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Implementation of repairs in dental practice: Randomized behavior simulation trial.

Philipp Kanzow, Amelie Friederike Kanzow, Annette Wiegand

    Journal of the American Dental Association (1939)
    |May 22, 2023
    PubMed
    Summary

    Dentists’ adoption of dental restoration repairs increased significantly after implementing targeted behavioral interventions. These findings highlight the effectiveness of structured strategies in promoting evidence-based dental practices.

    Keywords:
    ImplementationTheoretical Domains Frameworkminimally invasive dentistrymixed methodsqualitative researchrestoration repair

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    Area of Science:

    • Dental materials science
    • Behavioral science in dentistry
    • Health services research

    Background:

    • Dentists underutilize evidence-based repair of dental restorations.
    • Barriers to repair adoption by dentists remain significant.
    • Interventions are needed to promote dentists' repair behavior.

    Purpose of the Study:

    • To develop and test interventions targeting dentists' behavior regarding restoration repairs.
    • To increase the adoption of dental restoration repair procedures.

    Main Methods:

    • Problem-centered interviews informed intervention development using the Behavior Change Wheel.
    • Two interventions (guideline, treatment fee item) were tested in a postal trial with German dentists.
    • Dentists' stated repair behavior for composite and amalgam restorations was assessed.

    Main Results:

    • Both interventions significantly increased dentists' stated behavior toward repairs.
    • The guideline intervention showed an increase of +7.8% and +17.6% for composite and amalgam restorations.
    • The treatment fee item intervention showed an increase of +6.4% and +31.5% for composite and amalgam restorations.

    Conclusions:

    • Systematically developed behavioral interventions are effective in promoting dentists' repair behaviors.
    • Targeted interventions can overcome barriers to adopting evidence-based dental practices.
    • Implementation strategies are crucial for widespread adoption of dental restoration repairs.