Knowledge, Attitude and Practice Regarding Caries Risk Assessment for Children and Adults Among Dental Residents

Dental Caries Clinical Trial

Official title:

Knowledge, Attitude and Practice Regarding Caries Risk Assessment for Children and Adults Among Dental Residents :A Cross Sectional Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05910645
• Other study ID #: Caries Risk Assessment
• Status: Recruiting
• Start date: October 2023
• Est. completion date: June 2024

Study information

• Verified date: October 2023
• Source: Cairo University
• Contact: Manar Orabi, MA Postgraduate Student
• Phone: +201119510756
• Email: manar.orabi[@]dentistry.cu.edu.eg
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Evaluation of knowledge, practice and attitude regarding Caries Risk Assessment for children and adults among Dental Residents in Faculty of Dentistry, Cairo University.

Description:

Dental caries is a dynamic and multifactorial process. Occurrence of dental caries is affected by several factors including quantity and composition of saliva, oral microflora and patient-related parameters including general health and lifestyle, such as the use of fluoride-containing toothpastes and diet.

Caries risk is defined as the probability of developing caries in the future. The incidence of the disease can be either primary (New caries lesions) or secondary (Progression of lesion or reactivation of caries lesions). Caries risk assessment (CRA) is important for the successful application of a minimum intervention dentistry philosophy in the management of dental caries. Patients, with active caries at the time of visit, need the CRA to identify the factors that are most likely to progress in the disease process. The CRA is one of the methods for managing the caries of patients.

Riley et al. showed that the anti-caries agents were widely used in dental clinics, while the CRA was performed by a few dental clinics. In a study of Gaskin et al., 63.5% of subjects agreed with the use of minimal intervention dentistry. In a study of Shah et al., 36% of dentists accepted the use of restorative materials and CRA-based methods, and 15.5% also strongly agreed with CRA for all patients. In a study by Rayapudi and Usha, 81% of participants agreed with CRA in patients. In a study by Riley et al. about the use of CRA by dentists in children, 73% of dentists reported having CRAs for people aged 6 to 18 years. In another study by Riley et al., 69% of dentists performed CRA for patients, and 57% of dentists who performed CRA had considered an individualized caries prevention programs for their patients. Hurlbutt et al. showed that caries management by the CRA is an example of patient care that has the best practice rather than traditional therapies.

Afshar et al. claimed that the CRA is a conservative approach that can prevent waste of time, energy and finances. Evaluating the management of the results of illness in certain periods of time leads to less dental tissues wasting. People's knowledge of CRA in patients leads to more conservative treatment. Due to limited studies in this field and the absence of data about using CRA in Egypt, Especially on dental residents, this study was conducted to evaluate the knowledge, attitude and practice regarding Caries Risk Assessment among pediatric and Conservative Dental Residents in Faculty of Oral and Dental Medicine, Cairo University.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 3
• Est. completion date: June 2024
• Est. primary completion date: April 2024
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Pediatric and conservative dental residents in Faculty of Dentistry, Cairo University.

Completing at least 3 months residency program in one of the departments

Exclusion Criteria:

• Participants who refuse to participate.

Related Conditions & MeSH terms

• Dental Caries

Locations

Country	Name	City	State
Egypt	Faculty of Dentistry, Cairo University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

References & Publications (12)

[12] Afshar, M., khalafi, E., parizi, M., and Z. Shamsadini. 2019. Knowledge, Attitude and Practice Regarding Caries Risk Assessment and Management in General Dentists- A Cross Sectional SurveY, J. Evolution Med. Dent. Sci, Vol. 8, (3499-3504). (DOI;10. 14260/jemds/2019/757).

Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry for managing dental caries - a review: report of a FDI task group. Int Dent J. 2012 Oct;62(5):223-43. doi: 10.1111/idj.12007. — View Citation

Gaskin EB, Levy S, Guzman-Armstrong S, Dawson D, Chalmers J. Knowledge, attitudes, and behaviors of federal service and civilian dentists concerning minimal intervention dentistry. Mil Med. 2010 Feb;175(2):115-21. doi: 10.7205/milmed-d-09-00140. — View Citation

Hallett KB. The application of caries risk assessment in minimum intervention dentistry. Aust Dent J. 2013 Jun;58 Suppl 1:26-34. doi: 10.1111/adj.12047. — View Citation

Hurlbutt M, Young DA. A best practices approach to caries management. J Evid Based Dent Pract. 2014 Jun;14 Suppl:77-86. doi: 10.1016/j.jebdp.2014.03.006. Epub 2014 Mar 28. — View Citation

Marsh PD. Microbiology of dental plaque biofilms and their role in oral health and caries. Dent Clin North Am. 2010 Jul;54(3):441-54. doi: 10.1016/j.cden.2010.03.002. — View Citation

Rayapudi J, Usha C. Knowledge, attitude and skills of dental practitioners of Puducherry on minimally invasive dentistry concepts: A questionnaire survey. J Conserv Dent. 2018 May-Jun;21(3):257-262. doi: 10.4103/JCD.JCD_309_17. — View Citation

Riley JL 3rd, Gordan VV, Ajmo CT, Bockman H, Jackson MB, Gilbert GH. Dentists' use of caries risk assessment and individualized caries prevention for their adult patients: Findings from The Dental Practice-Based Research Network. Tex Dent J. 2015 Jan;132(1):18-29. — View Citation

Riley JL 3rd, Gordan VV, Rindal DB, Fellows JL, Ajmo CT, Amundson C, Anderson GA, Gilbert GH; Dental PBRN Collaborative Group. Preferences for caries prevention agents in adult patients: findings from the dental practice-based research network. Community Dent Oral Epidemiol. 2010 Aug;38(4):360-70. doi: 10.1111/j.1600-0528.2010.00547.x. Epub 2010 May 18. — View Citation

Riley JL 3rd, Qvist V, Fellows JL, Rindal DB, Richman JS, Gilbert GH, Gordan VV; DPBRN Collaborative Group. Dentists' use of caries risk assessment in children: findings from the Dental Practice-Based Research Network. Gen Dent. 2010 May-Jun;58(3):230-4. — View Citation

Shah AH, Sheddi FM, Alharqan MS, Khawja SG, Vohra F, Akram Z, Faden AA, Khalil HS. Knowledge and Attitude among General Dental Practitioners towards Minimally Invasive Dentistry in Riyadh and AlKharj. J Clin Diagn Res. 2016 Jul;10(7):ZC90-4. doi: 10.7860/JCDR/2016/20543.8207. Epub 2016 Jul 1. — View Citation

Twetman S, Fontana M. Patient caries risk assessment. Monogr Oral Sci. 2009;21:91-101. doi: 10.1159/000224214. Epub 2009 Jun 3. — View Citation

* Note: There are 12 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Knowledge regarding Caries Risk Assessment among Dental Residents in Faculty of Dentistry, CU Attitude regarding CRA among Dental Residents in Faculty of Dentistry, CU Practice regarding CRA among Dental Residents in Faculty of Dentistry, CU	Questionnaire Questionnaire Questionnaire	through study completion, an average of 1 year