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Gregg H. Gilbert - One of the best experts on this subject based on the ideXlab platform.
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evidence practice gap for in office fluoride application in a dental practice based research network
Journal of Public Health Dentistry, 2016Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The aims of this study were to examine dentists' recommendations for in-office fluoride to patients and identify dentists' characteristics associated with these recommendations. Study Design and Setting The study was conducted using a cross-sectional questionnaire survey in Japan. The survey queried dentists (n = 282) in outpatient dental practices affiliated with the Dental Practice-based Research Network Japan (JDPBRN). This network aims to assist dentists in investigating research questions and sharing their experience and expertise. Results The responses were obtained by 189 dentists (67 percent). Among valid response, 54 percent of dentists (n = 98) recommend in-office fluoride to more than 50 percent of their patients aged 6-18 years and 15 percent (n = 29) recommended this care to more than 50 percent of their patients aged over 18 years. Multiple logistic regression analysis suggested that factors associated with the percentage of patients who are recommended in-office fluoride included patient's interest in Caries Prevention and dentist's belief in the effectiveness of Caries risk assessment. Conclusions Dentist practice patterns for recommending in-office fluoride vary widely. Recommendation was significantly related to having a higher percentage of patients interested in Caries Prevention and to the dentist's belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01680848).
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dentists practice patterns regarding Caries Prevention results from a dental practice based research network
BMJ Open, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The purposes of this study were to (1) quantify dentists9 practice patterns regarding Caries Prevention and (2) test the hypothesis that certain dentists9 characteristics are associated with these practice patterns. Design The study used a cross-sectional study design consisting of a questionnaire survey. Participants The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan, which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n=282). Measurement Dentists were asked about their practice patterns regarding Caries preventive dentistry. Background data on patients, practice and dentist were also collected. Results 38% of dentists (n=72) provided individualised Caries Prevention to more than 50% of their patients. Overall, 10% of the time in daily practice was spent on Caries preventive dentistry. Dentists who provided individualised Caries Prevention to more than 50% of their patients spent significantly more time on preventive care and less time on removable prosthetics treatment, compared to dentists who did not provide individualised Caries Prevention. Additionally, they provided oral hygiene instruction, patient education, fluoride recommendations, intraoral photographs taken and diet counselling to their patients significantly more often than dentists who did not provide individualised Caries Prevention. Multiple logistic regression analysis suggested that the percentage of patients interested in Caries Prevention and the percentage of patients who received hygiene instruction, were both associated with the percentage of patients who receive individualised Caries Prevention. Conclusions We identified substantial variation in dentists9 practice patterns regarding preventive dentistry. Individualised Caries Prevention was significantly related to provision of other preventive services and to having a higher percentage of patients interested in Caries Prevention, but not to the dentist9s belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01 680 848).
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dentists dietary perception and practice patterns in a dental practice based research network
The FASEB Journal, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Background Dental Caries are largely preventable, and epidemiological evidence for a relationship between diet and oral health is abundant. To date, however, dentists’ perceptions about the role of diet and dentists’ practice patterns regarding diet counseling have not been clarified. Objective The purposes of this study were to: (1) examine discordance between dentists’ perception of the importance of diet in Caries treatment planning and their actual provision of diet counseling to patients, and (2) identify dentists’ characteristics associated with their provision of diet counseling. Design The study used a cross-sectional study design consisting of a questionnaire survey in Japan. Participants The study queried dentists working in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN), which aims to allow dentists to investigate research questions and share experiences and expertise (n = 282). Measurement Dentists were asked about their perceptions on the importance of diet and their practice patterns regarding diet counseling, as well as patient, practice, and dentist background data. Results The majority of participants (n = 116, 63%) recognized that diet is “more important” to oral health. However, among