Purpose, structure, and function of the United States National Dental Practice-Based Research Network

Gilbert, Gregg H.; Williams, O. Dale; Korelitz, James; Fellows, Jeffrey L.; Gordan, Valeria V.; Makhija, Sonia K.; Meyerowitz, Cyril; Oates, Thomas W.; Rindal, D. Brad; Benjamin, Paul; Foy, Patrick J.

doi:10.1016/j.jdent.2013.04.002

Cited by 110 publications

(108 citation statements)

References 12 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…This research was conducted within the National Dental Practice-Based Research Network (23, 24); details are provided at http://nationaldentalpbrn.org/. The study methods have been previously reported (25) and pertinent points are presented below, conforming to STROBE guidelines.…”

Section: Methodsmentioning

confidence: 99%

Root Canal Therapy Reduces Multiple Dimensions of Pain: A National Dental Practice-based Research Network Study

Law

Nixdorf

Rabinowitz³

et al. 2014

Journal of Endodontics

View full text Add to dashboard Cite

Background Initial orthograde root canal therapy (RCT) is used to treat dentoalveolar pathosis. The affect RCT has on pain intensity has been frequently reported, but the affect on other dimensions of pain has not. Also, the lack of large prospective studies involving diverse groups of patients and practitioners that are not involved in data collection suggest that there are multiple opportunities for bias to be introduced when this data is systematically aggregated. Method This prospective observational study assessed pain intensity, duration, and its interference with daily activities among RCT patients. Sixty-two practitioners (46 general dentists, 16 endodontists) in the National Dental Practice-Based Research Network enrolled patients requiring RCT. Patient reported data were collected before, immediately following, and one week after treatment using the Graded Chronic Pain Scale. Results Enrollment of 708 patients was completed over 6 months with 655 patients (93%) providing one-week follow-up data. Prior to treatment, patients reported a mean (±standard deviation) worst pain intensity of 5.3±3.8 (0-10 scale), 50% had “severe” pain (≥7), and mean days in pain and days pain interfered with activities were 3.6±2.7 and 0.5±1.2, respectively. Following treatment, patients reported a mean worst pain intensity of 3.0±3.2, 19% had “severe” pain, and mean days in pain and days with pain interference were 2.1±2.4 and 0.4±1.1, respectively. All changes were statistically significant (p<0.0001). Conclusions RCT is an effective treatment for patients experiencing pain, significantly reducing pain intensity, duration, and related interference. Further research is needed to reduce the proportion of patients reporting “severe” post-operative pain.

show abstract

Section: Methodsmentioning

confidence: 99%

Root Canal Therapy Reduces Multiple Dimensions of Pain: A National Dental Practice-based Research Network Study

Law

Nixdorf

Rabinowitz³

et al. 2014

Journal of Endodontics

View full text Add to dashboard Cite

show abstract

“…Dental care has evolved slowly from the approach of restoring all carious lesions, regardless of size, to one of “early detection and management.” 16 Hamilton and colleagues 14 studied 223 QOC lesions in a randomized trial comparing air abrasion with monitoring over a two-year observation period. Only 16 percent (n = 100) of the lesions randomly assigned to the monitoring arm progressed into the dentin by the end of the two-year observation period on the basis of clinical examination, showing that conservation of tooth structure is possible.…”

Section: Discussionmentioning

confidence: 99%

“…The following regions participated in this study: Alabama/Mississippi (AL/MS), Florida/Georgia (FL/GA), Minnesota (MN) and Denmark (DK). The network subsequently evolved into its current form, 16 under the aegis of which we prepared the manuscript of this article. The respective institutional review board in each region approved the study.…”

Section: Methodsmentioning

confidence: 99%

Twenty-month follow-up of occlusal caries lesions deemed questionable at baseline

