Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN

Jeffrey L Fellows; Valeria V Gordan; Gregg H Gilbert; D Brad Rindal; Vibeke Qvist; Mark S Litaker; Paul Benjamin; Håkan Flink; Daniel J Pihlstrom; Neil Johnson; National Dental PBRN Collaborative Group

Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN

Jeffrey L Fellows, Valeria V Gordan, Gregg H Gilbert, D Brad Rindal, Vibeke Qvist, Mark S Litaker, Paul Benjamin, Håkan Flink, Daniel J Pihlstrom, Neil Johnson, National Dental PBRN Collaborative Group

Section 02 - Paediatric Dentistry

6 Citations (Scopus)

Abstract

PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteristics associated with restoration of enamel caries, while accounting for other factors.

METHODS: Data from a National Dental Practice-Based Research Network observational study of consecutive restorations placed in previously unrestored permanent tooth surfaces and practice/demographic data from 229 participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal and proximal caries compared to dentin lesions, accounting for dentist and patient clustering.

RESULTS: Network dentists from five regions placed 6,891 restorations involving occlusal and/or proximal caries lesions. Enamel restorations accounted for 16% of enrolled occlusal caries lesions and 6% of enrolled proximal caries lesions. Enamel occlusal restorations varied significantly (P < 0.05) by patient age and race/ethnicity, dentists' use of caries risk assessment, network region, and practice type. Enamel proximal restorations varied significantly (P < 0.05) by dentist race/ethnicity, network region, and practice type.

Original language	English
Journal	American Journal of Dentistry
Volume	27
Issue number	2
Pages (from-to)	91-9
Number of pages	9
ISSN	0894-8275
Publication status	Published - Apr 2014

Keywords

Adolescent
Adult
Age Factors
Aged
Community-Based Participatory Research
Dental Caries
Dental Caries Susceptibility
Dental Enamel
Dental Restoration, Permanent
Dentin
Dentist's Practice Patterns
Ethnic Groups
Female
Humans
Linear Models
Male
Middle Aged
Professional Practice
Regression Analysis
Risk Assessment
Tooth Crown
United States
Young Adult

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090699/

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Fellows, J. L., Gordan, V. V., Gilbert, G. H., Rindal, D. B., Qvist, V., Litaker, M. S., Benjamin, P., Flink, H., Pihlstrom, D. J., Johnson, N., & National Dental PBRN Collaborative Group (2014). Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN. American Journal of Dentistry, 27(2), 91-9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090699/

Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth : multiple-regression modeling of observational clinical data from the National Dental PBRN. / Fellows, Jeffrey L; Gordan, Valeria V; Gilbert, Gregg H et al.

In: American Journal of Dentistry, Vol. 27, No. 2, 04.2014, p. 91-9.

Research output: Contribution to journal › Journal article › Research › peer-review

Fellows, JL, Gordan, VV, Gilbert, GH, Rindal, DB, Qvist, V, Litaker, MS, Benjamin, P, Flink, H, Pihlstrom, DJ, Johnson, N & National Dental PBRN Collaborative Group 2014, 'Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN', American Journal of Dentistry, vol. 27, no. 2, pp. 91-9. <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090699/>

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title = "Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN",

abstract = "PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteristics associated with restoration of enamel caries, while accounting for other factors.METHODS: Data from a National Dental Practice-Based Research Network observational study of consecutive restorations placed in previously unrestored permanent tooth surfaces and practice/demographic data from 229 participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal and proximal caries compared to dentin lesions, accounting for dentist and patient clustering.RESULTS: Network dentists from five regions placed 6,891 restorations involving occlusal and/or proximal caries lesions. Enamel restorations accounted for 16% of enrolled occlusal caries lesions and 6% of enrolled proximal caries lesions. Enamel occlusal restorations varied significantly (P < 0.05) by patient age and race/ethnicity, dentists' use of caries risk assessment, network region, and practice type. Enamel proximal restorations varied significantly (P < 0.05) by dentist race/ethnicity, network region, and practice type.",