participants who think diet is “more important” (n = 116), only 48% (n = 56) provide diet counseling to more than 20% of their patients. Multiple logistic regression analysis suggested that several variables were associated with providing diet counseling; dentist gender, practice busyness, percentage of patients interested in Caries Prevention, Caries risk assessment, and percentage of patients who receive blood pressure screening. Conclusions Some discordance exists between dentists’ perception of the importance of diet in Caries treatment planning and their actual practice pattern regarding diet counseling to patients. Reducing this discordance may require additional dentist education, including nutritional and systemic disease concepts; patient education to increase perception of the importance of Caries Prevention; or removing barriers to practices’ implementation of counseling. Trial Registration ClinicalTrials.gov NCT01680848
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dentists use of Caries risk assessment and individualized Caries Prevention for their adult patients findings from the dental practice based research network
Community Dentistry and Oral Epidemiology, 2011Co-Authors: Joseph L Riley, Valeria V. Gordan, Craig T Ajmo, Hildegunn Bockman, Marlon B Jackson, Gregg H. GilbertAbstract:Riley JL, Gordan VV, Ajmo CT, Bockman H, Jackson MB, Gilbert GH, for The Dental PBRN Collaborative Group. 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: 564–573. © 2011 John Wiley & Sons A/S Abstract – Objectives: Few studies have examined dentists’ subjective ratings of importance of Caries risk factors or tested whether dentists use this information in treatment planning. This study tested several hypotheses related to Caries risk assessment (CRA) and individualized Caries Prevention (ICP). Methods: Data were collected as part of a questionnaire entitled ‘Assessment of Caries Diagnosis and Caries Treatment’, completed by 547 practitioners who belong to The Dental Practice-Based Research Network (DPBRN), a consortium of participating practices and dental organizations. Results: Sixty-nine percent of DPBRN dentists perform CRA on their patients. Recently graduated dentists, dentists with busier practices, and those who believe a dentist can predict future Caries were the most likely to use CRA. The association between CRA and individualized Prevention was weaker than expected (r = 0.21). Dentists who perform CRA provide ICP to 57% of their patients, compared with 42% for dentists who do not perform CRA. Based on their responses to radiographic and clinical scenarios in the questionnaire, dentists who use CRA appear to use this information in restorative decisions. Conclusion: A substantial percentage of DPBRN dentists do not perform CRA, and there is not a strong linkage between its use and use of individualized preventive regimens for adult patients. More progress in the implementation of current scientific evidence in this area is warranted.
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preferences for Caries Prevention agents in adult patients findings from the dental practice based research network
Community Dentistry and Oral Epidemiology, 2010Co-Authors: Joseph L Riley, Valeria V. Gordan, Craig T Ajmo, Brad D Rindal, Jeffrey L Fellows, Craig W Amundson, Gerald Anderson, Gregg H. GilbertAbstract:Riley JL III, Gordan VV, Rindal DB, Fellows JL, Ajmo CT, Amundson C, Anderson GA, Gilbert GH and for The Dental PBRN Collaborative Group. Preferences for Caries Prevention agents in adult patients: findings from the dental practice–based research network. Community Dent Oral Epidemiol 2010; 38: 360–370. © 2010 John Wiley & Sons A/S Abstract – Objectives: To identify factors that are significantly associated with dentists’ use of specific Caries preventive agents in adult patients, and whether dentists who use one preventive agent are also more likely to use certain others. Methods: Data were collected from 564 practitioners in The Dental Practice–Based Research Network, a multi-region consortium of participating practices and dental organizations. Results: In-office topical fluoride was the method most frequently used. Regarding at-home preventive agents, there was little difference in preference between nonprescription fluoride, prescription fluoride, or chlorhexidine rinse. Dentists who most frequently used Caries Prevention were also those who regularly perform Caries risk assessment and individualize Caries Prevention at the patient level. Higher percentages of patients with dental insurance were significantly associated with more use of in-office Prevention modalities. Female dentists and dentists with more-recent training were more likely to recommend preventive agents that are applied by the patient. Dentists who reported more-conservative decisions in clinical treatment scenarios were also more likely to use Caries preventive agents. Groups of dentist who shared a common preference for certain preventive agents were identified. One group used preventive agents selectively, whereas the other groups predominately used either in-office or at-home fluorides. Conclusions: Caries Prevention is commonly used with adult patients. However, these results suggest that only a subset of dentists base preventive treatments on Caries risk at the individual patient level.
Valeria V. Gordan - One of the best experts on this subject based on the ideXlab platform.
