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Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England.
Br Dent J. 2007 Jul 28; 203(2):E4; discussion 102-3.BD

Abstract

AIM

To measure the distribution of choices for the treatment of a child with differing severities of caries in a primary molar tooth among specialists in paediatric dentistry and general dental practitioners (GDPs) in England.

METHOD

Two surveys were undertaken using the same tool. The populations invited to take part in the study were confined to dentists practising in England in 2004. They were 500 GDPs selected at random from the list of all GDPs with a National Health Service (NHS) contract identified by the Dental Practice Board (DPB) and all 148 specialists in paediatric dentistry appearing on the General Dental Council specialist register. The selected dentists were sent a questionnaire containing four hypothetical clinical case scenarios in which the severity of dental caries in a single primary molar differed. Each clinical case scenario had a list of possible treatment options and participants were asked to select their single most preferred treatment option. To maximise the response rate there were three mailing rounds.

RESULTS

Of the 500 GDPs and 148 paediatric specialists sent a questionnaire, 322 (64%) GDPs and 115 (78%) specialists responded. The answers to each of the case scenarios indicate differences of opinion both between and among GDPs and specialists in the care they would recommend for a child with caries in a primary molar tooth. This variation in opinion about care was more pronounced for a single deep carious lesion than for a less severe lesion. The spread of treatment options chosen in each scenario indicates disagreement among GDPs and specialists about restorative techniques and philosophy of care.

CONCLUSION

In England there is wide variation among GDPs and specialists in paediatric dentistry about the best way to treat a young child with caries in a primary molar tooth. Well designed studies are urgently needed to provide strong evidence for the most effective way to manage the dental care of children.

Authors+Show Affiliations

Dental Public Health and Primary Care, The University of Manchester, Williamson Building, Oxford Road, Manchester, M13 9PL. martin.tickle@manchester.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17571091

Citation

Tickle, M, et al. "Approaches Taken to the Treatment of Young Children With Carious Primary Teeth: a National Cross-sectional Survey of General Dental Practitioners and Paediatric Specialists in England." British Dental Journal, vol. 203, no. 2, 2007, pp. E4; discussion 102-3.
Tickle M, Threlfall AG, Pilkington L, et al. Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England. Br Dent J. 2007;203(2):E4; discussion 102-3.
Tickle, M., Threlfall, A. G., Pilkington, L., Milsom, K. M., Duggal, M. S., & Blinkhorn, A. S. (2007). Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England. British Dental Journal, 203(2), E4; discussion 102-3.
Tickle M, et al. Approaches Taken to the Treatment of Young Children With Carious Primary Teeth: a National Cross-sectional Survey of General Dental Practitioners and Paediatric Specialists in England. Br Dent J. 2007 Jul 28;203(2):E4; discussion 102-3. PubMed PMID: 17571091.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Approaches taken to the treatment of young children with carious primary teeth: a national cross-sectional survey of general dental practitioners and paediatric specialists in England. AU - Tickle,M, AU - Threlfall,A G, AU - Pilkington,L, AU - Milsom,K M, AU - Duggal,M S, AU - Blinkhorn,A S, Y1 - 2007/06/15/ PY - 2006/10/16/accepted PY - 2007/6/16/pubmed PY - 2007/8/19/medline PY - 2007/6/16/entrez SP - E4; discussion 102-3 JF - British dental journal JO - Br Dent J VL - 203 IS - 2 N2 - AIM: To measure the distribution of choices for the treatment of a child with differing severities of caries in a primary molar tooth among specialists in paediatric dentistry and general dental practitioners (GDPs) in England. METHOD: Two surveys were undertaken using the same tool. The populations invited to take part in the study were confined to dentists practising in England in 2004. They were 500 GDPs selected at random from the list of all GDPs with a National Health Service (NHS) contract identified by the Dental Practice Board (DPB) and all 148 specialists in paediatric dentistry appearing on the General Dental Council specialist register. The selected dentists were sent a questionnaire containing four hypothetical clinical case scenarios in which the severity of dental caries in a single primary molar differed. Each clinical case scenario had a list of possible treatment options and participants were asked to select their single most preferred treatment option. To maximise the response rate there were three mailing rounds. RESULTS: Of the 500 GDPs and 148 paediatric specialists sent a questionnaire, 322 (64%) GDPs and 115 (78%) specialists responded. The answers to each of the case scenarios indicate differences of opinion both between and among GDPs and specialists in the care they would recommend for a child with caries in a primary molar tooth. This variation in opinion about care was more pronounced for a single deep carious lesion than for a less severe lesion. The spread of treatment options chosen in each scenario indicates disagreement among GDPs and specialists about restorative techniques and philosophy of care. CONCLUSION: In England there is wide variation among GDPs and specialists in paediatric dentistry about the best way to treat a young child with caries in a primary molar tooth. Well designed studies are urgently needed to provide strong evidence for the most effective way to manage the dental care of children. SN - 1476-5373 UR - https://www.unboundmedicine.com/medline/citation/17571091/Approaches_taken_to_the_treatment_of_young_children_with_carious_primary_teeth:_a_national_cross_sectional_survey_of_general_dental_practitioners_and_paediatric_specialists_in_England_ L2 - https://doi.org/10.1038/bdj.2007.570 DB - PRIME DP - Unbound Medicine ER -