Methods for caries prevention in adults among dentists from a brazilian community

Keywords: Dental caries, Practice Patterns, Physicians, Preventive dentistry

Abstract

Little is known about dental practice patterns of caries prevention in adults among Brazilian dentists. Aim: To quantify procedures used for caries prevention for adult patients among dentists from a Brazilian community. Methods: Dentists (n=197) who reported that at least 10% of their patients are more than 18 years old participated in the first Brazilian study that used a translated version of the “Assessment of Caries Diagnosis and Caries Treatment” from the U.S. National Dental Practice-Based Research Network. A questionnaire about characteristics of their practice and patient population were also completed by the dentists. Generalized linear regression models and a hierarchal clustering procedure were used (p<0.05). Results: In-office fluoride application was the preventive method most often reported. The main predictors for recommending some preventive agent were: female dentist (dental sealant; in-office fluoride; non-prescription fluoride) and percentage of patients interested in caries prevention (dental sealant; in-office fluoride; non-prescription fluoride). Other predictors included private practice (dental sealant), percentage of patients 65 years or older (in-office fluoride), graduation from a private dental school (non-prescription fluoride), years since dental school graduation (chlorhexidine rinse) and using a preventive method (recommending sealant/fluoride/chlorhexidine rinse/sugarless, xylitol gum). Cluster analysis showed that dentists in the largest subgroup seldom used any of the preventive agents. Conclusion: Dentists most often reported in-office fluoride as a method for caries prevention in adults. Some practitioner, practice and patients’ characteristics were positively associated with more-frequent use of a preventive agent.

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Author Biographies

Elaine Pereira da Silva Tagliaferro, São Paulo State University

Department of Community Dentistry - São Paulo State University. School of Dentistry, Araraquara.

Silvio Rocha Correa da Silva, São Paulo State University

Department of Community Dentistry. São Paulo State University. School of Dentistry, Araraquara.

Fernanda Lopez Rosell, São Paulo State University

Department of Community Dentistry. São Paulo State University. School of Dentistry, Araraquara.

Aylton Valsecki Junior, São Paulo State University

Department of Community Dentistry. São Paulo State University. School of Dentistry, Araraquara.

Joseph L. Riley III, University of Florida

Director, Pain Clinical Research Unit, UF, College of Dentistry, Deputy Director, South Atlantic Region, Dental Practice-based Research Network. Clinical and Translational Research Building (CTRB), Gainesville, FL, USA

Gregg H. Gilbert, University of Alabama at Birmingham

Department of Clinical & Community Sciences. University of Alabama at Birmingham. School of Dentistry.

Valeria Veiga Gordan, University of Florida

University of Florida, College of Dentistry.

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Published
2020-02-06
How to Cite
Tagliaferro, E. P. da S., Rocha Correa da Silva, S., Lopez Rosell, F., Valsecki Junior, A., Riley III, J. L., Gilbert, G. H., & Gordan, V. V. (2020). Methods for caries prevention in adults among dentists from a brazilian community. Brazilian Journal of Oral Sciences, 19, e206624. https://doi.org/10.20396/bjos.v19i0.8656224