keywords = "Adolescent, Adult, Age Factors, Aged, Community-Based Participatory Research, Dental Caries, Dental Caries Susceptibility, Dental Enamel, Dental Restoration, Permanent, Dentin, Dentist's Practice Patterns, Ethnic Groups, Female, Humans, Linear Models, Male, Middle Aged, Professional Practice, Regression Analysis, Risk Assessment, Tooth Crown, United States, Young Adult",

author = "Fellows, {Jeffrey L} and Gordan, {Valeria V} and Gilbert, {Gregg H} and Rindal, {D Brad} and Vibeke Qvist and Litaker, {Mark S} and Paul Benjamin and H{\aa}kan Flink and Pihlstrom, {Daniel J} and Neil Johnson and {National Dental PBRN Collaborative Group}",

year = "2014",

month = apr,

language = "English",

volume = "27",

pages = "91--9",

journal = "American Journal of Dentistry",

issn = "0894-8275",

publisher = "American Journal of Dentistry",

number = "2",

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TY - JOUR

T1 - Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth

T2 - multiple-regression modeling of observational clinical data from the National Dental PBRN

AU - Fellows, Jeffrey L

AU - Gordan, Valeria V

AU - Gilbert, Gregg H

AU - Rindal, D Brad

AU - Qvist, Vibeke

AU - Litaker, Mark S

AU - Benjamin, Paul

AU - Flink, Håkan

AU - Pihlstrom, Daniel J

AU - Johnson, Neil

AU - National Dental PBRN Collaborative Group

PY - 2014/4

Y1 - 2014/4

N2 - PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteristics associated with restoration of enamel caries, while accounting for other factors.METHODS: Data from a National Dental Practice-Based Research Network observational study of consecutive restorations placed in previously unrestored permanent tooth surfaces and practice/demographic data from 229 participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal and proximal caries compared to dentin lesions, accounting for dentist and patient clustering.RESULTS: Network dentists from five regions placed 6,891 restorations involving occlusal and/or proximal caries lesions. Enamel restorations accounted for 16% of enrolled occlusal caries lesions and 6% of enrolled proximal caries lesions. Enamel occlusal restorations varied significantly (P < 0.05) by patient age and race/ethnicity, dentists' use of caries risk assessment, network region, and practice type. Enamel proximal restorations varied significantly (P < 0.05) by dentist race/ethnicity, network region, and practice type.

AB - PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteristics associated with restoration of enamel caries, while accounting for other factors.METHODS: Data from a National Dental Practice-Based Research Network observational study of consecutive restorations placed in previously unrestored permanent tooth surfaces and practice/demographic data from 229 participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal and proximal caries compared to dentin lesions, accounting for dentist and patient clustering.RESULTS: Network dentists from five regions placed 6,891 restorations involving occlusal and/or proximal caries lesions. Enamel restorations accounted for 16% of enrolled occlusal caries lesions and 6% of enrolled proximal caries lesions. Enamel occlusal restorations varied significantly (P < 0.05) by patient age and race/ethnicity, dentists' use of caries risk assessment, network region, and practice type. Enamel proximal restorations varied significantly (P < 0.05) by dentist race/ethnicity, network region, and practice type.

KW - Adolescent

KW - Adult

KW - Age Factors

KW - Aged

KW - Community-Based Participatory Research

KW - Dental Caries

KW - Dental Caries Susceptibility

KW - Dental Enamel

KW - Dental Restoration, Permanent

KW - Dentin

KW - Dentist's Practice Patterns

KW - Ethnic Groups

KW - Female

KW - Humans

KW - Linear Models

KW - Male

KW - Middle Aged

KW - Professional Practice

KW - Regression Analysis

KW - Risk Assessment

KW - Tooth Crown

KW - United States

KW - Young Adult

M3 - Journal article

C2 - 25000667

SN - 0894-8275

VL - 27

SP - 91

EP - 99

JO - American Journal of Dentistry

JF - American Journal of Dentistry

IS - 2

ER -

Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth: multiple-regression modeling of observational clinical data from the National Dental PBRN

Abstract

Keywords

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