Methods for caries prevention in adults among dentists from a brazilian community

Tagliaferro, Elaine Pereira da Silva; Silva, Sílvio Rocha Corrêa da; Rosell, Fernanda Lopez; Valsecki, Aylton; Riley, Joseph L.; Gilbert, Gregg H.; Gordan, Valeria V.

doi:10.20396/bjos.v19i0.8656224

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…From these, 714 were excluded for failing to meet the other inclusion criteria, namely: 397 for participants (most studies conducted in children and adolescents; 102 for interventions; 101 because the results did not answer the research question; 114 whose study design did not fall within those recommended for a review of the literature, being mostly secondary studies). Thus, nine articles [60][61][62][63][64][65][66][67][68] were included in the study after applying quality assessment tools (k = 0.99) (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Tagliaferro et al's study [60] investigated the procedures used by dentists in a Brazilian community to prevent the carious process in adult patients. They indicated that the procedures used were pit and fissure sealants, fluoride application in the office, the recommendation to use fluoride toothpaste, mouth rinses with chlorhexidine at home, and advice to use xylitol as a replacement for sucrose in the diet.…”

Section: Findings and Contrast With The Literaturementioning

confidence: 99%

“…Furthermore, even though there is lack of literature supporting the cost-effectiveness for the use of fluorides and sealants on prevention in adult patients [91], it is possible to speculate that the patient's interest in prevention can be more attractive than patient's caries risk. Furthermore, Tagliaferro et al [60] showed that only 34% of dentists were worried with the caries risk assessment. Another explanation may be that dentists are working in a person-centered care environment, employing the shared decision-making principles [92], in which the patient acts as a partner in the care delivery [93].…”

Section: Findings and Contrast With The Literaturementioning

confidence: 99%

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Methods of Primary Clinical Prevention of Dental Caries in the Adult Patient: An Integrative Review

et al. 2023

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Aim: Preventive approaches to oral health diseases, mainly dental caries, require individual and collective policies. Thus, this review was conducted to identify the primary prevention methods of dental caries in adults to improve oral health at the clinical and community levels. Methods: This review followed the PICO strategy with the research question: “What are the methods of primary prevention of dental caries, in adults, for improving and maintaining oral health integrating clinical and community-based strategies?” Electronic screening was carried out by two independent reviewers in five databases (MedLine/PubMed, SciELO, Web of Science, Cochrane Library, and LILACS) to find relevant publications between 2015–2022. We applied eligibility criteria for selection of the articles. The following MeSH terms were used: “Primary Prevention”; “Adult”; “Oral Health”; “Dental Caries”; “Fluorides, Topical”; “Fluoride Varnishes”; “Pit and Fissure Sealants”; “Preventive Dentistry”. Although the term “Prevention strategy” is not a MeSH descriptor, several correlated terms appeared and were used in the search engines: “Preventative Care”, “Disease Prevention, Primary”, and “Prevention, Primary”. The tool provided by the JBI organization (Joanna Briggs Institute) was used to assess the quality of the included studies. Results: Nine studies were included. Overall, it was found that the main primary prevention methods applied in dentistry in adults are the application of pit and fissure sealants, topical application of fluoride performed in the dental clinic, use of fluoridated toothpaste, mouthwash with chlorhexidine at home, use of xylitol, the recommendation for regular appointments with the dentist, and the need to inform patients about the saliva buffer capacity and adoption of a non-cariogenic diet. For that purpose, preventive policies should be taken to prevent dental caries. These include three major challenges: providing the adult population with more knowledge regarding their oral health, empowering patients through adopting healthy lifestyles, and developing new preventive strategies and awareness campaigns aimed at the adult population to promote proper oral health habits. Conclusions: A small number of studies were found whose participants were adult patients. There was some consistency regarding primary prevention methods in our studies. However, good quality randomized control studies are still required to define the best intervention strategies for adult caries prevention.

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Section: Resultsmentioning

confidence: 99%

Section: Findings and Contrast With The Literaturementioning

confidence: 99%

Section: Findings and Contrast With The Literaturementioning

confidence: 99%

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Methods of Primary Clinical Prevention of Dental Caries in the Adult Patient: An Integrative Review

et al. 2023

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“…Dentists who chose to replace the entire defective composite restoration had lower percentages of patients interested in individualized caries prevention than dentists who chose to polish, re-surface, or repair. A possible reason for such a finding is that the patient's interest in preventive oral health may require a more-preventive approach during dental care 28 and the adoption of shared decision-making in a patient-centered care model 29 .…”

Section: Discussionmentioning

confidence: 99%

Evidence-practice gap in treatment decisions about defective composite and amalgam restorations among Brazilian dentists

Tagliaferro,

Riley III,

Gilbert

et al. 2023

Braz. J. Oral Sci.

