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Journal of Dentistry May 2023To evaluate the knowledge, attitudes, and practice (KAP) of dentists on Minimal Intervention Dentistry (MID). (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
To evaluate the knowledge, attitudes, and practice (KAP) of dentists on Minimal Intervention Dentistry (MID).
DATA
Cross-sectional studies that analyzed KAP outcomes on MID principles were included.
SOURCES
Eight databases (Cochrane, DOSS, Embase, LILACS, PsycINFO, PubMed, Scopus, and Web of Science) and the gray literature were searched on January 2022.
STUDY SELECTION
Two independent reviewers selected the included studies, initially by screening titles and abstracts and, finally, by full-text reading. The methodological quality of studies was assessed by using the Joanna Briggs Institute Critical Assessment Checklist for Prevalence Studies. Proportion meta-analysis was conducted using a random effect model for data analysis. Cochran's Q test was used to assess the heterogeneity and the I² statistic for evaluation of true variation due to heterogeneity.
RESULTS
Of 2079 studies initially identified, twelve were included in the systematic review. Twenty-four statements about MID were included in the meta-analysis, based on data from ten studies (n = 1728 participants). The pooled proportion of knowledge on MID was 75.66% (95%CI: 69.33 - 81.48; p < 0.01; I²: 97%; Tau2: 0.0456) and of attitudes and practice was 47.95% (95%CI: 38.55-57.43; p < 0.01; I²: 98%; Tau2: 0.0743). The higher prevalences rates were in the "knowledge" field, and the lowest was in "attitudes and practice".
CONCLUSIONS
The findings suggest that the knowledge of dentists on MID topics is acceptable, and the attitudes and practices need improvements. The studies lacked uniformity in methods and there is still a need for more studies to elucidate the KAP of dentists worldwide.
CLINICAL SIGNIFICANCE
Understanding the cognizance and the way oral healthcare professionals are treating dental caries is the first step to expanding the minimal intervention evidence into a dental practice. The final goal is to change the practice and make Minimal Intervention Dentistry the standard of care for dental caries worldwide.
REGISTRATION
PROSPERO CRD42021257518.
Topics: Humans; Dental Caries; Health Knowledge, Attitudes, Practice; Cross-Sectional Studies; Dentists; Dentistry
PubMed: 36958696
DOI: 10.1016/j.jdent.2023.104484 -
Clinical Oral Investigations Dec 2023To evaluate the prevalence of awake bruxism (AB) in the adult population. (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
To evaluate the prevalence of awake bruxism (AB) in the adult population.
MATERIALS AND METHODS
Six main electronic databases and three sources of grey literature were searched to identify cross-sectional studies in which AB was assessed. The studies were independently selected by two reviewers in two phases, based on their eligibility criteria. The first one consisted of reading titles and abstracts, and the second one involved reading the full articles. The study quality assessment was obtained by using the "Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data", and the "R Statistics" software was used to perform meta-analyses.
RESULTS
Seventeen out of 3086 identified studies were included. None of the studies scored high in methodological quality across all 9 items of the JBI checklist. However, "the use of valid methods to identify pathology" and "appropriate statistical analysis" were considered to have high methodological quality in all the studies. The overall pooled prevalence of the meta-analysis was 15.44% (99% confidence interval: 10.81 to 20.72%) and there was no difference for sex, sampling method and according to consensus-based classification.
CONCLUSIONS
The prevalence of AB in adults was low. There was substantial methodological variability, which highlights the need for standardized guidelines.
CLINICAL RELEVANCE
Prevalence data are useful for raising patients' and clinicians' awareness of the AB. Moreover, since AB can lead to possible pain and overload of the stomatognathic system, this knowledge can also guide dentists to achieve an early diagnosis of AB and to provide appropriate care management.
Topics: Adult; Humans; Prevalence; Bruxism; Cross-Sectional Studies; Wakefulness; Software
PubMed: 37853263
DOI: 10.1007/s00784-023-05302-w -
Journal of International Society of... 2020The objective of this study was to assess knowledge, attitude, and practices among dental teaching institutions and private practitioners in Asian countries. (Review)
Review
A Systematic Review to Evaluate Knowledge, Attitude, and Practice Regarding Biomedical Waste Management among Dental Teaching Institutions and Private Practitioners in Asian Countries.
OBJECTIVE
The objective of this study was to assess knowledge, attitude, and practices among dental teaching institutions and private practitioners in Asian countries.
MATERIALS AND METHODS
Systematic review of observational studies on BMW management was conducted. We searched the following electronic bibliographic databases: PubMed/MEDLINE and Google Scholar. Manual search was carried out for similar topics in the National Medical Library, New Delhi. In addition, the bibliographies were manually searched. There was no disagreement between the two reviewers. This review was reported and conducted in step with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only studies written in English and published until November 2019 were included. This review was registered in International Prospective Register of Systematic Reviews (PROSPERO registration number is CRD42019124900).
