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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 5, Issue.: 7

Original-research-article

Clinical Strategies for Managing Dental Caries in Egypt: Opinions of General Practitioner Dentists

 

Abeer Farag1, Wil J. M. van der Sanden2*, Jan Mulder2, Nico H. J. Creugers3 and Jo E. Frencken2

1Department of Conservative Dentistry, Faculty of Dentistry, Minia University, Minia City, Egypt.
2Department of Global Oral Health, Radboud University Nijmegen Medical Centre, College of Dental Sciences, Nijmegen, The Netherlands.
3Department of Oral Rehabilitation, College of Dental Sciences, Radboud University Nijmegen Medical Centre, The Netherlands.

Article Information
Editor(s):
(1) Francesco Angelico, Department of Public Health and Infectious Diseases, Sapienza University Medical School, Rome, Italy.
Reviewers:
(1) Anonymous, Positivo University, Brazil.
(2) Preetika Chandna, Subharti Dental College, NH-58 Delhi-Haridwar Bypass, Meerut, Uttar Pradesh, India.
(3) Anonymous, King Saud University, Saudi Arabia.
(4) Narges Mirjalili, Oral Medicine, Shahid Sadoughi University of Medical Sciences, Iran.
(5) Ziad D. Baghdadi, Dentistry, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia; and Department of
Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Complete Peer review History: http://www.sciencedomain.org/review-history/6452

Abstracts

Background: To assess the approach of GPDs in Upper Egypt regarding preventive and restorative treatments for various stages of carious lesion development.
Methods: A 42-item questionnaire was constructed for obtaining the GPD’s opinions. Factor analyses (with Varimax rotation) were conducted to identify scales (clusters) of variables. Logistic regression analyses, with continuing professional development as dependent variable, were conducted to test for the effect of single and scaled factors regarding indications to perform preventive or restorative treatments.
Results: All 70 participants returned the questionnaire. Three scale factors, i.e., treatment strategies, were identified as: ‘operative-minded dentists’ (who make >10 amalgam and resin composite restorations per week); ‘problem solvers’ (who have >10 years of experience, see >60 patients and make >10 temporary restorations per week); and ‘thinkers’ (who spend >50 hours / year on continuing professional development but also make >10 restorations per week). Logistic regression analyses found only one statistically significant relationship (p=0.03): ‘operative-minded dentists’ indicated provision of significantly less caries-preventive measures. Most patient visits were pain-induced.
Conclusion: It was concluded that most GPDs in Upper Egypt have an operative-minded treatment philosophy, and spend less time on preventive measures. Amalgam is the most common restorative material used.

Keywords :

Dental caries; caries control; caries management; Egypt; restorative dentistry; preventive dentistry; practice based research; public oral health.

Full Article - PDF    Page 924-932

DOI : 10.9734/BJMMR/2015/12439

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