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evidence practice gap for in office fluoride application in a dental practice based research network
Journal of Public Health Dentistry, 2016Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The aims of this study were to examine dentists' recommendations for in-office fluoride to patients and identify dentists' characteristics associated with these recommendations. Study Design and Setting The study was conducted using a cross-sectional questionnaire survey in Japan. The survey queried dentists (n = 282) in outpatient dental practices affiliated with the Dental Practice-based Research Network Japan (JDPBRN). This network aims to assist dentists in investigating research questions and sharing their experience and expertise. Results The responses were obtained by 189 dentists (67 percent). Among valid response, 54 percent of dentists (n = 98) recommend in-office fluoride to more than 50 percent of their patients aged 6-18 years and 15 percent (n = 29) recommended this care to more than 50 percent of their patients aged over 18 years. Multiple logistic regression analysis suggested that factors associated with the percentage of patients who are recommended in-office fluoride included patient's interest in Caries Prevention and dentist's belief in the effectiveness of Caries risk assessment. Conclusions Dentist practice patterns for recommending in-office fluoride vary widely. Recommendation was significantly related to having a higher percentage of patients interested in Caries Prevention and to the dentist's belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01680848).
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dentists practice patterns regarding Caries Prevention results from a dental practice based research network
BMJ Open, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The purposes of this study were to (1) quantify dentists9 practice patterns regarding Caries Prevention and (2) test the hypothesis that certain dentists9 characteristics are associated with these practice patterns. Design The study used a cross-sectional study design consisting of a questionnaire survey. Participants The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan, which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n=282). Measurement Dentists were asked about their practice patterns regarding Caries preventive dentistry. Background data on patients, practice and dentist were also collected. Results 38% of dentists (n=72) provided individualised Caries Prevention to more than 50% of their patients. Overall, 10% of the time in daily practice was spent on Caries preventive dentistry. Dentists who provided individualised Caries Prevention to more than 50% of their patients spent significantly more time on preventive care and less time on removable prosthetics treatment, compared to dentists who did not provide individualised Caries Prevention. Additionally, they provided oral hygiene instruction, patient education, fluoride recommendations, intraoral photographs taken and diet counselling to their patients significantly more often than dentists who did not provide individualised Caries Prevention. Multiple logistic regression analysis suggested that the percentage of patients interested in Caries Prevention and the percentage of patients who received hygiene instruction, were both associated with the percentage of patients who receive individualised Caries Prevention. Conclusions We identified substantial variation in dentists9 practice patterns regarding preventive dentistry. Individualised Caries Prevention was significantly related to provision of other preventive services and to having a higher percentage of patients interested in Caries Prevention, but not to the dentist9s belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01 680 848).
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dentists dietary perception and practice patterns in a dental practice based research network
The FASEB Journal, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Background Dental Caries are largely preventable, and epidemiological evidence for a relationship between diet and oral health is abundant. To date, however, dentists’ perceptions about the role of diet and dentists’ practice patterns regarding diet counseling have not been clarified. Objective The purposes of this study were to: (1) examine discordance between dentists’ perception of the importance of diet in Caries treatment planning and their actual provision of diet counseling to patients, and (2) identify dentists’ characteristics associated with their provision of diet counseling. Design The study used a cross-sectional study design consisting of a questionnaire survey in Japan. Participants The study queried dentists working in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN), which aims to allow dentists to investigate research questions and share experiences and expertise (n = 282). Measurement Dentists were asked about their perceptions on the importance of diet and their practice patterns regarding diet counseling, as well as patient, practice, and dentist background data. Results The majority of participants (n = 116, 63%) recognized that diet is “more important” to oral health. However, among participants who think diet is “more important” (n = 116), only 48% (n = 56) provide diet counseling to more than 20% of their patients. Multiple logistic regression analysis suggested that several variables were associated with providing diet counseling; dentist gender, practice busyness, percentage of patients interested in Caries Prevention, Caries risk assessment, and percentage of patients who receive blood pressure screening. Conclusions Some discordance exists between dentists’ perception of the importance of diet in Caries treatment planning and their actual practice pattern regarding diet counseling to patients. Reducing this discordance may require additional dentist education, including nutritional and systemic disease concepts; patient education to increase perception of the importance of Caries Prevention; or removing barriers to practices’ implementation of counseling. Trial Registration ClinicalTrials.gov NCT01680848