Makhija¹,

Gilbert²,

Funkhouser³

et al. 2014

The Journal of the American Dental Association

Self Cite

View full text Add to dashboard Cite

Background A questionable occlusal caries (QOC) lesion can be defined as an occlusal surface with no radiographic evidence of caries, but caries is suspected because of clinical appearance. In this study, the authors report the results of a 20-month follow-up of these lesions. Methods Fifty-three clinicians from The National Dental Practice-Based Research Network participated in this study, recording lesion characteristics at baseline and lesion status at 20 months. Results At baseline, 1,341 QOC lesions were examined; the treatment that was planned for 1,033 of those at baseline was monitoring (oral hygiene instruction, applying or prescribing fluoride or varnish, or both), and the remaining 308 received a sealant (n = 192) or invasive therapy (n = 116). Of the 1,033 monitored lesions, the clinician continued at the 20-month visit to monitor 927 (90 percent). Clinicians decided to seal 61 (6 percent) of these lesions (mean follow-up, 19 months), and invasively treat 45 (4 percent) of them (mean follow-up, 15 months). Young patient age (< 18 years) (odds ratio = 3.4; 95 percent confidence interval, 1.7–6.8) and the lesion’s being on a molar (odds ratio = 1.8; 95 percent confidence interval, 1.3–2.6) were associated with the clinician’s deciding at some point after follow-up to seal the lesion or treat it invasively. Conclusions Almost all (90 percent) QOC lesions for which the treatment planned at baseline was monitoring still were planned to undergo monitoring after 20 months. This finding suggests that noninvasive management is appropriate for these lesions. Practical Implications Previous study results from baseline indicated a high prevalence for QOC lesions (34 percent). Clinicians should consider long-term monitoring when making treatment decisions about these lesions.

show abstract

“…10111213 However, the National Dental Practice-Based Research Network has conducted studies of restorative treatment decisions that have included both questionnaire and clinical data. 14 Some network practitioners participated in both studies, which allowed the evaluation of concordance of treatment decisions across studies. Therefore, the objective for this study is to quantify the agreement between treatment recommended during hypothetical clinical scenarios and actual treatment provided in comparable clinical circumstances by the same dentists.…”

Section: Introductionmentioning

confidence: 99%

Concordance between responses to questionnaire scenarios and actual treatment to repair or replace dental restorations in the National Dental PBRN

Heaven

Gordan

Litaker

et al. 2015

Journal of Dentistry

Self Cite

View full text Add to dashboard Cite

Objective To quantify the agreement between treatment recommended during hypothetical clinical scenarios and actual treatment provided in comparable clinical circumstances. Methods A total of 193 practitioners in the National Dental Practice-Based Research Network participated in both a questionnaire and a clinical study. The questionnaire included three hypothetical scenarios about treatment of existing restorations. Clinicians then participated in a clinical study about repair or replacement of existing restorations. We quantified the overall concordance between their questionnaire responses and what they did in actual clinical treatment. Results Practitioners who recommended repair (instead of replacement) of more scenario restorations also had higher repair percentages in clinical practice. Additionally, for each of the three hypothetical scenario restorations, practitioners who recommended repair had higher repair percentages in clinical practice. Conclusions The questionnaire scenarios were a valid measure of clinicians’ tendency to repair or replace restorations in actual clinical practice. Clinical implications Although there was substantial variation in practitioners’ tendency to repair or replace restorations, responses to questionnaire scenarios by individual practitioners were concordant with what they did in actual clinical practice.

show abstract

Purpose, structure, and function of the United States National Dental Practice-Based Research Network

Cited by 110 publications

References 12 publications

Root Canal Therapy Reduces Multiple Dimensions of Pain: A National Dental Practice-based Research Network Study

Root Canal Therapy Reduces Multiple Dimensions of Pain: A National Dental Practice-based Research Network Study

Twenty-month follow-up of occlusal caries lesions deemed questionable at baseline

Concordance between responses to questionnaire scenarios and actual treatment to repair or replace dental restorations in the National Dental PBRN

Contact Info

Product

Resources

About