scholarly journals Attitudes And Behavior Of Dentists Regarding Management Of Deep Carious Lesion

2019 ◽  
Vol 09 (03) ◽  
pp. 206-209
Author(s):  
Umeed Javaid ◽  
Shama Asghar ◽  
Kulsoom Fatima Rizvi

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.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jan E. Clarkson ◽  
Craig R. Ramsay ◽  
David Ricketts ◽  
Avijit Banerjee ◽  
Chris Deery ◽  
...  

Abstract Background Dental caries is one of the most prevalent non-communicable disease globally and can have serious health sequelae impacting negatively on quality of life. In the UK most adults experience dental caries during their lifetime and the 2009 Adult Dental Health Survey reported that 85% of adults have at least one dental restoration. Conservative removal of tooth tissue for both primary and secondary caries reduces the risk of failure due to tooth-restoration, complex fracture as well as remaining tooth surfaces being less vulnerable to further caries. However, despite its prevalence there is no consensus on how much caries to remove prior to placing a restoration to achieve optimal outcomes. Evidence for selective compared to complete or near-complete caries removal suggests there may be benefits for selective removal in sustaining tooth vitality, therefore avoiding abscess formation and pain, so eliminating the need for more complex and costly treatment or eventual tooth loss. However, the evidence is of low scientific quality and mainly gleaned from studies in primary teeth. Method This is a pragmatic, multi-centre, two-arm patient randomised controlled clinical trial including an internal pilot set in primary dental care in Scotland and England. Dental health professionals will recruit 623 participants over 12-years of age with deep carious lesions in their permanent posterior teeth. Participants will have a single tooth randomised to either the selective caries removal or complete caries removal treatment arm. Baseline measures and outcome data (during the 3-year follow-up period) will be assessed through clinical examination, patient questionnaires and NHS databases. A mixed-method process evaluation will complement the clinical and economic outcome evaluation and examine implementation, mechanisms of impact and context. The primary outcome at three years is sustained tooth vitality. The primary economic outcome is net benefit modelled over a lifetime horizon. Clinical secondary outcomes include pulp exposure, progession of caries, restoration failure; as well as patient-centred and economic outcomes. Discussion SCRiPT will provide evidence for the most clinically effective and cost-beneficial approach to managing deep carious lesions in permanent posterior teeth in primary care. This will support general dental practitioners, patients and policy makers in decision making. Trial Registration Trial registry: ISRCTN. Trial registration number: ISRCTN76503940. Date of Registration: 30.10.2019. URL of trial registry record: https://www.isrctn.com/ISRCTN76503940?q=ISRCTN76503940%20&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10&searchType=basic-search.


2020 ◽  
Vol 11 (2) ◽  
pp. 158-166
Author(s):  
Thesa Frovela

The health and nutritional status of pregnant women determined at teenager and adult during a eligible woman, so everyone must have knowledge, attitudes and behaviors about nutrition so that they don’t have mistakes in food selection. The purpose of this observation is determine the relationship between knowledge, attitudes, and behavior about nutritional balance with the nutritional status of students in Poltekkes Kemenkes Bengkulu in 2020. The design of this observation is obsevational cross-sectional design conducted in January in Poltekkes Kemenkes Bengkulu with a population of 640 people and a sample of 60 people. The statistical analysis used the pearson correlation test. The results showed that the average knowledge about balanced nutrition was good enough, the average attitude about balanced nutrition was good, the average behavior about balanced nutrition was good and the average nutritional status of female students was in the normal category. There is a relationship between knowledge about nutritional balance with nutritional status of student (r = 0.324), there is a relationship between attitudes about nutritional balance with nutritional status of student (r = 0.373), and there is a relationship between behavior about nutritional balance with nutritional status of student (r = 0.343). It is expected that students can improve their knowledge, attitudes and behaviors about nutritional balance.


Author(s):  
Nehad J. Ahmed ◽  
Abdulrahman S. Alrawili ◽  
Faisal Z. Alkhawaja

Aim: The aim of this study was to identify the public concerns, attitudes and behavior towards vaccination. Methodology: This was a cross-sectional study that included an online survey about the public concerns, attitudes and behavior towards vaccination in Saudi Arabia. The survey was translated to Arabic language and converted to an online form using google forms and after that it was sent to be filled by the parents. Results: About 92% of the respondents said that children should be vaccinated in order to protect them and about 86% of them believed that vaccinations are safe for children in general. Regarding the concerns about vaccination, about 69% of the respondents were concerned about the distress to children of the injection itself and 59% of them were concerned about the increasing number of vaccines recommended for children. Furthermore, about 62% of the respondents were concerned that vaccines are not tested enough for safety. Conclusion: The majority of respondents in this study reported positive attitude but more than half of them expressed some degree of concern regarding children vaccination. Healthcare professionals should play an active role in clarifying these concerns about vaccination with the public. Moreover, they should communicate with parents regarding the vaccinations and provide them with a trusted information about the vaccine.


