Attitude of general dental practitioners to pediatric patients and preventive dentistry

2019 ◽  
Vol 10 (4) ◽  
pp. 178
Author(s):  
Ahmet Aras ◽  
MehmetSinan Dogan
2015 ◽  
Vol 9 (2) ◽  
pp. 69-80
Author(s):  
R Ramya ◽  
K Thanveer ◽  
CG Ajithkrishnan

ABSTRACT Background Private dentists’ knowledge and attitude on preventive dentistry may influence their practice and contribute to oral health of individuals and community. The objective of the study was to investigate the preventive orientation of private dental practitioners in Vadodara (India) through a questionnaire study. Methodology A cross-sectional self-administered questionnaire survey was conducted among Indian Dental Association-enrolled private dentists in Vadodara. The 37-item pre-tested questionnaire included questions about personal and professional characteristics and items to assess knowledge, attitude, practice and barriers related to preventive dentistry. Statistical methods included descriptive statistics and chi-square and correlation analysis using Pearson's Correlation coefficient. Results 82 of 140 eligible respondents filled the questionnaire (response rate: 58.57%). Majority were BDS degree holders (64.63%). Most dentists had solo-practice (65.85%) and had a work experience of 1-10 years (56.10%). 75% reported reading national and/or international dental journals. 62.20% claimed to have attended Continuing Dental Education programmes within the last year and interest was expressed by 89.02%. Majority (80.49%) possessed above average knowledge. Knowledge was higher among least experienced groups compared to the most experienced groups and it was statistically significant. 48.78% of respondents exhibited highly favourable attitude. Frequently rendered preventive measures were oral hygiene instructions, anti-tobacco advice and dietary advices practiced by 86.59%, 80.49% and 43.90% of dentists respectively. Oral cancer screening, fluoride and sealants were done by most dentists on risk basis. Lead protection was ignored by 43.90%. Most dentists perceived patient-related barriers as most impeding to preventive care. No correlation was observed between knowledge and attitude. Conclusion Preventive orientation of private dentists in Vadodara was encouraging with scope for improvement.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1535-1539
Author(s):  
Yuvashree C S ◽  
Vignesh Ravindran ◽  
Delphine Priscilla Antony S

The purpose of this study is to find negligence of early dental treatment. This research fulfils by providing insight on parents' care towards the child. The aim of our study is to find the prevalence of root stumps of primary teeth in pediatric patients. The current study was a comparative, descriptive and retrospective study which was performed under a university setting where all the data of patients with root stumps of primary teeth were collected by reviewing patients records and analysed the data of 86000 patients between June 2019 to March 2020. The collected data were tabulated; statistical analysis was done by SPSS – IBM. The study showed that out of 2360 extractions, 35 (1.5%)was found to be root stumps of primary teeth. The root stumps were more prevalent among four years of age (42.86%) with female predilection (81.25%) and the higher incidence with maxillary 2nd molars (11.4%). The prevalence of tooth loss was found to be high in children as well as the adults so dental professionals should utilize the various measures and protocols available in preventive dentistry to minimise the effects of tooth loss.


2004 ◽  
Vol os11 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Andy Toy ◽  
Wayne Richards

This opinion paper contends that a wide gap exists between the theory and practice of preventive dentistry. The reasons for this lie partly in the lack of recognition given to the potential for general dental practitioners (GDPs) to deliver health-focused care to their community of patients. This lack of recognition begins at undergraduate level and is also found among GDPs themselves. The creation of a specialism of primary dental care would help to bridge the gap between theory and practice, and help practitioners to create significantly improved levels of oral health within their respective communities.


BDJ ◽  
2021 ◽  
Vol 231 (8) ◽  
pp. 481-485
Author(s):  
Hugh Devlin ◽  
Tomos Williams ◽  
Jim Graham ◽  
Martin Ashley

AbstractIntroduction Reversal of enamel-only proximal caries by non-invasive treatments is important in preventive dentistry. However, detecting such caries using bitewing radiography is difficult and the subtle patterns are often missed by dental practitioners.Aims To investigate whether the ability of dentists to detect enamel-only proximal caries is enhanced by the use of AssistDent artificial intelligence (AI) software.Materials and methods In the ADEPT (AssistDent Enamel-only Proximal caries assessmenT) study, 23 dentists were randomly divided into a control arm, without AI assistance, and an experimental arm, in which AI assistance provided on-screen prompts indicating potential enamel-only proximal caries. All participants analysed a set of 24 bitewings in which an expert panel had previously identified 65 enamel-only carious lesions and 241 healthy proximal surfaces.Results The control group found 44.3% of the caries, whereas the experimental group found 75.8%. The experimental group incorrectly identified caries in 14.6% of the healthy surfaces compared to 3.7% in the control group. The increase in sensitivity of 71% and decrease in specificity of 11% are statistically significant (p <0.01).Conclusions AssistDent AI software significantly improves dentists' ability to detect enamel-only proximal caries and could be considered as a tool to support preventive dentistry in general practice.


