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Decision making and management of root caries: A practice-based survey
Samira Helena Niemeyer1, Yanik Boss1, Sabrina Maniewicz2
1Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Switzerland.
Journal of Dentistry
|May 18, 2024
Summary
Swiss dentists often restore inactive root caries lesions (RCL) despite guidelines. Management decisions for root caries lesions vary, highlighting a gap between recommendations and practice.
Area of Science:
- Dentistry
- Cariology
- Public Health
Background:
- Increasing life expectancy leads to more retained teeth and a rise in root caries lesions (RCL).
- Understanding how dentists manage RCL is crucial for effective patient care.
- This study addresses the knowledge gap regarding dentists' decision-making and management of RCL.
Purpose of the Study:
- To evaluate Swiss dentists' knowledge on decision-making for RCL.
- To assess current clinical routines in managing root caries lesions.
- To identify factors influencing treatment choices for RCL.
Main Methods:
- A survey was distributed to Swiss dentists via email and newsletters.
- 383 dentists from 25 cantons participated in the survey.
- Statistical analyses included Mann-Whitney U test, χ² test, and correlation analyses.
Main Results:
- Most dentists correctly identified active (81%) and inactive (67%) RCL.
- A significant percentage (61%) would restore inactive lesions, and 83% would restore active lesions.
- Restorative decisions were influenced by the dentist's place of education and age.
Conclusions:
- Dentists' management of inactive and active RCL showed minimal differences, with varied material preferences.
- A strong correlation exists between chosen restorative material and its expected success rate.
- There is a need to align guideline recommendations with private dental practice application for RCL management.
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