Elaine Pereira da Silva Tagliaferro1, Silvio Rocha Correa da Silva1, Fernanda Lopez Rosell1, Aylton Valsecki1, Joseph L Riley2, Gregg H Gilbert3, Valeria Veiga Gordan4. 1. Department of Community Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, Rua Humaitá, 1680, Centro - 14801-903 - Araraquara, SP, Brazil. 2. University of Florida College of Dentistry, Director, Pain Clinical Research Unit, UF CTSI, Deputy Director, South Atlantic Region, Dental Practice-based Research Network, Clinical and Translational Research Building (CTRB), Room 2227, 2004 Mowry Road, Box 100404, Gainesville, FL 32610-0404, The United States of America. 3. Department of Clinical & Community Sciences, Room SDB 109, School of Dentistry, University of Alabama at Birmingham, 1720 Second Avenue South, Birmingham, AL 35294-0007, The United States of America. 4. Dental Practice-Based Research, University of Florida, College of Dentistry, Room D9-6 P.O. Box 100415, Gainesville, FL 32610-0415, The United States of America.
Abstract
Little is known about dental practice patterns of caries prevention in adults among Brazilian dentists. OBJECTIVE: To quantify procedures used for caries prevention for adult patients among dentists from a Brazilian community. METHODS: Dentists (n=197) who reported that at least 10% of their patients are more than 18 years old participated in the first Brazilian study that used a translated version of the "Assessment of Caries Diagnosis and Caries Treatment" from the U.S. National Dental Practice-Based Research Network. A questionnaire about characteristics of their practice and patient population were also completed by the dentists. Generalized linear regression models and a hierarchal clustering procedure were used (p<0.05). RESULTS: In-office fluoride application was the preventive method most often reported. The main predictors for recommending some preventive agent were: female dentist (dental sealant; in-office fluoride; non-prescription fluoride) and percentage of patients interested in caries prevention (dental sealant; in-office fluoride; non-prescription fluoride). Other predictors included private practice (dental sealant), percentage of patients 65 years or older (in-office fluoride), graduation from a private dental school (non-prescription fluoride), years since dental school graduation (chlorhexidine rinse) and using a preventive method (recommending sealant/fluoride/chlorhexidine rinse/sugarless, xylitol gum). Cluster analysis showed that dentists in the largest subgroup seldom used any of the preventive agents. CONCLUSION: Dentists most often reported in-office fluoride as a method for caries prevention in adults. Some practitioner, practice and patients' characteristics were positively associated with more-frequent use of a preventive agent.
Little is known about dental practice patterns of caries prevention in adults among Brazilian dentists. OBJECTIVE: To quantify procedures used for caries prevention for adult patients among dentists from a Brazilian community. METHODS: Dentists (n=197) who reported that at least 10% of their patients are more than 18 years old participated in the first Brazilian study that used a translated version of the "Assessment of Caries Diagnosis and Caries Treatment" from the U.S. National Dental Practice-Based Research Network. A questionnaire about characteristics of their practice and patient population were also completed by the dentists. Generalized linear regression models and a hierarchal clustering procedure were used (p<0.05). RESULTS: In-office fluoride application was the preventive method most often reported. The main predictors for recommending some preventive agent were: female dentist (dental sealant; in-office fluoride; non-prescription fluoride) and percentage of patients interested in caries prevention (dental sealant; in-office fluoride; non-prescription fluoride). Other predictors included private practice (dental sealant), percentage of patients 65 years or older (in-office fluoride), graduation from a private dental school (non-prescription fluoride), years since dental school graduation (chlorhexidine rinse) and using a preventive method (recommending sealant/fluoride/chlorhexidine rinse/sugarless, xylitol gum). Cluster analysis showed that dentists in the largest subgroup seldom used any of the preventive agents. CONCLUSION: Dentists most often reported in-office fluoride as a method for caries prevention in adults. Some practitioner, practice and patients' characteristics were positively associated with more-frequent use of a preventive agent.
Entities:
Keywords:
Dental caries; Practice patterns; Prevention & control; dentist
Authors: Eps Tagliaferro; A Valsecki Junior; F L Rosell; Src Silva; J L Riley; G H Gilbert; V V Gordan Journal: Oper Dent Date: 2018-09-13 Impact factor: 2.440
Authors: Michael P Rethman; Eugenio D Beltrán-Aguilar; Ronald J Billings; Philippe P Hujoel; Barry P Katz; Peter Milgrom; Woosung Sohn; John W Stamm; Gene Watson; Mark Wolff; J Tim Wright; Domenick Zero; Krishna Aravamudhan; Julie Frantsve-Hawley; Daniel M Meyer Journal: J Am Dent Assoc Date: 2011-09 Impact factor: 3.634
Authors: Joseph L Riley; Valeria V Gordan; Kathleen M Rouisse; Jocelyn McClelland; Gregg H Gilbert Journal: J Am Dent Assoc Date: 2011-04 Impact factor: 3.634