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Better understanding of dentists’ decision-making about defective restorations is needed to close the evidence-practice gap (EPG). This study aimed to quantify the EPG about defective restorations and identify dentist factors associated with this EPG. Methods: 216 dentists from São Paulo State, Brazil, completed a questionnaire about three clinical case scenarios involving defective composite restorations with cementum-dentin margins (case 1) and enamel margins (case 2), and an amalgam (case 3) restoration. Dentists were asked what treatment, if any, they would recommend, including preventive treatment, polishing, re-surfacing, or repairing the restoration, or replacing the entire restoration. Replacing the entire restoration in any of these three scenarios was classified as inconsistent with the evidence, comprising an EPG. Bivariate analyses using Chi-square, ANOVA, or multiple comparison tests were performed (p<.05). Results: for defective composite restorations, 49% and 55% of dentists chose to replace the entire restoration for cases 1 and 2, respectively. Twenty-nine percent of dentists chose to replace the entire amalgam restoration. Dentists were significantly more likely to choose to replace the defective amalgam restoration than the composite restoration with a defect at the cementum-dentin margins or the enamel margins (both at p < .001). Female dentists were more likely to choose a conservative treatment than male dentists for cases 1 (p=.034) and 2 (p=.009). Dentists with a higher percentage of patients interested in individualized caries prevention were also more conservative in case 1 (p=.045). Conclusion: a substantial EPG regarding treatment decisions for defective restorations exists, especially for composite restorations. This study adds to the international evidence that an EPG exists in this clinical area and that global strategies need to be developed to close the gap.

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Modern Scientific Trends in the Treatment and Prevention of Dental Caries

Drevnitska,

Boykiv,

Avdeev

2024

EUMJ

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Background. Dental caries remains the most common disease of humanity today. The results of scientific research and clinical observations show that dental caries is most often treated surgically. The most effective way to reduce caries incidence is through primary prevention. Objective. The purpose of the study is to determine the current state of the problem of treatment and prevention of dental caries, to outline promising directions for solving this problem. Methods. In order to find out the main world trends in the treatment and prevention of dental caries, we studied the English-language papers of authors from Portugal, the USA, Saudi Arabia, Korea, Brazil, China, Argentina, the United Kingdom, Cote d'Ivoire, Italy, Ireland, Germany, France, Norway, Sweden, Denmark, Switzerland, Turkey, Belgium, Poland and Croatia published in 2019–2023, including literature reviews that tracked the fundamental data of previous years. The analysis of literary sources made it possible to determine that world scientists have made significant achievements with methodological and methodical conclusions, conducted a comparative assessment and proposed new ways to solve the problem in modern conditions. Results. The issue of modern scientific trends in the treatment and prevention of dental caries are presented in this paper. It was established that the main methods of primary prevention in dentistry were the use of sealants for pits and fissures, local professional use of fluoride preparations, use of fluorine-containing toothpaste, chlorhexidine mouthwash at home, use of xylitol, recommendations for regular visits to the dentist, adherence to a non-cariogenic diet and oral hygiene habits. An analysis of various treatment approaches for dental caries is presented. An evaluation of the proposed treatment methods was carried out in the aspect of a critical approach to preventive removal of hard tooth tissues. The main prospective directions for improvement of treatment and preventive measures are outlined. Conclusions. Dentistry should begin with the identification and elimination of cariesogenic factors, preventive measures should be dominant. With the elimination of carious disease, the need for related specialties will significantly decrease

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Methods for caries prevention in adults among dentists from a brazilian community

Cited by 3 publications

References 28 publications

Methods of Primary Clinical Prevention of Dental Caries in the Adult Patient: An Integrative Review

Methods of Primary Clinical Prevention of Dental Caries in the Adult Patient: An Integrative Review

Evidence-practice gap in treatment decisions about defective composite and amalgam restorations among Brazilian dentists

Modern Scientific Trends in the Treatment and Prevention of Dental Caries

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