statements)

References 41 publications

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Section: Discussionmentioning

confidence: 78%

“…The results of our study, along with the increased interest in non-invasive treatments during the COVID-19 pandemic 22 , suggest that the use of SDF could be a valuable addition to caries management protocols. The national survey of Latvian dentists 22 showed a general openness to incorporating non-invasive treatments, such as SDF. Nevertheless, there is a need to find the best way to get the uptake of these treatments by dentists, which might include better dissemination of information, hands-on training, and reliable evidence to support their use and offer them to parents.…”

Section: Discussionmentioning

confidence: 78%

See 1 more Smart Citation

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Maldupa,

Innes,

Viduskalne

et al. 2024

Sci Rep

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Knowledge gaps exist regarding optimal silver diammine fluoride (SDF) regimens and the efficacy of new products for arresting dental caries in young children. We evaluated the effectiveness of 38%-SDF (SDI-RivaStar), Tiefenfluorid (TF) comparing with Placebo (P), all in conjunction with behavioural modification (BM), in preventing major complications (endodontic/extractions/pain)—a patient-centred outcome—due to early childhood caries over 12 months in children under 71-months. A six-arm, patient/parent-blinded, superiority, placebo-controlled randomised control trial at the university clinic in Riga, Latvia, from 1/9/20-31/8/22 (Protocol registration ISRCTN17005348). The trial tested six protocols, using three compounds (P/SDF/TF) under two regimes: annual and biannual (P1/P2/TF1/TF2/SDF1/SDF2) for major complications. Secondary outcomes included minor complications and parental satisfaction. All groups received BM. 373/427 randomised children (87.3%) completed the study. SDF2 had a significantly lower rate and risk of major (21.5%, OR = 0.28, 95%CI [0.11, 0.72], p < 0.05) and minor complications (OR = 0.16 (95%CI [0.05, 0.50], p = 0.002). Overall satisfaction was 96% (p > 0.05). SDF biannual application with BM effectively prevented major complications of early childhood caries and was well accepted by children and their parents. Trial registration number: ISRCTN17005348, principal investigator: Ilze Maldupa, registration date: 30/06/2021.Clinical trial registration number: ISRCTN registry: ISRCTN17005348, https://doi.org/10.1186/ISRCTN17005348, registration date: 30/06/2021.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 78%

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Maldupa,

Innes,

Viduskalne

et al. 2024

Sci Rep

Self Cite

View full text Add to dashboard Cite

show abstract

“…The results of our study, along with the increased interest in non-invasive treatments during the COVID-19 pandemic 22 , suggest that the use of Silver Diammine Fluoride (SDF) could be a valuable addition to caries management protocols. The national survey of Latvian dentists 22 showed a general openness to incorporating non-invasive treatments, such as SDF.…”

Section: Discussionmentioning

confidence: 95%

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Maldupa,

Innes,

Viduskalne

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Knowledge gaps exist regarding optimal silver diammine fluoride (SDF) regimens and the efficacy of new products for arresting dental caries in young children. We evaluated the effectiveness of 38%-SDF(SDI-RivaStar), Tiefenfluorid(TF) comparing with Placebo(P), all in conjunction with behavioural modification(BM), in preventing major complications (endodontic/extractions/pain) —a patient-centred outcome— due to early childhood caries over 12 months in children under 71-months. A six-arm, patient/parent-blinded, superiority, placebo-controlled randomised control trial at the university clinic in Riga, Latvia, from 1/9/20-31/8/22 (Protocol registration ISRCTN17005348). The trial tested six protocols, using three compounds (P/SDF/TF) under two regimes: annual and biannual (P1/P2/TF1/TF2/SDF1/SDF2) for major complications. Secondary outcomes included minor complications and parental satisfaction. All groups received BM. 373/427 randomised children (87.3%) completed the study. SDF2 had a significantly lower rate and risk of major (21.5%, OR=0.28, 95%CI[0.11, 0.72], p<0.05) and minor complications (OR=0.16 (95%CI [0.05, 0.50], p=0.002). Overall satisfaction was 96%(p>0.05). SDF biannual application with BM effectively prevented major complications of early childhood caries and was well accepted by children and their parents. Trial registration number: ISRCTN17005348, principal investigator: Ilze Maldupa, registration date: 30/06/2021.

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“…Sample size was calculated based on the study by Maldupa and Uribe [2021], which aimed to assess the impact of government restrictions about aerosol-generating procedures on the decision made by dentists about caries treatment. Using the Qui-square test with contingency tables, data regarding the difference of proportion between dentists who chose or not the use of aerosol-generating procedures for carious lesion treatments were applied.…”

Section: Sample Sizementioning

confidence: 99%

“…Since some studies showed that COVID-19 pandemic may have influenced professionals in all parts of the world to adopt minimally invasive techniques more frequently [Alamoudi et al, 2022;Maldupa et al, 2022], we raised the hypothesis that Brazilian dentists could also be influenced by COVID-19 and were favored to practice some minimally invasive techniques to manage dental caries regularly. Therefore, this study aimed to evaluate, through an online questionnaire, changes in the attitudes of Brazilian dentists related to the frequency of use of MI caries management considering the periods before and during the COVID-19 pandemic since a great indication of MI techniques during the pandemic period has been encouraged in all parts of the world.…”

Section: Introductionmentioning

confidence: 99%

Did the Use of Minimum Interventions for Caries Management Change during the COVID-19 Pandemic? A Cross-Sectional Study

et al. 2023

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Aim: to evaluate changes in the frequency of use of minimum interventions (MI) techniques for caries management during the COVID-19 pandemic. Materials and Methods: a questionnaire was applied through the SurveyMonkey™ platform to evaluate changes in the dentist’s frequency of use of non-invasive, micro-invasive, minimally invasive, and mixed interventions, non-aerosol, or aerosol productive, to manage dental caries before and during COVID-19 pandemic. Differences in the use of MI techniques were analyzed by Wilcoxon test and the effect size (ES) was calculated. An α = 0.05 was adopted. Results: a total of 781 dentists answered the questionnaire; most of them were female (76.4%), with 30’s (76.4%), graduated over 10-24 years ago (38%) in public dental schools (62%), graduated in southwest of Brazil (38%), that work in clinical environment (66.8%) and in private jobs (53.4%). During COVID-19, among the sample, 91 respondents were not working. In relation to the non-invasive techniques, only the use of casein phosphopeptide amorphous calcium phosphate (CPP-ACP) decreased during the COVID-19 pandemic (p<0.01; ES=0.11). The frequency of sealants to repair defective restorations were the only micro invasive technique that increased during the pandemic (p<0.01; ES=0.03). Among the minimally invasive techniques the use of atraumatic restorative treatment (ART) increased significantly (p<0.01; ES=0.06), while the use of air abrasion decreased (p=0.02; ES=0.04) during COVID-19 pandemic. Moreover, non-restorative cavity control (mixed intervention) increased during pandemic period (p<0.001; ES=0.11). Conclusion: Although the results demonstrated differences in the use of some procedures, a very small magnitude of the effect was perceived, demonstrating that the influence of COVID-19 pandemic was very little, if any, in the use of MI techniques for caries management. Moreover, the use of MI strategies was already well established between Brazilian dentists before the pandemic period.

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COVID-19 as an opportunity for minimally-invasive dentistry: a national cross-sectional survey

Cited by 5 publications

References 41 publications

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Clinical effectiveness/child-patient and parent satisfaction of two topical fluoride treatments for caries: a randomised clinical trial

Did the Use of Minimum Interventions for Caries Management Change during the COVID-19 Pandemic? A Cross-Sectional Study

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