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dentists use of Caries risk assessment and individualized Caries Prevention for their adult patients findings from the dental practice based research network
Community Dentistry and Oral Epidemiology, 2011Co-Authors: Joseph L Riley, Valeria V. Gordan, Craig T Ajmo, Hildegunn Bockman, Marlon B Jackson, Gregg H. GilbertAbstract:Riley JL, Gordan VV, Ajmo CT, Bockman H, Jackson MB, Gilbert GH, for The Dental PBRN Collaborative Group. 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: 564–573. © 2011 John Wiley & Sons A/S Abstract – Objectives: Few studies have examined dentists’ subjective ratings of importance of Caries risk factors or tested whether dentists use this information in treatment planning. This study tested several hypotheses related to Caries risk assessment (CRA) and individualized Caries Prevention (ICP). Methods: Data were collected as part of a questionnaire entitled ‘Assessment of Caries Diagnosis and Caries Treatment’, completed by 547 practitioners who belong to The Dental Practice-Based Research Network (DPBRN), a consortium of participating practices and dental organizations. Results: Sixty-nine percent of DPBRN dentists perform CRA on their patients. Recently graduated dentists, dentists with busier practices, and those who believe a dentist can predict future Caries were the most likely to use CRA. The association between CRA and individualized Prevention was weaker than expected (r = 0.21). Dentists who perform CRA provide ICP to 57% of their patients, compared with 42% for dentists who do not perform CRA. Based on their responses to radiographic and clinical scenarios in the questionnaire, dentists who use CRA appear to use this information in restorative decisions. Conclusion: A substantial percentage of DPBRN dentists do not perform CRA, and there is not a strong linkage between its use and use of individualized preventive regimens for adult patients. More progress in the implementation of current scientific evidence in this area is warranted.
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preferences for Caries Prevention agents in adult patients findings from the dental practice based research network
Community Dentistry and Oral Epidemiology, 2010Co-Authors: Joseph L Riley, Valeria V. Gordan, Craig T Ajmo, Brad D Rindal, Jeffrey L Fellows, Craig W Amundson, Gerald Anderson, Gregg H. GilbertAbstract:Riley JL III, Gordan VV, Rindal DB, Fellows JL, Ajmo CT, Amundson C, Anderson GA, Gilbert GH and for The Dental PBRN Collaborative Group. Preferences for Caries Prevention agents in adult patients: findings from the dental practice–based research network. Community Dent Oral Epidemiol 2010; 38: 360–370. © 2010 John Wiley & Sons A/S Abstract – Objectives: To identify factors that are significantly associated with dentists’ use of specific Caries preventive agents in adult patients, and whether dentists who use one preventive agent are also more likely to use certain others. Methods: Data were collected from 564 practitioners in The Dental Practice–Based Research Network, a multi-region consortium of participating practices and dental organizations. Results: In-office topical fluoride was the method most frequently used. Regarding at-home preventive agents, there was little difference in preference between nonprescription fluoride, prescription fluoride, or chlorhexidine rinse. Dentists who most frequently used Caries Prevention were also those who regularly perform Caries risk assessment and individualize Caries Prevention at the patient level. Higher percentages of patients with dental insurance were significantly associated with more use of in-office Prevention modalities. Female dentists and dentists with more-recent training were more likely to recommend preventive agents that are applied by the patient. Dentists who reported more-conservative decisions in clinical treatment scenarios were also more likely to use Caries preventive agents. Groups of dentist who shared a common preference for certain preventive agents were identified. One group used preventive agents selectively, whereas the other groups predominately used either in-office or at-home fluorides. Conclusions: Caries Prevention is commonly used with adult patients. However, these results suggest that only a subset of dentists base preventive treatments on Caries risk at the individual patient level.
Richard Niederman - One of the best experts on this subject based on the ideXlab platform.
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longitudinal Caries prevalence in a comprehensive multi component school based Prevention program
medRxiv, 2020Co-Authors: Richard Niederman, Ryan Richard Ruff, Jacqueline R Starr, Joseph Palmisano, J M Goodson, O M BukhariAbstract:Abstract Background Globally, children’s Caries prevalence exceeds 30% and has not markedly changed in 30 years. School-based Caries Prevention programs may be an effective method to reduce Caries prevalence, obviate traditional barriers to care, and use aerosol-free interventions. The objective of this study was to explore the clinical effectiveness of a comprehensive school-based, aerosol-free, Caries Prevention program. Methods We conducted a 6-year prospective open cohort study in 33 U.S. public elementary schools, providing care to 6,927 children in communities with and without water fluoridation. Following a dental examination, dental hygienists provided twice-yearly prophylaxis, glass ionomer sealants, glass ionomer interim therapeutic restorations, fluoride varnish, toothbrushes, fluoride toothpaste, oral hygiene instruction, and referral to community dentists as needed. We used generalized estimating equations to estimate the change in the prevalence of untreated Caries over time. Results The prevalence of untreated Caries decreased by greater than 50%: from 39% to 18% in phase 1, and from 28% to 10% in phase 2. The per-visit adjusted odds ratio of untreated decay was 0.79 (95% CI: 0.73, 0.85). Conclusions and Practical Implications We show that a school-based comprehensive Caries Prevention program was associated with substantial reductions in children’s Caries, supporting the concept of expanding traditional practices to include office- and community-based aerosol-free care.
