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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