OBJECTIVE: The aim of this study was to compare treatment decisions in primary dentistry between Japanese and UK-based paediatric dental specialists. METHODS: Four clinical scenarios involving a 6-year-old boy were used to ascertain the clinical opinions of participants. The scenarios presented: (i) a single distal cavity, vital and without pain; (ii) a distal occlusal cavity, vital and without pain; (iii) a large distal occlusal cavity, non-vital and without pain, and (iv) a large distal occlusal cavity, non-vital and painful. Participants were 104 Japanese and 115 UK-based paediatric dental specialists. RESULTS: In the first scenario, some UK specialists showed a preference for vital pulpotomy with a stainless steel crown (10.3% compared with 0.9% in Japan). In the second scenario, Japanese participants were more likely than UK participants to offer traditional restorative care (73.6% vs. 24.1%). In the third scenario, 54.7% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists selected non-vital pulpotomy with stainless steel crown. In the final scenario, 74.0% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists chose not to offer any treatment other than extraction. CONCLUSIONS: Japanese and UK specialists in paediatric dental care choose different interventions for the same clinical problems.
OBJECTIVE: The aim of this study was to compare treatment decisions in primary dentistry between Japanese and UK-based paediatric dental specialists. METHODS: Four clinical scenarios involving a 6-year-old boy were used to ascertain the clinical opinions of participants. The scenarios presented: (i) a single distal cavity, vital and without pain; (ii) a distal occlusal cavity, vital and without pain; (iii) a large distal occlusal cavity, non-vital and without pain, and (iv) a large distal occlusal cavity, non-vital and painful. Participants were 104 Japanese and 115 UK-based paediatric dental specialists. RESULTS: In the first scenario, some UK specialists showed a preference for vital pulpotomy with a stainless steel crown (10.3% compared with 0.9% in Japan). In the second scenario, Japanese participants were more likely than UK participants to offer traditional restorative care (73.6% vs. 24.1%). In the third scenario, 54.7% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists selected non-vital pulpotomy with stainless steel crown. In the final scenario, 74.0% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists chose not to offer any treatment other than extraction. CONCLUSIONS: Japanese and UK specialists in paediatric dental care choose different interventions for the same clinical problems.
Authors: Cynthia M Pine; Pauline M Adair; Poul Erik Petersen; Chester Douglass; Girvan Burnside; Alison D Nicoll; Angela Gillett; Ruth Anderson; David Beighton; Bian Jin-You; Zdenek Broukal; John P Brown; Ivor G Chestnutt; Dominique Declerck; Deirdre Devine; Ivar Espelid; Giuliano Falcolini; Feng Xi Ping; Ruth Freeman; David Gibbons; Tshepo Gugushe; Rebecca Harris; Jennifer Kirkham; Edward C M Lo; Philip Marsh; Gerardo Maupomé; Sudeshni Naidoo; Francisco Ramos-Gomez; Betty King Sutton; Sonia Williams Journal: Community Dent Health Date: 2004-03 Impact factor: 1.349
Authors: Cynthia M Pine; Pauline M Adair; Girvan Burnside; Alison D Nicoll; Angela Gillett; S Aida Borges-Yáñez; Zdenek Broukal; John Brown; Dominique Declerck; Feng Xi Ping; Tshepo Gugushe; Jaranya Hunsrisakhun; Edward C M Lo; Sudeshni Naidoo; Ursuline Nyandindi; Vibeke Juul Poulsen; Noëline Razanamihaja; Christian Splieth; Betty King Sutton; Teo Choo Soo; Helen Whelton Journal: Community Dent Health Date: 2004-03 Impact factor: 1.349