Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study

Chisini, Luiz Alexandre; Noronha, Thaís Gioda; Ramos, Ezequiel Caruccio; Santos-Júnior, Reginaldo Batista dos; Sampaio, Kaio Heide; Faria-e-Silva, André Luís; Corrêa, Marcos Britto

doi:10.1007/s00784-018-2526-7

Cited by 50 publications

(65 citation statements)

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“…Beyond the influence of the media, satisfaction with appearance is intimately related to the social interaction that this subjective condition provides, especially in young individuals who want to be accepted into a social group 25 . Our results corroborate the findings of previous studies, in which women and younger subjects show greater desire for esthetic treatment in plastic surgery 23 and dentistry 5,[20][21][22] . Similarly, our study demonstrated that individuals satisfied with their dental color and dental appearance reported less desire for dental esthetic treatment.…”

Section: Discussionsupporting

confidence: 92%

“…Esthetics is a very important concept to the general population and has been considered a key component of social interaction. This media pressure for a better look has increased the demand for esthetic procedures, especially in women and young people 5,[20][21][22][23] . Women are more concerned about health and more dissatisfied with their appearance 5 and are more likely to turn to esthetic procedures 20,21 , such as plastic surgery 23 .…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with a history of dental caries over the course of their lives had 9% greater desire for tooth bleaching 2 , highlighting the narrow relationship between the perception of esthetics and health in this population. So, social construction of esthetics and the excessive pressure of these parameters in the media can affect individuals' behavior concerning the demand for dental treatment, such as tooth bleaching 6 and replacement with non-white dental restoration 26 , thus causing possible overtreatment. This desire for highly esthetic standards can be observed both in patients and in dentists.…”

Section: Discussionmentioning

confidence: 99%

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Desire of university students for esthetic treatment and tooth bleaching

Chisini¹,

Cademartori

Pires

et al. 2019

Braz. J. Oral Sci.

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Aim: The aim of this study was to investigate the prevalence of the desire of university students for esthetic treatment and tooth bleaching, and associated factors. Methods: A cross-sectional study was performed in 2016 with first-semester university students in Pelotas. Data was collected via a self-administered questionnaire including demographic, socioeconomic and psychosocial characteristics. Oral Impact on Daily Performance (OIDP) was assessed and Poisson regression models were used to evaluate the association between the following outcomes: prevalence of desire for esthetic treatment and the tooth bleaching, and exposure variables. A p-value of ≤ 0.05 was considered significant. Results: A total of 2,058 students participated in the study. Refusals represented a mere 1.4% of the total sample. Of the individuals interviewed, 16.1% underwent tooth bleaching and 74.4% reported a desire for esthetic dental treatment. Models showed students with higher family income and with the intention to use private dental services had 65% and 47% higher prevalence of tooth bleaching, respectively. Individuals satisfied with dental color and appearance exhibited a higher prevalence of tooth bleaching, as did those who smoked. On the other hand, students satisfied with dental color (PR= 0.77, 95% CI: 0.73-0.80) and with their dental appearance (PR= 0.82, 95% CI 0.78-0.87) demonstrated less desire to undergo esthetic dental treatment. Moreover, individuals who suffered some impact in OIDP reported a greater desire for esthetic treatment (PR= 1.07, 95% CI: 1.02-1.13). Conclusion: General and psychosocial characteristics were associated with the desire for esthetic treatment and tooth bleaching in university students.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Desire of university students for esthetic treatment and tooth bleaching

Chisini¹,

Cademartori

Pires

et al. 2019

Braz. J. Oral Sci.

