CONTEMPORARY DENTAL CARIES MANAGEMENT CONCEPTS IN PAEDIATRIC DENTISTRY: A SURVEY OF AWARENESS AND PRACTICE OF A GROUP OF GULF COOPERATION COUNCIL DENTISTS

Abstract Background Dental caries is a significant public health problem in Iran. Teaching minimally invasive interventions in paediatric dentistry may facilitate the provision of treatment for untreated dental caries in children. We evaluated the teaching of such interventions in both undergraduate dental curriculum and Paediatric Dentistry Specialty Training Programme (PDSTP) in Iran. Methods This was a cross-sectional questionnaire-based survey. Participants in this study were the directors of 40 undergraduate programmes and 15 PDSTPs in all Iranian dental schools (response rate = 100%). Descriptive statistics were reported. Results The most commonly taught methods were preventive fissure sealant and preventive resin restoration (PRR), which were taught ‘both didactically and clinically’ in all undergraduate dental programmes. The least commonly taught methods were silver diamine fluoride (SDF), the Hall technique and resin infiltration, which were taught ‘both didactically and clinically’ in less than 5% of dental schools. The same three methods were the least commonly approaches taught in PDSTP, further, they were less often perceived to be ‘essential’. Conclusions There was a notable variation in the teaching of the management of dental caries in Iran’s dental education. Some minimally invasive approaches including SDF, the Hall technique and resin infiltration are not being commonly taught in Iranian dental schools despite the evidence base for these techniques.

Download Full-text

THE CARIES MANAGEMENT SYSTEM: UPDATING COST-EFFECTIVENESS WITH 4-YEAR POSTTRIAL DATA

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462316000246 ◽

2016 ◽

Vol 32 (3) ◽

pp. 107-115 ◽

Cited By ~ 5

Author(s):

Emma Warren ◽

Bradley H. Curtis ◽

Nan Jia ◽

R. Wendell Evans

Keyword(s):

Cost Effectiveness ◽

Dental Caries ◽

Management System ◽

Controlled Trial ◽

Lifetime Cost ◽

Age Distribution ◽

Real Life ◽

Caries Management

Objectives: Long-term follow-up of the Caries Management System (CMS) protocol demonstrated that regular monitoring and noninvasive management of dental caries is effective in reducing the number of caries-related events over a 7-year period. This analysis complements the authors’ original economic evaluation of the CMS by re-evaluating the per-protocol cost-effectiveness of the CMS approach.Methods: An individual patient-simulation Markov model was developed previously, based on 3-year randomized-controlled trial (RCT) data, to simulate the incidence and progression of dental caries, and resultant interventions, and to evaluate the lifetime cost-effectiveness of the CMS versus standard dental care from the Australian private dental practitioner perspective (in which the baseline age distribution was similar to that of the Australian population). The 4-year posttrial follow-up data are used to re-evaluate the long-term cost-effectiveness of the CMS in a more real-life setting.Results: The reduction in caries risk was maintained among those practices within which the CMS protocols were adhered to. The per-protocol model appears to be reasonably accurate at predicting the risk of restorative events in the posttrial follow-up period. The per-protocol lifetime cost per restorative event avoided is AUD1,980 (USD1,409; 1 AUD = 0.71 USD).Conclusions: The current analysis confirms that the CMS approach is both effective, when the protocols are adhered to appropriately, and cost-effective compared with standard care in the Australian private practice setting.

Download Full-text

The Interprofessional Role in Dental Caries Management

Dental Clinics of North America ◽

10.1016/j.cden.2019.05.003 ◽

2019 ◽

Vol 63 (4) ◽

pp. 663-668

Author(s):

Kristen Flick ◽

Leonardo Marchini

Keyword(s):

Dental Caries ◽

Caries Management

Download Full-text

Salivary sIgA and PRAP-1 Protein in Relation to Dental Caries: A Comparative Study

Journal of Advanced Oral Research ◽

10.1177/2320206820913746 ◽

2020 ◽

Vol 11 (1) ◽

pp. 71-76 ◽

Cited By ~ 1

Author(s):

Aseel Al-ani ◽

Douglas A. MacDonald ◽

Maha Ahmad

Keyword(s):

Dental Caries ◽

Secretory Iga ◽

Enzyme Linked Immunosorbent Assay ◽

Caries Risk ◽

Confounding Variables ◽

High Caries Risk ◽

Caries Management ◽

Assessment Guidelines ◽

Unstimulated Saliva ◽

The Relationship

Aim: Certain individuals are more prone to dental caries than others are. Caries risk may be related in the secretion of certain defensive salivary proteins including secretory IgA (sIgA) and proline-rich acidic protein (PRAP-1). In this study, we investigated the relationship between PRAP-1 and sIgA leading to the susceptibility of development of dental caries in adults and explored the differences in the levels of sIgA and PRAP-1 between men and women. Materials and Methods: Unstimulated saliva samples were collected from 28 patients with high caries risk and 32 control subjects with low caries risk according to caries management by risk assessment guidelines. sIgA and PRAP-1 levels in clarified saliva samples were measured using the enzyme-linked immunosorbent assay. Results: According to our results, sIgA and PRAP-1 levels did not demonstrate statistically significant differences as a function of caries risk or gender, even when potential confounding variables such as age and numbers of teeth were taken into consideration. Estimates of effect size, however, revealed small- to medium-sized effects and suggest that significant results may have been found if larger sample sizes were used. Conclusion: The results of this study indicate that caries risk and salivary levels of sIgA and PRAP-1 do not appear to be significantly associated. Statistically significant findings could emerge if the sample size was larger.

Download Full-text