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Factors Associated with Pediatric Dentists' Choice of Amalgam: Choice-Based Conjoint Analysis Approach
E Bakhurji1, T Scott2, W Sohn3
11 Preventive Dental Sciences Department, Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam, Saudi Arabia.
JDR Clinical and Translational Research
|April 2, 2019
Summary
Pediatric dentists use amalgam less when managing high-risk caries cases, aligning with Minamata treaty goals. Caries risk, not insurance, drives decisions to phase down dental amalgam use.
Area of Science:
- Dental Public Health
- Environmental Health
- Health Policy
Background:
- The Minamata Treaty (2013) mandates a global phase-down of dental amalgam use.
- This treaty may impact dental care access for underserved populations.
- Strategic approaches are needed to reduce amalgam use with minimal risk to vulnerable groups.
Purpose of the Study:
- To identify patient-related factors influencing pediatric dentists' choice of amalgam.
- To inform strategies for reducing amalgam use in compliance with the Minamata Treaty.
Main Methods:
- A survey was distributed to American Academy of Pediatric Dentistry members.
- Choice-based conjoint analysis evaluated trade-offs in amalgam use decisions.
- Factors included caries risk and dental insurance type.
Main Results:
- Only 45% of respondents reported using amalgam.
- Caries risk was the primary factor influencing amalgam use decisions.
- Insurance type also played a role, but to a lesser extent than caries risk.
Conclusions:
- Successful phase-down of dental amalgam hinges on effective prevention and management of caries risk factors.
- Findings are crucial for policymakers developing strategies to meet Minamata Treaty objectives.
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