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an economic evaluation of a comprehensive school based Caries Prevention program
JDR clinical and translational research, 2019Co-Authors: Shulamite S Huang, Ryan Richard Ruff, Richard NiedermanAbstract:Introduction:Current economic evaluations of school-based Caries Prevention programs (SCPPs) do not compare multiple types of SCPPs against each other and do not consider teeth beyond permanent fir...
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silver diamine fluoride versus therapeutic sealants for the arrest and Prevention of dental Caries in low income minority children study protocol for a cluster randomized controlled trial
Trials, 2018Co-Authors: Ryan Richard Ruff, Richard NiedermanAbstract:Dental Caries is the most prominent childhood disease in the world. In the United States, more than 50% of children have experienced Caries. Untreated Caries can have negative impacts on quality of life, academic performance, and school attendance. To reduce oral health disparities, multiple organizations recommend school-based Caries Prevention. A longitudinal, cluster randomized, non-inferiority trial will be conducted in low-income children from primarily Hispanic/Latino backgrounds currently enrolled in public elementary schools in New York City, New York, United States, from 2018 to 2023. The primary objective is to compare the non-inferiority of silver diamine fluoride and fluoride varnish versus glass ionomer therapeutic sealants and fluoride varnish in the arrest and Prevention of dental Caries. Secondary objectives are to evaluate differences in effectiveness when care is provided by nurses versus dental hygienists and assess the impact of Prevention on oral health-related quality of life and educational outcomes. Caries arrest will be evaluated after 2 years, and Caries Prevention and secondary outcomes will be assessed at the completion of the study. Data analysis will follow intent-to-treat, and statistical analyses will be conducted using a two-sided significance level of 0.05. The comparative effectiveness of alternative Caries Prevention delivery models is considered to be one of the highest research priorities in the United States. Many treatments are currently available to prevent and arrest dental Caries. The simplicity and affordability of silver diamine fluoride may be a viable alternative for the Prevention of dental Caries in high-risk children. U.S. National Library of Medicine, www.clinicaltrials.gov , ID: NCT03442309 . Registered on 22 February 2018.
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Comparative effectiveness of school-based Caries Prevention: a prospective cohort study
BMC, 2018Co-Authors: Ryan Richard Ruff, Richard NiedermanAbstract:Abstract Background Dental Caries is the world’s most prevalent childhood disease. School-based Caries Prevention can reduce the risk of childhood Caries by increasing access to care. However, the optimal mix of treatment services, intensity, and frequency of care is unknown. Methods Data were derived from two prospective cohorts of US children participating in two Caries Prevention programs with different treatment intensities. One program provided primary and secondary Prevention (glass ionomer sealants and interim therapeutic restorations) and one primary Prevention only (glass ionomer sealants), both given twice yearly in six-month intervals. Primary study outcomes included untreated decay and the total observed Caries experience. Analysis used generalized additive models to estimate nonlinear effects and trends over time. Results were compared to those estimated using generalized estimating equations and mixed-effects multilevel Poisson regression. Results Primary and secondary Prevention combined did not significantly reduce total Caries experience compared to primary Prevention alone, but did reduce the risk of untreated decay on permanent dentition. Additionally, the rate of new Caries experience was slower in the primary and secondary Prevention group. Nonlinear trends for dental Caries across both programs were statistically significant from zero (p
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Silver diamine fluoride versus therapeutic sealants for the arrest and Prevention of dental Caries in low-income minority children: study protocol for a cluster randomized controlled trial