RESULTS
In this review, of 678 articles, 24 articles met inclusion criteria. Available scientific studies showed that knowledge regarding BMW management guidelines varied from 33% to 100% among dentists. Most of the studies reported that knowledge and practice regarding segregation of BMW was limited. Most of the study subjects were aware of hazardous effects of amalgam and had amalgam separator. Studies done in Chennai and Karnataka, approximately one-third dentists were not following BMW guidelines for sharp management and most of them were disposing of sharps in general waste bins.
CONCLUSION
On the basis of the current evidence and data extracted from the various databases, it can be concluded that knowledge regarding BMW management guidelines among dentists is inadequate and practice regarding the same is poor. Regular training sessions and Continuing Dental Education (CDE) on BMW management guidelines and updates need to be organized for improvement of knowledge and practice regarding BMW among dentists.
PubMed: 33282760
DOI: 10.4103/jispcd.JISPCD_157_20 -
Journal of Education and Health... 2021The outbreak of the COVID-19 epidemic started in late 2019 in Wuhan, China, causing many psychological and occupational effects for the medical staff, including dentists... (Review)
Review
The outbreak of the COVID-19 epidemic started in late 2019 in Wuhan, China, causing many psychological and occupational effects for the medical staff, including dentists and all those who work to promote oral health. The present systematic review study investigates the psychological causes and effects of the COVID-19 epidemic outbreak on dentists. Systematic search was performed on valid databases such as Science Direct, Web of Science (WoS), Embase, Cochrane, and Scopus. The English articles published from December 2019 to November 2020 were selected according to the inclusion and exclusion criteria. The quality of the articles was assessed using an existing checklist. Then, their full texts were reviewed to extract the necessary data. Finally, the data were summarized in a table. This systematic review study showed the emergence of psychological symptoms such as fear, anxiety, and stress are the three most common disorders in dentists and all those who work to promote oral health as the medical staff. This pandemic has had occupational and economic consequences for dentists. In general, the research results indicated that the outbreak of COVID-19 had affected the dental profession in two areas: (1) Psychological consequences: Reviewing the articles showed that the essential psychological effects in the dental profession are the fear of infection by patients, anxiety, and stress, respectively. (2) Occupational effects: The second significant consequence of the COVID-19 outbreak was that due to fear and anxiety of getting infected with the virus in the dental environment, containing particles and aerosols from patients' saliva and blood, dentists had to limit doing their jobs in the emergency room and sometimes even closing their offices. This issue may cause economic problems for their professions. There is also a need to allocate additional costs for the provision of sanitary equipment.
PubMed: 34667811
DOI: 10.4103/jehp.jehp_1637_20 -
Primary Dental Journal Jun 2022There has been much research relating to stressors in the dental environment and concerns over dentists' health and wellbeing. The determinants of dentists' health and...
BACKGROUND
There has been much research relating to stressors in the dental environment and concerns over dentists' health and wellbeing. The determinants of dentists' health and wellbeing within the UK include factors, such as healthcare systems and regulation; factors, such as job specification and workplace characteristics; and factors, such as personal aspects, professional career level, and personal and professional relationships. Given the challenges in dentistry, research is needed to investigate the key determinants relating to the health and wellbeing of clinical dental care professionals (DCPs) nationally.
AIM
To review the literature on the key determinants of health and wellbeing among dental hygienists, dental therapists, clinical dental technicians, and orthodontic therapists in the UK.
MATERIALS AND METHODS
A systematic review of the literature was conducted across seven databases. The records were screened by title, abstract and full text based on the study inclusion criteria. Extraction of data and a qualitative synthesis of the included studies was performed. A mixed methods appraisal tool was used to quality assess for risk of bias.
RESULTS
Twelve studies were included in this review, eleven of which were medium to high quality (5*, 4*) and one low quality (2*). Ten studies focused on dental therapists, and/or hygienists, with only one each on orthodontic therapists and clinical dental technicians. Job satisfaction and professional careers were the primary factors explored in the included studies and clearly identified as determinants of health and wellbeing. However, there was evidence of these being associated and linked with a range of determinants at macro-, meso-, and micro-levels, with a general lack of evidence on the overall health and wellbeing.
CONCLUSION
There is currently very limited evidence on the key determinants of health and wellbeing of clinical DCPs within the UK, but the available evidence maps to the same domains as dentists. Further well conducted research examining the overall health and wellbeing is required, with consideration of the full matrix of possible factors.