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“…33 A recent study carried by our group in four different cities in Brazil, including Pelotas, observed that black patient had less risk of receiving replacement of ill-adapted amalgam restoration with composite resin and finishing and polishing when compared with the white patient even as black patients receive referrals for cheaper treatments. 34 In this way, it was investigated the influence of the skin color on the decision to extract or retain a decayed tooth. 35 The results showed significative influence of skin color on dentist's decision make treatment with worse results associated with black skin color.…”

Section: Discussionmentioning

confidence: 99%

Skin color affect the replacement of amalgam for composite in posterior restorations: a birth-cohort study

et al. 2019

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The aim of present study was to estimate the occurrence and associated factors for replacement of amalgam posterior restorations. A representative sample of all 5,914 births from the 1982 in Pelotas birth cohort study was prospectively investigated, and the posterior restorations were assessed at 24 (n = 720) and 31 years of age (n = 539). Individual-level variables, i.e., demographic characteristics, socioeconomic factors, oral health conditions and use of dental services, were collected from different waves of the cohort. Toothlevel variables included dental group, estimated time in mouth of each amalgam restoration, and number of restored dental surfaces. Thus, 246 individuals presented 718 amalgam restorations at 24 years of age. After 7 seven years of follow-up, 18.9% of these restorations had been replaced with composite resins. Multilevel Poisson regression models showed that, compared to white individuals, blacks presented a lower risk of replacement of amalgam restorations for composite resins (IRR-0.39 [0.16-0.95]). Individuals with high educational level at age 31 showed an increased likelihood of replacement of amalgam restorations. Therefore, skin color affects the replacement of amalgam for composite resin in posterior restorations.

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“…Diversos estudos têm demonstrado que as condutas clínicas variam entre os cirurgiõesdentistas de diferentes países [7][8][9][10][11][12][13] , demonstrando um perfil altamente curativista e intervencionista dos profissionais, os quais tendem a intervir em lesões iniciais de cárie e em restaurações com manchamento marginal, sem que existade fatoa necessidade para tal [9][10][11] . Desta forma, o ensino da Odontologia minimamente invasiva apresenta um contexto muito interessante para problematização da Odontologia tecnicista.…”

Section: Introductionunclassified

O ensino da Odontologia minimamente invasiva: relato de experiência

Gonçalves

Cenci

Corrêa³

et al. 2019

Rev ABENO

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RESUMOPor muitos anos o ensino de Odontologia foi baseado apenas na reprodução de técnicas restauradoras e o estudante era motivado a apenas realizar procedimentos, sem desenvolver habilidades reflexivas, as quais são tão importantes quanto as técnicas. O presente relato de experiência discute um caso clínico como problematizador no ensino da Odontologia minimamente invasiva. Discussões e formulação de tabelas e quadros foram realizadas pelos estudantes, assim como a elaboração de um guia prático para auxiliar a escolha do tratamento restaurador. As atividades foram tidas como produtivas e complementares na resolução das dúvidas que ainda estavam pendentes. Conclui-se que a utilização da metodologia ativa relatada na construção de conhecimento foi uma importante estratégia para criar situações de aprendizado na abordagem da Odontologia minimamente invasiva. O aprendizado significativo advindo de um caso clínico em andamento se mostrou uma importante estratégia de ensino. Descritores: Cárie Dental. Tomada de Decisões. Caso Clínico. Ensino em Odontologia. INTRODUÇÃOA cárie dental é o agravo de maior prevalência da cavidade oral 1-3 , apresentando etiologia multifatorial 4 . Fatores comportamentais, sociais e econômicos são componentes importantes no desenvolvimento da doença, a qual pode ser interrompida a qualquer momento por meio da remoção dos fatores etiológicos, reestabelecendo assim a saúde. Desta forma, o cirurgião-dentista deve conhecer e ser capaz de identificar os componentes de atividade da doença para poder tomar a melhor decisão de tratamento, que em

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Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study

Abstract: Skin color played an important role in dentists' treatment decisions. Professionals may contribute unconsciously to the propagation and replication of racial discrimination.

Cited by 50 publications

References 48 publications

Desire of university students for esthetic treatment and tooth bleaching

Desire of university students for esthetic treatment and tooth bleaching

Skin color affect the replacement of amalgam for composite in posterior restorations: a birth-cohort study

O ensino da Odontologia minimamente invasiva: relato de experiência

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