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Calibrating Pediatric Dental Faculty: Caries Management in Primary Teeth
Beau D Meyer1, Marlee Hansen2, Kristin Sweeney2
1Division of Pediatric Dentistry, College of Dentistry, The Ohio State University; Division of Dentistry, Nationwide Children's Hospital.
Pediatric Dentistry
|April 29, 2022
Summary
Pediatric dentists showed varied agreement on primary teeth caries treatment. Treatment choices, particularly surgical versus non-surgical, were influenced by clinical scenarios and patient factors.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Clinical Decision-Making
Background:
- Caries treatment in primary teeth requires careful consideration of various factors.
- Agreement among dental professionals on treatment decisions can impact patient care.
- Variability in treatment selection may arise from differing interpretations of clinical data and patient scenarios.
Purpose of the Study:
- To assess the agreement among board-certified pediatric dentistry faculty regarding caries treatment decisions for primary teeth.
- To investigate how different clinical and behavioral scenarios influence treatment choices for primary teeth decay.
Main Methods:
- Ten full-time pediatric dentistry faculty members evaluated 64 primary teeth from 17 children.
- Treatment selections were made based on clinical photographs and radiographs.
- Cases were presented with three distinct social and behavioral scenarios to gauge decision variability.
- Descriptive statistics and kappa statistics were employed to analyze interrater reliability.
Main Results:
- Interrater reliability for surgical versus non-surgical decisions was 0.59, and for specific treatments (e.g., crown vs. extraction) was 0.55.
- Surgical treatments were the preferred choice in 76% of all responses.
- Non-surgical treatments were favored for early-stage lesions and in challenging social/behavioral situations.
- Surgical interventions were unanimously chosen when sedation or general anesthesia was indicated.
Conclusions:
- Clinical scenarios significantly influence the treatment preferences of pediatric dentistry faculty for primary teeth caries.
- There is a need to enhance the calibration of the decision-making process for selecting caries treatments in primary teeth among specialists.
- Standardizing treatment decision protocols could lead to more consistent and evidence-based care for pediatric dental patients.
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