Topics: Dental Care; Humans; Job Satisfaction; Workplace
PubMed: 35658664
DOI: 10.1177/20501684221101663 -
Journal of Education and Health... 2021Oral health practitioners are at the frontline of infection, particularly with respiratory viruses such as the novel coronavirus. Knowledge, awareness, and attitude of... (Review)
Review
BACKGROUND
Oral health practitioners are at the frontline of infection, particularly with respiratory viruses such as the novel coronavirus. Knowledge, awareness, and attitude of these workers are considered important in preventing and controlling the outbreak. This study aims to review the literature to provide a better understanding of the status of dentists and other oral health practitioners' knowledge, attitude, and awareness about COVID-19.
METHODS
A systematic review was conducted through Web of Science, PubMed, Scopus, and ProQuest up to May 6, 2020. All the knowledge, attitude, and practice studies on oral health workers about respiratory contagious outbreak the same as severe acute respiratory syndrome, Middle East respiratory syndrome, and COVID-19 were included in the meta-analysis.
RESULTS
A total of eleven studies were included in the meta-analysis. 85.5% of the dentists and oral health practitioners had a high level of awareness about virus transmission modes (95% confidence interval [CI]: 78.6%-92.4%; < 0.001). 80.7% of the oral health practitioners gave right answers to the questions related to virus transmission modes (95% CI: 69.9%-91.4%; < 0.001), and 79.9% of the dentists had a positive attitude about virus transmission modes (95% CI: 66.4%-93.4%; < 0.001).
CONCLUSION
This meta-analysis shows that the level of dentists and oral health practitioners' knowledge, awareness, and attitude was relatively high about the respiratory contagious diseases as well as COVID-19. The present results can shed further light for policymakers to support the best evidence medical education for all health-care workers the same as oral health practitioners. Preventing the dissemination of misinformation along with preparing comprehensive guidelines can be considered by the oral health policymakers, particularly in the more infected regions.
PubMed: 33688548
DOI: 10.4103/jehp.jehp_939_20 -
The Journal of Contemporary Dental... Dec 2023The purpose of this systematic review was to evaluate the cost-effectiveness and acceptance of children and their parents of the Hall technique (HT) for dental...
AIMS
The purpose of this systematic review was to evaluate the cost-effectiveness and acceptance of children and their parents of the Hall technique (HT) for dental rehabilitation in pediatric dentistry.
BACKGROUND
The approach of the HT is that of minimally invasive treatment of the dental element and is used exclusively on primary molars. Various studies in the literature point to HT as a restorative option well accepted by children and parents and quite predictable, with low retreatment rates and good cost-effectiveness for the management of primary molars with carious lesions. However, no systematic review in the literature has approached randomized clinical trials on these topics to produce a high level of evidence and help establish clinical HT protocols.
REVIEW RESULTS
Eight articles were selected for the systematic review. The HT was more cost-effective than procedures using other restorative materials. Regarding acceptance, in terms of esthetics, high percentages of satisfaction were reported for parents and children, with a divergence between studies in the comparison of esthetic preference with atraumatic restorative treatment. However, when considering crown cementation pain, comfort, anxiety, preference, and satisfaction, the HT was generally better evaluated when compared to other restorative materials.
CONCLUSION
The HT is an excellent restorative option when considering cost-effectiveness and acceptance and is recommended for use in daily clinical practice.
CLINICAL SIGNIFICANCE
Results indicate that HT is superior to other restorative materials regarding its acceptance by children and parents in terms of pain, comfort, anxiety, and crown preference and satisfaction. There were also high percentages of satisfaction with esthetics. Hall technique may initially appear expensive for dentists, but its effectiveness over time and the lesser need for consultations and reinventions ensure better cost-benefit than other restorative materials. How to cite this article: Valentim FB, Moreira KMS, Carneiro VC, . Cost-effectiveness and Acceptance in Children and Parents of the Hall Technique: Systematic Review of Clinical Trials. J Contemp Dent Pract 2023;24(12):1016-1025.
Topics: Child; Humans; Cost-Benefit Analysis; Dental Atraumatic Restorative Treatment; Tooth, Deciduous; Dental Restoration, Permanent; Esthetics, Dental; Dental Caries; Dental Materials; Pain; Parents
PubMed: 38317401
DOI: 10.5005/jp-journals-10024-3607 -
Journal of Oral Pathology & Medicine :... Jan 2024The aim of the present systematic review was to summarize evidence on odontogenic carcinosarcoma, analyzing clinical, epidemiological, imaging, histopathological,... (Review)
Review
BACKGROUND
The aim of the present systematic review was to summarize evidence on odontogenic carcinosarcoma, analyzing clinical, epidemiological, imaging, histopathological, immunohistochemical, therapeutic, and prognostic features of this tumor.