BMC, 2018Co-Authors: Ryan Richard Ruff, Richard NiedermanAbstract:Abstract Background Dental Caries is the most prominent childhood disease in the world. In the United States, more than 50% of children have experienced Caries. Untreated Caries can have negative impacts on quality of life, academic performance, and school attendance. To reduce oral health disparities, multiple organizations recommend school-based Caries Prevention. Methods/design A longitudinal, cluster randomized, non-inferiority trial will be conducted in low-income children from primarily Hispanic/Latino backgrounds currently enrolled in public elementary schools in New York City, New York, United States, from 2018 to 2023. The primary objective is to compare the non-inferiority of silver diamine fluoride and fluoride varnish versus glass ionomer therapeutic sealants and fluoride varnish in the arrest and Prevention of dental Caries. Secondary objectives are to evaluate differences in effectiveness when care is provided by nurses versus dental hygienists and assess the impact of Prevention on oral health-related quality of life and educational outcomes. Caries arrest will be evaluated after 2 years, and Caries Prevention and secondary outcomes will be assessed at the completion of the study. Data analysis will follow intent-to-treat, and statistical analyses will be conducted using a two-sided significance level of 0.05. Discussion The comparative effectiveness of alternative Caries Prevention delivery models is considered to be one of the highest research priorities in the United States. Many treatments are currently available to prevent and arrest dental Caries. The simplicity and affordability of silver diamine fluoride may be a viable alternative for the Prevention of dental Caries in high-risk children. Trial registration U.S. National Library of Medicine, www.clinicaltrials.gov, ID: NCT03442309. Registered on 22 February 2018
James J Sciubba - One of the best experts on this subject based on the ideXlab platform.
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practice guidelinessjogren diseaseclinical practice guidelines for oral management of sjogren disease dental Caries Prevention
Journal of the American Dental Association, 2016Co-Authors: Domenick T Zero, Michael T Brennan, Troy E Daniels, Athena Papas, Carol M Stewart, Andres Pinto, Ibtisam Alhashimi, Mahvash Navazesh, Nelson L Rhodus, James J SciubbaAbstract:Background Salivary dysfunction in Sjogren disease can lead to serious and costly oral health complications. Clinical practice guidelines for Caries Prevention in Sjogren disease were developed to improve quality and consistency of care.
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clinical practice guidelines for oral management of sjogren disease dental Caries Prevention
Journal of the American Dental Association, 2016Co-Authors: Domenick T Zero, Michael T Brennan, Troy E Daniels, Athena Papas, Carol M Stewart, Andres Pinto, Ibtisam Alhashimi, Mahvash Navazesh, Nelson L Rhodus, James J SciubbaAbstract:Abstract Background Salivary dysfunction in Sjogren disease can lead to serious and costly oral health complications. Clinical practice guidelines for Caries Prevention in Sjogren disease were developed to improve quality and consistency of care. Methods A national panel of experts devised clinical questions in a Population, Intervention, Comparison, Outcomes format and included use of fluoride, salivary stimulants, antimicrobial agents, and nonfluoride remineralizing agents. The panel conducted a systematic search of the literature according to pre-established parameters. At least 2 members extracted the data, and the panel rated the strength of the recommendations by using a variation of grading of recommendations, assessment, development, and evaluation. After a Delphi consensus panel was conducted, the experts finalized the recommendations, with a minimum of 75% agreement required. Results Final recommendations for patients with Sjogren disease with dry mouth were as follows: topical fluoride should be used in all patients (strong); although no study results link improved salivary flow to Caries Prevention, the oral health community generally accepts that increasing saliva may contribute to decreased Caries incidence, so increasing saliva through gustatory, masticatory, or pharmaceutical stimulation may be considered (weak); chlorhexidine administered as varnish, gel, or rinse may be considered (weak); and nonfluoride remineralizing agents may be considered as an adjunct therapy (moderate). Conclusions and Practical Implications The incidence of Caries in patients with Sjogren disease can be reduced with the use of topical fluoride and other preventive strategies.
Yoko Yokoyama - One of the best experts on this subject based on the ideXlab platform.
