PEDODONTICS
CONTEMPORARY DENTAL CARIES MANAGEMENT CONCEPTS IN PAEDIATRIC DENTISTRY: A SURVEY OF AWARENESS AND PRACTICE OF A GROUP OF GULF COOPERATION COUNCIL DENTISTS
Iyad Hussein 1a *, Manal AlHalabi 1b, Mawlood Kowash 1c, Amar H Khamis 2d
¹ Paediatric Dentistry Department, Hamdan Bin Mohammed College of Dental Medicine, Mohamed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE ² Biostatistics & Genetic Epidemiology Department, Hamdan Bin Mohammed College of Dental Medicine, Mohamed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE
a
DDS( Dam), MDentSci( Leeds), GDC Stat. Exam( London), MFDSRCPS( Glasg), UK Certified Specialist in Paediatric Dentistry, Clinical Assistant Professor in Paediatric Dentistry b
BDS, MSc, Associate Professor and Programme Director of Master of Science in Paediatric Dentistry Programme c
BDS, MSc, DDSc, FRCD ©, FDSRCPS( Glasg), Associate Professor in Paediatric Dentistry d
PhD, DEA, MSc, BSc, Associate Professor Biostatistics & Genetic Epidemiology
Received: January 04, 2017 Revised: February 28, 2017 Accepted: March 07, 2017 Published: March 08, 2017
Academic Editor: Rodica Luca, DDS, PhD, Professor,“ Carol Davila” University of Medicine and Pharmacy Bucharest, Bucharest, Romania
Cite this article: Hussein I, AlHalabi M, Kowash M, Khamis AH. Contemporary dental caries management concepts in paediatric dentistry: A survey of awareness and practice of a group of Gulf Cooperation Council Dentists. Stoma Edu J. 2017; 4( 1): 27-38.
Abstract
Introduction: Debatable clinically relevant child dental caries management concepts exist; restoring a carious primary molar( RCM), the choice of pulpotomy medicament( PM), the“ Hall Technique”( HT), and sealing of dental caries( SDC). Our aim was to assess the knowledge and practice of dentists treating children in the Gulf Cooperation Council( GCC) region of the aforementioned contemporary concepts. Methodology: Paediatric Dentists( PDs) and General Dental Practitioners( GDPs) who treated children completed a questionnaire( N = 150) covering: RCM choices; choice of PM; knowledge and practice of HT and acceptance of SDC in primary and permanent teeth. Statistical analysis was conducted using Chi-Square test( p < 0.05). Results: For RCM: 76 % of those surveyed would remove non-pulpal caries in an asymptomatic lower D and restore with composite( 33 %), glass ionomer or conventional stainless steel crown( SSC)( 17.4 %), amalgam( 7.4 %) and zirconia( 0.7 %). The remaining 24 % would seal caries( HT SSC). For PM: 40.7 % chose Ferric Sulphate, followed by Formocresol( 36.7 %), Mineral Trioxide Aggregate( 14 %) and Calcium hydroxide( 8.7 %); For HT: 60.6 % had knowledge of HT but 81.5 % never used it. For SDC: sealing caries in primary & permanent teeth was rejected by 56.6 % & 53.1 % respectively. GDPs and PDs choices differed significantly with RCM, HT( knowledge and practice)( p = 0.007, 0.003 and 0.003 respectively). Conclusion: Overall the surveyed dentists practicing in the GCC disagreed on RCM, PM with reluctance to accept new concepts like the HT and SDC. PDs choices of RCM differed from GDPs, and their awareness of HT and practice of HT were more favourable. Keywords: Hall technique, pulpotomy medicaments, dental caries, sealing caries.
Original Articles
1. Introduction The discipline of paediatric dentistry is an extensive field in a constant state of development and change. Several aspects of its clinical practice, related to the management of the caries, have shown new insights and practices challenging old concepts. With the drive to base both dental education and dental practice on sound platforms of evidence based dentistry and contemporary clinical guidelines, a plethora of new methods / concepts have emerged. This created a scientific debate, albeit a healthy one, that divided the paediatric dentistry community and created opposing schools of thought. Interestingly, the debate had an impact on undergraduate dental education and postgraduate dental practice. 1 In paediatric dentistry, how to restore a carious primary molar( RCM), 2, 3, 4 the choice of appropriate“ pulpotomy medication”( PM) in primary teeth, 5 the“ Hall technique”( HT), 6 and“ sealing dental caries”( SDC) in primary and permanent teeth 7 were four areas where change and debate took place. These
* Corresponding author:
Clinical Assistant Professor Iyad Hussein, DDS( Dam), MDentSci( Leeds), GDC Stat. Exam( London), MFDSRCPS( Glasg). Paediatric Dentistry Department, Hamdan Bin Mohammed College of Dental Medicine Mohamed Bin Rashid University of Medical and Health Sciences, Dubai, UAE Tel / Fax: + 971 43838907, e-mail: iyad. hussein @ mbru. ac. ae
Stomatology Edu Journal
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