Methods dentists use to diagnose primary caries lesions prior to restorative treatment: Findings from The Dental PBRN

被引:37
作者
Rindal, D. Brad [1 ,7 ]
Gordon, Valeria V. [6 ]
Litaker, Mark S. [3 ]
Bader, James D. [4 ,5 ]
Fellows, Jeffrey L. [8 ]
Qvist, Vibeke [2 ]
Wallace-Dawson, Martha C.
Anderson, Mary L. [1 ]
Gilbert, Gregg H. [3 ]
机构
[1] HealthPartners Dent Grp, Minneapolis, MN USA
[2] Royal Dent Coll, Dept Cariol & Endodont, Copenhagen, Denmark
[3] Univ Alabama Birmingham, Sch Dent, Dept Gen Dent Sci, Birmingham, AL 35294 USA
[4] Univ N Carolina, Dept Operat Dent, Chapel Hill, NC USA
[5] Univ N Carolina, Cecil Sheps Ctr Hlth Serv Res, Chapel Hill, NC USA
[6] Univ Florida, Sch Dent, Dept Operat Dent, Gainesville, FL USA
[7] HealthPartners Res Fdn, Minneapolis, MN 55425 USA
[8] Kaiser Permanente Ctr Hlth Res, Portland, OR USA
基金
美国国家卫生研究院;
关键词
Dental caries; Dentist's practice patterns; Diagnostic techniques and procedures; RESEARCH-NETWORK; TREATMENT THRESHOLDS; PRIMARY-CARE; PERFORMANCE; RECEIPT;
D O I
10.1016/j.jdent.2010.09.003
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective To (1) quantify the diagnostic techniques used by Dental Practice Based Research Network (DPBRN) dentists before they decide to treat primary canes lesions surgically and (2) examine whether certain dentist practice and patient characteristics are associated with their use Methods A total of 228 DPBRN dentists recorded information on 5676 consecutive restorations inserted due to primary canes lesions on 3751 patients Practitioner investigators placed a mean of 24 9 (SD = 12 4) restorations Lesions were categorised as posterior proximal anterior proximal posterior occlusal posterior smooth or anterior smooth Techniques used to diagnose the lesion were categorised as clinical assessment, radiographs, and/or optical Statistical analysis utilised generalised mixed model ANOVA to account for the hierarchical structure of the data Results By lesion category the diagnostic technique combinations used most frequently were clinical assessment plus radiographs for posterior proximal (47%) clinical assessment for anterior proximal (51%) clinical assessment for posterior occlusal (46%) clinical assessment for posterior smooth (77%) and clinical assessment for anterior smooth (80%) Diagnostic technique was significantly associated with lesion category after adjusting for clustering in dentists (p < 0 0001) Conclusion These results - obtained during actual clinical procedures rather than from questionnaire based hypothetical scenarios - quantified the diagnostic techniques most commonly used during the actual delivery of routine restorative care Diagnostic technique varied by lesion category and with certain practice and patient characteristics (C) 2010 Elsevier Ltd All rights reserved
引用
收藏
页码:1027 / 1032
页数:6
相关论文
共 23 条
[1]  
Bader James D, 2006, J Evid Based Dent Pract, V6, P91
[2]   A systematic review of the performance of a laser fluorescence device for detecting caries [J].
Bader, JD ;
Shugars, DA .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2004, 135 (10) :1413-1426
[3]  
*DENT PRACT BAS RE, SPEC DPBRN PUBL S
[4]  
el-Mowafy O M, 1994, J Can Dent Assoc, V60, P305
[5]  
el-Mowafy OM, 1994, J CAN DENT ASSOC, V60, P313
[6]  
Ewoldsen Nels, 2010, J Evid Based Dent Pract, V10, P16, DOI 10.1016/j.jebdp.2009.11.008
[7]  
Gilbert GH, 2009, J PUBLIC HLTH DENT
[8]   The creation and development of the Dental Practice-Based Research Network [J].
Gilbert, Gregg H. ;
Williams, O. Dale ;
Rindal, D. Brad ;
Pihlstrom, Daniel J. ;
Benjamin, Paul L. ;
Wallace, Martha C. .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2008, 139 (01) :74-81
[9]   Practice characteristics associated with patient-specific receipt of dental diagnostic radiographs [J].
Gilbert, Gregg H. ;
Weems, Richard A. ;
Litaker, Mark S. ;
Shelton, Brent J. .
HEALTH SERVICES RESEARCH, 2006, 41 (05) :1915-1937
[10]   Patient-Level and Practice-Level Characteristics Associated with Receipt of Preventive Dental Services: 48-Month Incidence [J].
Gilbert, Gregg H. ;
Bader, James D. ;
Litaker, Mark S. ;
Shelton, Brent J. ;
Duncan, R. Paul .
JOURNAL OF PUBLIC HEALTH DENTISTRY, 2008, 68 (04) :209-217