2021 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Naimah Naimah ◽  
Wahyu Setyaningsih

  Abstract Clean and Healthy Living Behavior (CHLB) is an effort to improve health quality through clean and healthy daily life behaviors. The problem of health behavior in children is related to personal hygiene, the environment, and the emergence of various diseases that often attack children. One of the preventive measures is to teach CHLB to children as early as possible by using interesting and easy-to-understand media for children. This study aims to determine the effect of a combination of a pop-up book and poster media on the ability of CHLB children aged 6-12 years. This study used a cross-sectional approach with 90 respondents divided into 3 groups. Collecting data using a questionnaire and analyzed by univariate, bivariate, and multivariate. The results showed that 66.67% of respondents had knowledge in the sufficient category and 10% in the less category before being given a combination of the two methods. Each respondent experienced a significant change in their knowledge. Statistical testing with MANOVA analysis on the comparison between treatment groups on knowledge, attitudes, and behavior obtained a calculated F value of 172,000 with a significance of <0.001 indicating that there were significant differences between treatment groups on knowledge, attitudes, and behavior. The use of pop-up books and posters can be used in the learning process because they have a major impact on increasing children's knowledge, attitudes, and behavior in an effort to maintain health through clean and healthy living behaviors. 


2017 ◽  
Vol 41 (6) ◽  
pp. 429-441 ◽  
Author(s):  
Osama Safwat ◽  
Mona Elkateb ◽  
Karin Dowidar ◽  
Omar El Meligy

Aim: To evaluate the clinical changes in dentin of deep carious lesions in young permanent molars, following ozone application with and without the use of a remineralizing solution, using the stepwise excavation. Study design: The sample included 162 first permanent immature molars, showing deep occlusal carious cavities that were indicated for indirect pulp capping. Teeth were divided into 2 main groups according to the method of ozone treatment. Each group was further subdivided equally into test and control subgroups. Following caries excavation, color, consistency and DIAGNOdent assessments of dentin were evaluated after 6 and 12 months. Results: Regarding dentin color and consistency, no significant differences were observed following ozone application, with and without a remineralizing solution. There were no significant differences between ozone treatment, and calcium hydroxide during the different evaluation periods, except in group I cases after 6 months, concerning the dentin color. The DIAGNOdent values were significantly reduced following ozone application, with or without a remineralizing solution, as well as between test and control cases in group I after 6 months. Conclusions: Ozone application through the stepwise excavation had no significant effect on dentin color and consistency in young permanent molars. DIAGNOdent was unreliable in monitoring caries activity.


Burns ◽  
2005 ◽  
Vol 31 (7) ◽  
pp. 850-854
Author(s):  
Altuğ Kut ◽  
İbrahim Tokalak ◽  
Özgür Başaran ◽  
Gökhan Moray ◽  
Mehmet Ali Haberal

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jutharat Manuschai ◽  
Supitcha Talungchit ◽  
Supawadee Naorungroj

Background. When silver diamine fluoride (SDF) is used in conjunction with conservative caries removal in deep carious lesions, the distribution depth of silver is critical for safety and effectiveness. Objective. The purpose of this study is to determine the effect of selected caries removal on silver penetration when 38% SDF is applied to deep carious lesions in permanent teeth. Methods. Extracted permanent teeth with caries extending to the inner third of the dentin were used (N = 18). The periphery of the carious lesion was completely removed to the dentinoenamel junction (DEJ). In group A (n = 9), no further removal of carious tissue was performed, leaving necrotic dentin inner to the DEJ, whereas in group B (n = 9) superficial necrotic dentin was completely removed until leathery, slightly moist, reasonably soft dentin remained. SDF was applied for 3 minutes in both groups. Microcomputer tomography (micro-CT) and field emission scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (FESEM-EDS) were used to measure mineral density and silver distribution. The silver penetration depth/lesion depth (PD/LD) ratio was calculated for each sample. The Mann–Whitney U test was used to compare differences between the two groups. Results. The micro-CT analysis showed that the PD/LD ratios of group B (1.07–2.29) were marginally greater than those of group A (1.00–1.31). However, a statistically significant difference was not observed ( p value = 0.5078). When stratified by remaining dentin thickness (RDT), the PD/LD ratios of group B were still greater than those of group A only when RDT was >500 µm. The FESEM-EDS analysis indicated that silver particles precipitated throughout the entire thickness of the carious lesions. Conclusion. Applying SDF on a deep carious lesion and leaving the necrotic dentin pulpally did not affect silver penetration. However, the extent to which silver penetrates the remaining dentin beneath the lesions is dependent on the amount and characteristics of that dentin.


2021 ◽  
Vol 53 (2) ◽  
Author(s):  
Vicky Sagita Hanka ◽  
Edward Surjono

Immunization, which is usually done by giving vaccinations, is the process of forming immunity in individuals against infectious diseases. The target in the Strategic Plan of the Ministry of Healht of the Republic of Indonesia in 2015-2019 aimed for 93 % of coverage. However, according to the report of the Indonesian Basic Health Survey (IBHR), there is actually a decrease in basic immunization coverage for the period of 2012–2015 when compared to the previous period. This study aimed to determine the correlation between parental knowledge, attitudes, and behavior towards complete course of basic immunization among parents of an elementary school in North Jakarta, Indonesia, in 2018 and 2019. This was a cross-sectional analytical descriptive study involving 110 respondents. Data were obtained through a questionnaire that was distributed to parents that included questions on knowledge, attitude, and behavior towards complete basic immunization. Out of 110 respondents, 70% stated that their child received the full basic immunization course while the remaining 30% stated that their child only received some of the vaccines required in the basic immunization course. There was no correlation, based on the bivariate analytical test, between parental behavior (p = 0.868), parental attitude (p = 0.647), and full course of basic immunization. In contrast, parental knowledge influences whether the child will receive the full course of basic immunization or not (p=0.000).


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