MATERIALS AND METHODS
This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were performed in the Ovid MEDLINE (Wolters Kluwer), PubMed (National Library of Medicine), Web of Science (Thomson Reuters), Scopus (Elsevier), and LILACS (Latin American and Caribbean Center on Health Sciences Information) databases, without publication date or language restrictions. Case reports or case series of OCS reporting clinical, radiological, and histopathological data that confirmed the diagnosis were selected. The Joanna Briggs Institute-University of Adelaide tool was used for critical appraisal of the included articles.
RESULTS
Odontogenic carcinosarcoma is a rare, aggressive tumor associated with high mortality; however, the metastasis rate is low. The tumor has a male predilection. The mean patient age is 40 years, but there is no predilection for age. The left posterior mandible is the most affected site, but no specific radiographic features have been reported.
CONCLUSION
Given its rarity, dentists, oral-maxillofacial surgeons, and physicians need to be aware of odontogenic carcinosarcoma in order to increase the diagnostic potential, preventing delays in diagnosis and treatment and thus contributing to lower morbidity of the tumor.
Topics: United States; Humans; Male; Adult; Odontogenic Tumors; Mouth Neoplasms; Carcinosarcoma
PubMed: 38164057
DOI: 10.1111/jop.13502 -
Dental and Medical Problems 2022The education of dentists is associated with high levels of stress among students. This phenomenon is observed in many countries. (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
The education of dentists is associated with high levels of stress among students. This phenomenon is observed in many countries.
OBJECTIVES
The aim of the study was to sum up the knowledge about stress burden among dental students and to determine the causal factors on the basis of a quantitative systematic review of the literature.
MATERIAL AND METHODS
The PubMed/MEDLINE and Cochrane Library databases were reviewed, and the literature was manually searched for the following keywords: 'stress'; 'dental student'; 'dental education'; and 'DES questionnaire'. The inclusion criteria for the systematic literature review were original papers and literature reviews, published after 1990, written in English, containing the analysis of the DES questionnaires, and on the topic of stress among students of dentistry. The inclusion criteria for the meta-analysis were publications with the same thematic structure of the DES questionnaire and with the number of survey participants provided.
RESULTS
A total of 36 original papers were found, out of which 29 met the inclusion criteria, and thus were included into the systematic literature review analysis. Taking all the papers into consideration, the highest level of stress was caused by grades and examinations, and the atmosphere created by clinical professors. Nearly half of the studies demonstrated higher levels of stress in women. Also, students of higher years were characterized by higher stress indicators. The statistical analysis comprised data from 11 European universities that met the inclusion criteria. The highest mean scores were obtained for 'performance pressure', while the lowest mean scores for 'relationship with sex/race'.
CONCLUSION
There was a great heterogeneity among the pooled estimates, which could be attributed to the varying levels of stress among dental students. The students' ethnicity and cultural indicators have a decisive influence on the stress levels of dental students, not the characteristics of the field of study.
Topics: Female; Humans; Stress, Psychological; Students, Dental; Surveys and Questionnaires
PubMed: 35789546
DOI: 10.17219/dmp/133955 -
Journal of Clinical Medicine Feb 2024This systematic review aims to elucidate the intricate correlation between celiac disease (CD) and dental enamel defects (DED), exploring pathophysiological mechanisms,... (Review)
Review
INTRODUCTION
This systematic review aims to elucidate the intricate correlation between celiac disease (CD) and dental enamel defects (DED), exploring pathophysiological mechanisms, oral health implications, and a dentist's role in early diagnosis.
MATERIALS AND METHODS
Following PRISMA guidelines, a comprehensive search from 1 January 2013 to 1 January 2024 across PubMed, Cochrane Library, Scopus, and Web of Science identified 153 publications. After exclusions, 18 studies met the inclusion criteria for qualitative analysis. Inclusion criteria involved study types (RCTs, RCCTs, case series), human participants, English language, and full-text available.
RESULTS
The search yielded 153 publications, with 18 studies meeting the inclusion criteria for qualitative analysis. Notable findings include a high prevalence of DED in CD patients, ranging from 50 to 94.1%. Symmetrical and chronological defects, according to Aine's classification, were predominant, and significant associations were observed between CD severity and enamel defect extent.
CONCLUSIONS
The early recognition of oral lesions, particularly through Aine's classification, may signal potential CD even in the absence of gastrointestinal symptoms. Correlations between CD and dental health conditions like molar incisor hypomineralization (MIH) emphasize the dentist's crucial role in early diagnosis. Collaboration between dentists and gastroenterologists is essential for effective monitoring and management. This review consolidates current knowledge, laying the groundwork for future research and promoting interdisciplinary collaboration for improved CD-related oral health outcomes. Further large-scale prospective research is recommended to deepen our understanding of these issues.
PubMed: 38592254
DOI: 10.3390/jcm13051382