2020 ◽  
Author(s):  
Hugh Devlin ◽  
Tomos Williams ◽  
Jim Graham ◽  
Martin Ashley

AbstractEnamel-only proximal caries, if detected, can be reversed by non-invasive treatments. Dental bitewing radiograph analysis is central to diagnosis and treatment planning and, when used to detect enamel-only proximal caries, it is an important tool in minimum intervention and preventive dentistry. However, the subtle patterns of enamel-only proximal caries visible in bitewing radiographs are difficult to detect and often missed by dental practitioners. This study measures the ability of dentists to detect enamel-only proximal caries in bitewing radiographs with and without the use of AssistDent® Artificial Intelligence (AI) software.23 dentists were randomly divided into a control arm, in which no Artificial Intelligence assistance was provided, and an experimental arm in which Artificial Intelligence assistance provided on-screen prompts for potential locations of enamel-only proximal caries. All participants analysed a set of 24 bitewings, gathered from one dental hospital and 11 general dental practices, which had previously been analysed independently by a panel of 5 dento-maxillofacial radiologists and 1 professor of restorative dentistry who, between them, identified a total of 65 enamel-only carious lesions and 241 healthy proximal surfaces.Results demonstrate that dentists using the assistive software found 75.8% of the enamel-only proximal caries compared to a 44.3% detection rate in the control group. This represents an absolute increase of 31.5% (relative increase in sensitivity of 71%). Participants in the experimental group incorrectly identified 14.6% of the healthy surfaces as having enamel-only proximal caries compared to 3.7% in the control group, an absolute increase of 10.9% (relative decrease in specificity of 11%).T-test analysis demonstrated a statistically significant difference (p<0.01) between the two arms in sensitivity (true positive caries detection rate) and specificity (false positive rate).We conclude that AssistDent® Artificial Intelligence software significantly improves dentists’ ability to detect enamel-only proximal caries, with only a slight increase in false positives, and could be considered as a tool to support minimum intervention and preventive dentistry in general practice.


Author(s):  
Hugh Devlin ◽  
Martin Ashley ◽  
Tomos Williams ◽  
Brian Purvis ◽  
Reza Roudsari

AbstractEnamel-only proximal caries, if detected, can be reversed by non-invasive treatments. Dental bitewing radiograph analysis is central to diagnosis and treatment planning and when used to detect enamel-only proximal caries it is an important tool in minimum intervention and preventive dentistry. However, the subtle patterns of enamel-only proximal caries visible in a bitewing radiographs are difficult to detect and often missed by dental practitioners. This pilot study measures the ability of a cohort of third-year dental students to detect enamel-only proximal caries in bitewing radiographs with and without the use of a deep learning assistive software AssistDent®. We demonstrate an increased ability in the detection of enamel-only proximal caries by the students using AssistDent, showing a mean sensitivity level of 0.80 (95%CI ± 0.04), increased from 0.50 (95%CI ± 0.13) p<0.01 shown by students not using AssistDent. This improvement in ability was achieved without an increase in false positives. Mean false positives per bitewing radiograph recorded by students when using AssistDent was 2.64 (95%CI ± 0.57), and by students without using AssistDent was 2.46 (95%CI ± 1.51). Based on these results we conclude that the AI-based software AssistDent significantly improves third-year dental students’ ability to detect enamel-only proximal caries and could be considered as a tool to support minimum intervention and preventive dentistry in teaching hospitals and general practice. We also discuss how the experience of conducting this pilot study can be used to inform the design and methodology of a follow-on study of AssistDent in dental practice use.


2015 ◽  
Vol 61 (3) ◽  
pp. 188-191
Author(s):  
K.-Ivácson A. Csinszka ◽  
Monea Monica ◽  
Pop Mihai ◽  
Albu-Stan Aurita ◽  
Borda Angela

AbstractThe purpose of this study was to determine the prevalence of rubber dam usage among endodontists, other specialized practitioners, general practitioners and undergraduate final year students in Tirgu-Mures, Romania.Material and method: A questionnaire was distributed among 250 subjects. Final year students and dentists were surveyed in relation to their prevalence of rubber dam usage.Results: Overall response rate was 72,4. While 84,07% of the subjects knew about the advantages, only 49,72% used it during their practice, mostly endodontist (90%) and other specialized practitioners (53,84%). The use of this system on pediatric patients was lower compared to adult patients. The frequency of the rubber dam usage during endodontic treatment was higher (71,11 %) compared to dental restorations (35,55%), and 84,49% of the subjects were are willing to gain further knowledge about this system.Conclusions: The results were similar to other reports originally from Eastern-European countries. The low percentage of the rubber dam usage presents quality issues, safety and medico-legal concerns for both the patient and the dentist. Greater emphasis should be placed on the advantages of rubber dam. Perception of final year dental students needs to be improved and continuing dental education for practitioners should be necessary to update their knowledge.


2021 ◽  
Vol 12 (1) ◽  
pp. 335
Author(s):  
Smita Singh Bhardwaj ◽  
Sara Alghamdi ◽  
Basim Almulhim ◽  
Abdullah Alassaf ◽  
Abdullah Almalki ◽  
...  

CBCT (Cone-beam computed tomography) is used for diagnosis, planning of treatment, and research. However, there are doubts and opinions regarding the use of CBCT for children and in pediatric dentistry. The knowledge about using this technique for pediatric patients is not clear to the dentists and some dental situations are still debated, therefore this study was done to understand the awareness and knowledge among dental practitioners and students across Saudi Arabia. A cross-sectional and descriptive survey was done on 464 dental practitioners and students, and 21 questions were put forward to assess the knowledge and awareness. All questions were then critically analyzed individually and descriptively concluded with appropriate references. Our study revealed that still very few dental practitioners are aware about the latest advances and use of this technique in pediatric dentistry, and more awareness needs to be created.


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