Dental Professionals’ Knowledge Towards Minimal Intervention Dentistry Regarding Caries Management in the Public Health Service in Vitória da Conquista, Brazil

Authors

  • Taiomara Vieira Mania
  • Natalia Bertolo Domingues
  • Daniela Prócida Raggio

Keywords:

Minimally Invasive Surgical Procedures, Conservative Treatment, Dental Materials

Abstract

Objective: To evaluate the knowledge of dental professionals and attitudes regarding dental caries management according to minimal intervention dentistry (MID). Material and Methods: Sixty-four dentists working in the public health service of Vitória da Conquista, Brazil, were invited to answer an online questionnaire structured into four domains. Descriptive data analysis and the association between demographic aspects and knowledge about MID for caries management were performed by Fisher's exact test (α=5%). Results: Among the 53 respondents (82.8% response rate), 67.9% were women aged 31-40 years (39.6%), working in primary health care (75.5%) and general practice (64.2%). Although professionals claimed to know MID for caries management (81.1%), considering its performance in their clinical practice (58.5%), regular knowledge was verified (84.9%), which is associated with self-assessment of the benefit provided by the technique (p=0.013). Uncertainties regarding the use of fluoride to inactivate lesions and dental sealants for prevention and treatment were highlighted. Hesitancy in disagreeing with statements related to incorrect etiology and traditional caries management was also observed. The main barriers identified for MID use were insecurity and the unavailability of adequate instruments/materials in the service. Conclusion: Although professionals have demonstrated regular knowledge about the benefits of MID in managing dental caries lesions, there is a lack of knowledge and attitudes related to the technique and barriers to its use in clinical practice.

References

Pitts NB, Baez RJ, Diaz-Guillory C, Donly KJ, Feldens AC, McGrath C, et al. Early childhood caries: IAPD Bangkok declaration. J Dent Child 2019; 86(2):72. https://doi.org/10.1111/ipd.12490

Innes NP, Manton DJ. Minimum intervention children's dentistry – the starting point for a lifetime of oral health. Br Dent J 2017; 223(3):205-213. https://doi.org/10.1038/sj.bdj.2017.671

Mackenzie L, Banerjee A. Minimally invasive direct restorations: a practical guide. Br Dent J 2017; 223(3):163-171. https://doi.org/10.1038/sj.bdj.2017.661

Schwendicke F, Splieth C, Breschi L, Banerjee A, Fontana M, Paris S, et al. When to intervene in the caries process? an expert delphi consensus statement. Clin Oral Investig 2019; 23(10):3691-3703. https://doi.org/10.1007/s00784-019-03058-w

Calache H, Hopcraft MS, Martin JM. Minimum intervention dentistry – A new horizon in public oral health care. Aust Dent J 2013; 58(1):17-25. https://doi.org/10.1111/adj.12046

Frencken JE. Atraumatic restorative treatment and minimal intervention dentistry. BDJ 2017; 223(3):183-189. https://doi.org/10.1038/sj.bdj.2017.664

Kidd EA. Clinical threshold for carious tissue removal. Dent Clin North Am 2010; 54(3):541-549. https://doi.org/10.1016/j.cden.2010.03.001

Giacaman RA, Muñoz-Sandoval C, Neuhaus KW, Fontana M, Chałas R. Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Adv Clin Exp Med 2018; 27(7):1009-1016. https://doi.org/10.17219/acem/77022

Shah AH, Sheddi FM, Alharqan MS, Khawja SG, Vohra F, Faden AA, et al. Knowledge and attitude among general dental practitioners towards minimally invasive dentistry in Riyadh and Alkharj. J Clin Diagn Res 2016; 10(7):ZC90-ZC94. https://doi.org/10.7860/JCDR/2016/20543.8207

Fernández CE, González-Cabezas C, Fontana M. Minimum intervention dentistry in the US: An update from a cariology perspective. Br Dent J 2020; 229(7):483-486. https://doi.org/10.1038/s41415-020-2219-x

Antonioni MB, Fontana M, Salzmann LB, Inglehart MR. Pediatric dentists' silver diamine fluoride education, knowledge, attitudes, and professional behavior: A national survey. J Dent Educ 2019; 83(2):173-182. https://doi.org/10.21815/JDE.019.020

Carlotto CA, Raggio DP, Bonini GAVC, Imparato JCP. Atraumatic Restorative Treatment acceptability by dentists in the public service of São Paulo. Revista da APCD 2014; 68(1):35-41.

