Awareness Regarding Minimally Invasive Dentistry among Dentists of Karachi
DOI:
https://doi.org/10.51985/JBUMDC2018131Keywords:
Caries detection, Minimally Invasive Dentistry, Remineralization, Tooth Preservation.Abstract
The objective of this study was to assess awareness of dental practitioners of Karachi regarding minimally invasive dentistry.
Study design and Setting: It was a cross sectional study based on questionnaire, conducted in 6 different dental hospitals
of Karachi. The sample included dentists who were actively practicing clinical dentistry in Karachi. Specialists were
excluded from the study
Methodology: A study questionnaire was distributed to the participants which comprised of demographic details, professional
data and Likert-Scale based questions to asses respondent’s agreement level related to caries activity, assessment, detection
and treatment.
Results: Out of the 151 questionnaires distributed, 119 were analysed with an overall response rate of 78.8%. From the
total 67.2% dentists were received training in MID through some means in which 36% received training in MID by lectures
and clinical training both while 32.8% had no training in MID. MID techniques like ART and sandwich technique was
found to be effective by 65% and 50.4% respectively. The 58.8% participants were agreed that caries risk assessment (CRA)
should be done in every patient and 55.5% dentists were agreed that restoration should be planned according to patient’s
assessment
Conclusion: General Dental Practioners were not completely aware of the concepts and application of minimally invasive
procedures and had little knowledge regarding caries detection methods and lacked in implementation of MID techniques
in their daily practice.
References
Ericson D, Kidd E, McComb D, Mjör I, Noack MJ. Minimally invasive dentistry—concepts and techniques in cariology. Oral Health Prev Dent. 2003;1(1):59-72.
Ericson D. What is minimally invasive dentistry? Oral Health Prev Dent. 2004;2:287-92.
Mital P, Mehta N, Saini A, Raisingani D, Sharma M. Recent advances in detection and diagnosis of dental caries. J Evo Med Dent Sci. 2014;3(1):177-92.
Shah AH, Sheddi FM, Alharqan MS, Khawja SG, Vohra F, Akram Z, Faden AA, Khalil HS. Knowledge and attitude among general dental practitioners towards minimally invasive dentistry in Riyadh and Alkharj. J Clin Diagn Res. 2016;10(7):ZC90.
Oliveira DC. "Minimally invasive dentistry approach in dental public health." MS (Master of Science) thesis, University of Iowa, 2011. https://doi.org/10.17077/etd.ri6w529b
Walsh LJ, Brostek AM. Minimum intervention dentistry principles and objectives. Aus Den J. 2013;58:3-16.
Mohanraj M, Prabhu VR, Senthil R. Diagnostic methods for early detection of dental caries-A review. Int J PedodRehabil. 2016;1(1):29-36.
Gomez: Detection and diagnosis of the early caries lesion. BMC Oral Health 2015; 15(Suppl 1):S3.
Jingarwar MM, Bajwa NK, Pathak A. Minimal intervention dentistry–a new frontier in clinical dentistry. J Clin Diagn Res. 2014 ;8(7):ZE04.
Leon A, Ungureanu L, Puºcaºu C. Air Abrasion: Interdiscip-linary Modern Technologies— Approach to Minimally Invasive Treatment of Dental Caries, Proceedings of the International Conference on Interdisciplinary Studies (ICIS 2016) - Interdisciplinarity and Creativity in the Knowledge Society, Valentina Mihaela Pomazan, IntechOpen, DOI: 10.5772/65419.
Sambashiva RP, Pratap KM, Nanda KK, Sandya PS. " Drill-less" dentistry-the new air abrasion technology. Ind J Dent Advanc. 2011;3(3):598-602.
Guzmán-Armstrong S, Chalmers J, Warren JJ. White spot lesions: Prevention and treatment. Am J OrthodDentofac Orthop. 2010;138(6):690-6.
Mohiuddin S, Nisar N, Dawani N. Dental caries status among 6 and12 years old school children of Karachi city. J Pak Dent Assoc. 2015;24(1):39-45.
Umer MF, Farooq U, Shabbir A, Zofeen S, Mujtaba H, Tahir M. Prevalence and associated factors of dental caries, gingivitis, and calculus deposits in school children of Sargodha district, Pakistan. J Ayub Med Coll Abbottabad. 2016;28(1):152-6.
Mubarak S, Hayat A, Akbar S. Prevalence of Dental Caries of One Grade School Children in Karachi. Pak Oral &Dent J. 2016;36(1):116-8.
Mirsiaghi F, Leung A, Fine P, Blizard R, Louca C. An investigation of general dental practitioners' understanding and perceptions of minimally invasive dentistry. Br Dent J. 2018;225(5):420-4.
Rayapudi J, Usha C. Knowledge, attitude and skills of dental practitioners of Puducherry on minimally invasive dentistry concepts: A questionnaire survey. J Conserv Dent. 2018;21(3): 257-62.
Sushanth V, Bhate P, Imranulla M, Kalra D, Kumar N, Prashant G. Assessment of knowledge, attitude, and practice regarding preventive options in oral care among dentists in Davangere city, Karnataka: A cross-sectional study. Dent Med Res 2015;3:20-5.
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 Dent J. 2013 ;63(2):85-90
Sheiham A, James WP. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res. 2015;94(10): 1341-7.
Kakudate N, Sumida F, Matsumoto Y, Yokoyama Y, Riley III JL, Gilbert GH, Gordan VV. Dentists’ decisions to conduct caries risk assessment in a Dental Practice-Based Research Network. Community Dent Oral Epidemiol. 2015;43(2):128-34.
Mattos-Silveira J, Oliveira MM, Matos R, Moura-Netto C, Mendes FM, Braga MM. Do the ball-ended probe cause less damage than sharp explorers? —An ultrastructural analysis. BMC oral health. 2016;16(1):16-39.
Ismail AI. Visual and visuo-tactile detection of dental caries. J Dent Res. 2004;83:C56–66.
Ntovas P, Loubrinis N, Maniatakos P, Rahiotis C. Evaluation of dental explorer and visual inspection for the detection of residual caries among Greek dentists. J Conserv Dent. 2018;21(3):311-18.
Keenan JR, Keenan AV. Accuracy of dental radiographs for caries detection. Evid Based Dent. 2016;17(2):17-43.
De Amorim RG, Frencken JE, Raggio DP, Chen X, Hu X, Leal SC. Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis. Clin Oral Investig. 2018;22(8):2703-25.
Murdoch-Kinch CA, McLEAN ME. Minimally invasive dentistry. The J Am Dent Assoc. 2003;134(1):87-95.
Marinho VCC, Higgins JPT, Sheiham A, Logan S. One topical fluoride (toothpastes, or mouthrinses, or gels, or varnishes) versus another for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD002780. DOI: 10.1002/ 14651858. CD002780.pub2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Sara Ikram Khan, Shama Asghar, Adeena Abid, Farwah Aftab
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
