Caries Risk Assessment-related Knowledge, Attitude, and Behaviors Among Chinese Dentists: a Cross-sectional Survey

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2022 Aug 27

PMID 36029334

Authors

Xiaolin Fang

Fang Hua

Zhi Chen

Lu Zhang

Affiliations

Soon will be listed here.

Abstract

Objectives: To investigate caries risk assessment (CRA)-related knowledge, attitudes, and practices among dentists in China, to describe their subjective ratings of the significance of specific caries risk factors and to identify factors associated with the level of knowledge, attitudes, and use of CRA in routine clinical practice.

Materials And Methods: A cross-sectional anonymous online questionnaire survey was performed. The questionnaire was distributed via WeChat (Tencent, Shenzhen, China) to practicing dentists between November 25 and December 25, 2021. For participant recruitment, we employed purposive and snowball sampling techniques. Data were collected using a specialized web-based survey tool ( www.wjx.cn ) and analyzed with descriptive statistics and regression analyses.

Results: A total of 826 valid questionnaires were collected. Only 292 (35.4%) respondents used CRA in routine practice, among whom a majority (243, 83.2%) did not use a specific CRA tool. The routine use of CRA was associated with the type of practicing office, attendance of caries-related lectures, the habit of reading caries-related literature, geographic location, and the total knowledge score. The mean total knowledge score was 3.13 (score range: 0 to 6). Knowledge levels were related to several sociodemographic characteristics, including geographic location, the type of practicing office, attendance of caries-related lectures and the habit of reading caries-related literature. The risk factor deemed most important was "current oral hygiene."

Conclusions: Caries risk assessment has not widely entered clinical practice in China. The level of CRA-related knowledge among dentists was generally suboptimal.

Clinical Relevance: Strengthening CRA-related education may allow practitioners to develop a better understanding of caries risk assessment and hence promote its implementation.

Citing Articles

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References

Kassebaum N, Bernabe E, Dahiya M, Bhandari B, Murray C, Marcenes W . Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015; 94(5):650-8. DOI: 10.1177/0022034515573272. View

Gu Z, Zhang S, Zhang R, Tang H, Sun X, Liu X . Prevalence of Caries in Mainland China: Evidence from 1980 to 2018: A Systematic Review and Meta-Analysis. Chin J Dent Res. 2019; 22(4):251-263. DOI: 10.3290/j.cjdr.a43736. View

Ismail A, Sohn W, Tellez M, Amaya A, Sen A, Hasson H . The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007; 35(3):170-8. DOI: 10.1111/j.1600-0528.2007.00347.x. View

Pitts N, Ekstrand K . International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2014; 41(1):e41-52. DOI: 10.1111/cdoe.12025. View

Twetman S, Fontana M . Patient caries risk assessment. Monogr Oral Sci. 2009; 21:91-101. DOI: 10.1159/000224214. View

Bratthall D, Hansel Petersson G . Cariogram--a multifactorial risk assessment model for a multifactorial disease. Community Dent Oral Epidemiol. 2005; 33(4):256-64. DOI: 10.1111/j.1600-0528.2005.00233.x. View

Warren E, Pollicino C, Curtis B, Evans W, Sbaraini A, Schwarz E . Modeling the long-term cost-effectiveness of the caries management system in an Australian population. Value Health. 2010; 13(6):750-60. DOI: 10.1111/j.1524-4733.2010.00759.x. View

Curtis B, Warren E, Pollicino C, Evans R, Schwarz E, Sbaraini A . The Monitor Practice Programme: is non-invasive management of dental caries in private practice cost-effective?. Aust Dent J. 2011; 56(1):48-55. DOI: 10.1111/j.1834-7819.2010.01286.x. View

Kakudate N, Sumida F, Matsumoto Y, Yokoyama Y, Riley 3rd J, Gilbert G . Dentists' decisions to conduct caries risk assessment in a Dental Practice-Based Research Network. Community Dent Oral Epidemiol. 2014; 43(2):128-34. PMC: 4345143. DOI: 10.1111/cdoe.12127. View

10.

Riley 3rd J, Gordan V, Ajmo C, Bockman H, Jackson M, Gilbert G . Dentists' use of caries risk assessment and individualized caries prevention for their adult patients: findings from The Dental Practice-Based Research Network. Community Dent Oral Epidemiol. 2011; 39(6):564-73. PMC: 3193859. DOI: 10.1111/j.1600-0528.2011.00626.x. View

11.

Nagaraj A, Vishnani P, Yousuf A, Ganta S, Singh K, Acharya S . Perception of Dentists about Caries-risk Assessment tools in Jaipur, India: A Cross-sectional Study. J Int Oral Health. 2015; 7(8):77-81. PMC: 4588795. View

12.

Domejean S, Leger S, Simon A, Boucharel N, Holmgren C . Knowledge, opinions and practices of French general practitioners in the assessment of caries risk: results of a national survey. Clin Oral Investig. 2016; 21(2):653-663. DOI: 10.1007/s00784-016-1932-y. View

13.

Tagliaferro E, da Silva S, Rosell F, Junior A, Riley Iii J, Gilbert G . Caries risk assessment in dental practices by dentists from a Brazilian community. Braz Oral Res. 2020; 35:e017. PMC: 8218203. DOI: 10.1590/1807-3107bor-2021.vol35.0017. View

14.

Eysenbach G . Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004; 6(3):e34. PMC: 1550605. DOI: 10.2196/jmir.6.3.e34. View

15.

Tyrer S, Heyman B . Sampling in epidemiological research: issues, hazards and pitfalls. BJPsych Bull. 2016; 40(2):57-60. PMC: 4817645. DOI: 10.1192/pb.bp.114.050203. View

16.

Riley 3rd J, Qvist V, Fellows J, Rindal D, Richman J, Gilbert G . Dentists' use of caries risk assessment in children: findings from the Dental Practice-Based Research Network. Gen Dent. 2010; 58(3):230-4. PMC: 2874201. View

17.

Gao X, Hsu C, Xu Y, Hwarng H, Loh T, Koh D . Building caries risk assessment models for children. J Dent Res. 2010; 89(6):637-43. DOI: 10.1177/0022034510364489. View

18.

Kalhan T, Un Lam C, Karunakaran B, Chay P, Chng C, Nair R . Caries Risk Prediction Models in a Medical Health Care Setting. J Dent Res. 2020; 99(7):787-796. PMC: 7343522. DOI: 10.1177/0022034520913476. View

19.

MacRitchie H, Longbottom C, Robertson M, Nugent Z, Chan K, Radford J . Development of the Dundee Caries Risk Assessment Model (DCRAM)--risk model development using a novel application of CHAID analysis. Community Dent Oral Epidemiol. 2011; 40(1):37-45. DOI: 10.1111/j.1600-0528.2011.00630.x. View

20.

Cagetti M, Bonta G, Cocco F, Lingstrom P, Strohmenger L, Campus G . Are standardized caries risk assessment models effective in assessing actual caries status and future caries increment? A systematic review. BMC Oral Health. 2018; 18(1):123. PMC: 6048716. DOI: 10.1186/s12903-018-0585-4. View