Kuhnen M, Buratto G, Silva MP. The use of atraumatic restorative treatment in the Family Health Strategy. Rev Odontol UNESP 2013; 42(4):291-297. https://doi.org/10.1590/S1807-25772013000400009

Laske M, Opdam NJM, Bronkhorst EM, Braspenning JCC, Van der Sanden WJM, Huysmans MCDNJM, et al. Minimally invasive intervention for primary caries lesions: are dentists implementing this concept? Caries Res 2019; 53(2):204-216. https://doi.org/10.1159/000490626

Mirsiaghi F, Leung A, Fine P, Blizard R, Louca C. An investigation of general dental practitioners' understanding and perceptions of minimally invasive dentistry. Br Dent J 2018; 225(5):420-424. https://doi.org/10.1038/sj.bdj.2018.744

Pierote JJA, Brito MHSF, Pinheiro LCR, Moura LFAD, Lima MDM, Mora MS. Knowledge and conduct of public health system dentist about atraumatic restorative treatment. Rev Odontol UNESP 2017; 46(2):82-89. https://doi.org/10.1590/1807-2577.06616

Pinheiro S, Corralo DJ, Funk PP. Knowledge, frequency, and indications for use of the Atraumatic Restorative Treatment by dental surgeons of the municipal health network of Passo Fundo, RS, Brazil. RFO UPF 2016; 21(3):325-330. https://doi.org/10.5335/rfo.v21i3.6147

Rayapudi J, Usha C. Knowledge, attitude and skills of dental practitioners of Puducherry on minimally invasive dentistry concepts: a questionnaire survey. J Conserv Dent 2018; 21(3):257-262. https://doi.org/10.4103/JCD.JCD_309_17

Brazilian Institute of Geography and Statistics. Available from: https://www.ibge.gov.br/cidades-e-estados/ba/vitoria-da-conquista.html. [Accessed on January 2, 2023]. [In Portuguese].

Prefeitura Municipal de Vitória da Conquista. Available from: https://www.pmvc.ba.gov.br/saude/. [Accessed on January 2, 2023]. [In Portuguese].

Brasil. Ministério de Educação. Resolução nº 3, de 21 de junho de 2021 – Institui as Diretrizes Curriculares Nacionais do curso de graduação em Odontologia e dá outras providências. Diário Oficial da União 2021; 115(1):77. [In Portuguese].

Dixit A, Sindi AS, Paul S, Badiyani BK, Kumar A, Arya R, et al. A study to assess knowledge, attitude, and perception of dental practitioners on minimally invasive dentistry concepts. J Pharm Bioallied Sci 2023; 15(2):S993-S996. https://doi.org/10.4103/jpbs.jpbs_255_23

Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: Consensus recommendations on minimally invasive caries removal. Br Dent J 2017; 223(3):215-222. https://doi.org/10.1038/sj.bdj.2017.672

Cagetti MG, Bontà G, Cocco F, Lingstrom P, Strohmenger L, Campus G. Are standardized caries risk assessment models effective in assessing actual caries status and future caries increment? A systematic review. BMC Oral Health 2018; 18(1):123. https://doi.org/10.1186/s12903-018-0585-4

Leal SC. Are standardised caries risk assessment models effective? Evid Based Dent 2018; 19(4):102-103. https://doi.org/10.1038/sj.ebd.6401338

Hesse D, Bonifácio CC, Mendes FM, Braga MM, Imparato JC, Raggio DP. Sealing versus partial caries removal in primary molars: a randomized clinical trial. BMC Oral Health 2014; 14:58. https://doi.org/10.1186/1472-6831-14-58

Gray SK, Griffin SO, Malvitz DM, Gooch BF. A comparison of the effects of toothbrushing and handpiece prophylaxis on retention of sealants. J Am Dent Assoc 2009; 140(1):38-46. https://doi.org/10.14219/jada.archive.2009.0016. Erratum in: J Am Dent Assoc 2009; 140(11):1352.

Schwendicke F, Lamont T, Innes N. Removing or controlling? How caries management impacts on the lifetime of teeth. Monogr Oral Sci 2018; 27:32-41. https://doi.org/10.1159/000487829

Innes NPT, Schwendicke F. Restorative thresholds for carious lesions: systematic review and meta-analysis. J Dent Res 2017; 96(5):501-508. https://doi.org/10.1177/0022034517693605

Schwendicke F, Paris S, Tu YK. Effects of using different criteria for caries removal: a systematic review and network meta-analysis. J Dent 2015; 43(1):1-15. https://doi.org/10.1016/j.jdent.2014.10.004

Mickenautsch S, Frencken JE, Hof MV. Factors inhibiting the implementation of the Atraumatic Restorative Treatment approach in public oral health services in Gauteng province, South Africa. J Appl Oral Sci 2007; 15(1). https://doi.org/10.1590/S1678-77572007000100002

Downloads

Published

2024-06-10

How to Cite

Mania, T. V., Domingues, N. B., & Raggio, D. P. (2024). Dental Professionals’ Knowledge Towards Minimal Intervention Dentistry Regarding Caries Management in the Public Health Service in Vitória da Conquista, Brazil. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 24, e230056. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/3476

Issue

Section

Original Articles