Attitudes And Behavior Of Dentists Regarding Management Of Deep Carious Lesion

Authors

  • Umeed Javaid
  • Shama Asghar
  • Kulsoom Fatima Rizvi

DOI:

https://doi.org/10.51985/JBUMDC2018132

Abstract

Objective: To assess the attitude and behavior of dentists for the management of deep carious lesions.
Study Design and Setting: It was a cross sectional based study conducted at six dental institutes of Karachi from both
government and private sectors.
Methodology: The included participants were the dental graduates and post graduates working in different specialties of
dentistry. Whereas graduates and post graduates not affiliated with any institution were excluded from the study. The
Questionnaire comprises of two parts, first part was composed of participant’s demographic details and academic qualification,
while the second part comprised of clinical scenarios regarding management of deep carious lesions.
Results: From the 250 distributed questionnaires, 218 dentists returned the questionnaire giving a satisfactory response
rate of 87.2%. There were 28% male and 72%% female dentists. The majority of dentists were aged between 25-35 years
old. Complete caries removal was the management of choice by 72.5% of dentists for deep carious lesions.
Conclusion: Complete caries removal was the most preferred treatment modality when the risk of dental pulpal exposure
associated with caries excavation is low. However when the risk is high, step-wise excavation was preferred procedure
by half of the participants.

References

Fontana M, Young DA, Wolff MS, Pitts NB, Longbottom C. Defining dental caries for 2010 and beyond. Dent ClinNorth Ame. 2010;54(3):423-40.

Weber CM, Alves LS, Maltz M. Treatment decisions for deep carious lesions in the Public Health Service in Southern Brazil. J Public Health Dent. 2011;71(4):265-70.

Phonghanyudh A, Phantumvanit P, Songpaisan Y, Petersen PE. Clinical evaluation of three caries removal approaches in primary teeth: a randomized controlled trial. Comm Dent Health. 2012;29(2):173-8

Pigg M, Nixdorf DR, Nguyen RH, Law AS, National Dental Practice-Based Research Network Collaborative Group. Validity of preoperative clinical findings to identify dental pulp status: A national dental practice-based research network study. Journal of Endodontics. 2016;42:935–42.

Schwendicke F, Schweigel H, Petrou MA, Santamaria R, Hopfenmüller W, Finke C, Paris S. Selective or stepwise removal of deep caries in deciduous molars: study protocol for a randomized controlled trial. Trials. 2015;16(1):11.

Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consensus recommendations on minimally invasive caries removal. British Dental Journal. 2017;223:215–22.

Wenzel A. Radiographic display of carious lesions and cavitation in approximal surfaces: Advantages and drawbacks of conventional and advanced modalities. Acta Odontologica Scandinavica. 2014;72:251–64

Koopaeei MM, Inglehart MR, McDonald N, Fontana M. General dentists', pediatric dentists', and endodontists' diagnostic assessment and treatment strategies for deep carious lesions. A comparative analysis. Journal of the American Dental Association. 2017;148:64–74.

Maltz M, Garcia R, Jardim JJ, De Paula LM, Yamaguti PM, Moura MS, Garcia F, Nascimento C, Oliveira A, Mestrinho HD. Randomized trial of partial vs. stepwise caries removal: 3-year follow-up. J Dental Res. 2012;91(11):1026-31.

Herrera Martínez H, Bonilla Represa V, Segura Egea JJ. Caries disease versus caries lesion: diagnostic and therapeutic implications according to the International Caries Consensus Collaboration Group. Endodoncia. 2016;34:204–19

Crespo-Gallardo I, Hay-Levytska O, Martín-González J, Jiménez-Sánchez MC, Sánchez-Domínguez B, Segura-Egea JJ. Criteria and treatment decisions in the management of deep caries lesions: Is there endodontic overtreatment? J ClinExp Dent. 2018;10(8):e751-60

Schwendicke F, Meyer-Lueckel H, Dörfer C, Paris S. Attitudes and behaviour regarding deep dentin caries removal: a survey among German dentists. Caries Res. 2013;47(6):566-73.

Stangvaltaite L, Kundzina R, Bolstad NL, Eriksen HM, Kerosuo E. Deep carious lesions and other consequences of caries among 18-year-olds at Public Dental Health Service in Northern Norway: A cross-sectional age cohort study. ActaOdontol Scand. 2015;73(6):401-7.

Siddqui AA, Alharbi TM, Rashidi FF. Deep carious lesions: respondent perception, knowledge and attitude of its management. Ind Am J Pharm Sci. 2018 Dec 1;5(12):16978-85.

Schwendicke F, Göstemeyer G. Understanding dentists’ management of deep carious lesions in permanent teeth: a systematic review and meta-analysis. Implement Sci. 2016 ;11(1):142.

Alnahwi TH, Alhamad M, Majeed A, Nazir MA. Management preferences of deep caries in permanent teeth among dentists in Saudi Arabia. Eur J Dent. 2018;12(2):300-4

Schwendicke F, Stangvaltaite L, Holmgren C, et al. Dentists’ attitudes and behaviour regarding deep carious lesion management: a multi-national survey. Clin Oral Investig. 2017;21(1):191-8.

Mattos J, Soares GM, Ribeiro AD. Current status of conservative treatment of deep carious lesions. Dent update. 2014;41(5):452-6.

Unlu N, Ermis RB, Sener S, Kucukyilmaz E, Cetin AR. An in vitro comparison of different diagnostic methods in detection of residual dentinal caries. Int J Dent. 2010;864935:1-8.

Li T, Zhai X, Song F, Zhu H. Selective versus non-selective removal for dental caries: a systematic review and meta-analysis. ActaOdontol Scand. 2018;76(2):135-40.

Schwendicke F, Frencken J, Innes N. Current Concepts in Carious Tissue Removal. Curr Oral Health. 2018;5(3):154-62.

Rabi T. Knowledge, Attitude, and Practice Survey of Dentists in Palestine toward Deep Dentin Caries Removal. Cons Dent Endod J 2016 July 1(2):28-32.

Katz CR, de Andrade MD, Lira SS, Ramos Vieira EL, Heimer MV. The concepts of minimally invasive dentistry and its impact on clinical practice: a survey with a group of Brazilian professionals. Int J Dent. 2013 Apr;63(2):85-90.

Santamaria R, Innes N. Trial shows partial caries removal is an effective technique in primary molars.Evid Based Dent 2014;15(3):81-2.

Lehmann M, Veitz-Keenan A, Matthews AG, Vena D, Grill A, Craig RG, Curro FA, Thompson VP. Dentin caries activity in early occlusal lesions selected to receive operative treatment: findings from the Practitioners Engaged in Applied Research and Learning (PEARL) Network. J Am Dent Assoc. 2012;143(4):377-85.

Vural U. Treatment method and restorative material preferences of dental practitioners. Eur J Gen Dent. 2016;5(1):19-23.

Segura-Egea JJ. Complete excavation or removal of carious tissues to hard dentin: Overtreatment. J Oral Res. 2017;6(2):30-1.

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Published

2019-08-06

How to Cite

Javaid, U. ., Asghar, S. ., & Rizvi, K. F. . (2019). Attitudes And Behavior Of Dentists Regarding Management Of Deep Carious Lesion. Journal of Bahria University Medical and Dental College, 9(3), 206–209. https://doi.org/10.51985/JBUMDC2018132

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