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Area of Science:

  • Dentistry
  • Diagnostic Accuracy
  • Clinical Decision-Making

Background:

  • General Dental Practitioners (GDPs) face time constraints in clinical practice.
  • Accurate diagnosis is crucial for effective patient management and treatment outcomes.
  • The impact of time pressure on diagnostic performance in dentistry requires further investigation.

Purpose of the Study:

  • To evaluate the effect of time pressure on diagnostic sensitivity and specificity in primary care dentists.
  • To assess the influence of time constraints on perceived stress and task difficulty during clinical decision-making.

Main Methods:

  • A randomized blinded crossover trial involving 40 local primary care dentists.
  • Participants completed a clinical decision-making exercise via a weblink under varying time pressures.
  • Diagnostic sensitivity and specificity were calculated; paired t-tests and Mann-Whitney U tests were used for statistical analysis.

Main Results:

  • A statistically significant increase in perceived difficulty and stress was observed under time pressure (p <0.001).
  • Diagnostic sensitivity for pathological features significantly decreased under time pressure (p <0.001).
  • Specificity for identifying pathology-free sites was not significantly affected by time constraints.

Conclusions:

  • Time pressure negatively impacts dentists' diagnostic performance, specifically reducing sensitivity to pathological features.
  • Sensitivity to caries-related and periodontal disease-related pathology deteriorated significantly (40% and 67%, respectively).
  • Maintaining diagnostic accuracy requires strategies to mitigate the effects of time pressure in dental practice.