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evidence practice gap for in office fluoride application in a dental practice based research network
Journal of Public Health Dentistry, 2016Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The aims of this study were to examine dentists' recommendations for in-office fluoride to patients and identify dentists' characteristics associated with these recommendations. Study Design and Setting The study was conducted using a cross-sectional questionnaire survey in Japan. The survey queried dentists (n = 282) in outpatient dental practices affiliated with the Dental Practice-based Research Network Japan (JDPBRN). This network aims to assist dentists in investigating research questions and sharing their experience and expertise. Results The responses were obtained by 189 dentists (67 percent). Among valid response, 54 percent of dentists (n = 98) recommend in-office fluoride to more than 50 percent of their patients aged 6-18 years and 15 percent (n = 29) recommended this care to more than 50 percent of their patients aged over 18 years. Multiple logistic regression analysis suggested that factors associated with the percentage of patients who are recommended in-office fluoride included patient's interest in Caries Prevention and dentist's belief in the effectiveness of Caries risk assessment. Conclusions Dentist practice patterns for recommending in-office fluoride vary widely. Recommendation was significantly related to having a higher percentage of patients interested in Caries Prevention and to the dentist's belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01680848).
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dentists practice patterns regarding Caries Prevention results from a dental practice based research network
BMJ Open, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Objective The purposes of this study were to (1) quantify dentists9 practice patterns regarding Caries Prevention and (2) test the hypothesis that certain dentists9 characteristics are associated with these practice patterns. Design The study used a cross-sectional study design consisting of a questionnaire survey. Participants The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan, which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n=282). Measurement Dentists were asked about their practice patterns regarding Caries preventive dentistry. Background data on patients, practice and dentist were also collected. Results 38% of dentists (n=72) provided individualised Caries Prevention to more than 50% of their patients. Overall, 10% of the time in daily practice was spent on Caries preventive dentistry. Dentists who provided individualised Caries Prevention to more than 50% of their patients spent significantly more time on preventive care and less time on removable prosthetics treatment, compared to dentists who did not provide individualised Caries Prevention. Additionally, they provided oral hygiene instruction, patient education, fluoride recommendations, intraoral photographs taken and diet counselling to their patients significantly more often than dentists who did not provide individualised Caries Prevention. Multiple logistic regression analysis suggested that the percentage of patients interested in Caries Prevention and the percentage of patients who received hygiene instruction, were both associated with the percentage of patients who receive individualised Caries Prevention. Conclusions We identified substantial variation in dentists9 practice patterns regarding preventive dentistry. Individualised Caries Prevention was significantly related to provision of other preventive services and to having a higher percentage of patients interested in Caries Prevention, but not to the dentist9s belief about the effectiveness of Caries risk assessment. (Clinicaltrials.gov registration number NCT01 680 848).
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dentists dietary perception and practice patterns in a dental practice based research network
The FASEB Journal, 2013Co-Authors: Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Gregg H. Gilbert, Yuki Matsumoto, Valeria V. GordanAbstract:Background Dental Caries are largely preventable, and epidemiological evidence for a relationship between diet and oral health is abundant. To date, however, dentists’ perceptions about the role of diet and dentists’ practice patterns regarding diet counseling have not been clarified. Objective The purposes of this study were to: (1) examine discordance between dentists’ perception of the importance of diet in Caries treatment planning and their actual provision of diet counseling to patients, and (2) identify dentists’ characteristics associated with their provision of diet counseling. Design The study used a cross-sectional study design consisting of a questionnaire survey in Japan. Participants The study queried dentists working in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN), which aims to allow dentists to investigate research questions and share experiences and expertise (n = 282). Measurement Dentists were asked about their perceptions on the importance of diet and their practice patterns regarding diet counseling, as well as patient, practice, and dentist background data. Results The majority of participants (n = 116, 63%) recognized that diet is “more important” to oral health. However, among participants who think diet is “more important” (n = 116), only 48% (n = 56) provide diet counseling to more than 20% of their patients. Multiple logistic regression analysis suggested that several variables were associated with providing diet counseling; dentist gender, practice busyness, percentage of patients interested in Caries Prevention, Caries risk assessment, and percentage of patients who receive blood pressure screening. Conclusions Some discordance exists between dentists’ perception of the importance of diet in Caries treatment planning and their actual practice pattern regarding diet counseling to patients. Reducing this discordance may require additional dentist education, including nutritional and systemic disease concepts; patient education to increase perception of the importance of Caries Prevention; or removing barriers to practices’ implementation of counseling. Trial Registration ClinicalTrials.gov NCT01680848