Evidence-practice gap for sealant application: Results from a dental PBRN

At the 45th Annual Meeting & Exhibition of the American Association for Dental Research, researcher Naoki Kakudate, Kyushu Dental University, Kyushu Dental University, Japan, presented a study titled "Evidence-Practice Gap for Sealant Application: Results from a Dental PBRN." The AADR Annual Meeting was held in conjunction with the 40th Annual Meeting of the Canadian Association for Dental Research.

In this study, the researchers aimed to examine dentist practice patterns regarding treatment recommendation of dental sealants and identify characteristics associated with this recommendation. The study was conducted using a cross-sectional questionnaire survey in Japan. Participants were Japanese dentists (N=282) recruited from the Japanese Dental Practice Based Research Network (JDPBRN) who indicated that they do at least some restorative dentistry. Scenarios, images and questionnaire items were the same as those used in a previous U.S. DPBRN study. A series of three clinical photographs of the occlusal surface of a mandibular first molar, together with a description, were presented portraying increasing depths of cavitation. The researchers inquired about the treatment decision for each case, which had a 12-year-old patient with high caries risk. Chi-square tests were performed to assess the association between belief about the effectiveness of caries risk assessment and sealant recommendation. Multiple logistic regression analysis were conducted to evaluate the association between the decision to recommend sealants and dentist, practice and patient characteristics.

Responses were obtained from 189 dentists (67 percent). In the hypothetical scenarios, dentists' recommendations of sealants for the 12-year old patient varied from 16 percent to 26 percent. Nineteen percent of dentists recommended sealants in the absence of dark brown pigmentation. Forty-eight percent of dentists (n=91) recommended sealants to more than 25 percent of patients ages 6-18 years. Multiple logistic regression analysis suggested that the dentist's belief in the effectiveness of caries risk assessment was significantly associated with the percentage of patients who would receive sealants. Dentist practice patterns for sealant treatment recommendation vary widely. Recommending a sealant was significantly related to the dentist having a higher belief about the effectiveness of caries risk assessment.

Meeting Review: 2016 Thomas P. Hinman Dental Meeting

 

ATLANTA, Ga., USA: During the 104th Thomas P. Hinman Dental Meeting, Atlanta was abuzz with excitement for the dental professionals who gathered from around the country at the Georgia World Congress Center and Omni Hotel at CNN Center. The theme was “Your Total Health Connection.” New this year was the Total Health Pavilion, featuring lectures on nutrition and health.

 

In addition to a comprehensive continuing education program featuring hundreds of opportunities ranging from hands-on workshops to all-day educational tracks, there was the exhibit hall, where nearly 400 companies presented some of the latest and most innovative products and services available in the dental industry.

The hall gave meeting attendees plenty of opportunity to shop and get product and equipment questions answered by exhibitors in an efficient setting.

 

Also on the show floor, table clinics were available to meeting attendees for additional continuing education credits.

The Hinman Dental Society uses proceeds from the meeting to award scholarships, and this year nearly $450,000 in scholarships and gifts were awarded to dental education schools and programs. Included in these gifts are 89 scholarships, dispersed to students at 39 different dental programs throughout the Southeast. The students selected for scholarships were named “Hinman Scholars” and were recognized during a luncheon.

“Hinman is proud to support student programs in the Southeast for the past 29 years,” said Dr. Jim Roos, general chairman of the 2016 Hinman Dental Meeting, in a press release announcing the awards. “In the last 16 years alone, the Hinman Dental Society has contributed nearly $8 million in scholarships and large gifts in support of dental education.”

“In addition to providing scholarships and endowments, Hinman invites students to attend the meeting to learn the latest in the profession, network with established dentists and prepare for a successful career in dentistry,” Roos said.

For 104 years, dental professionals have considered the Hinman meeting to be one of the premier sources of continuing education.

Among the many educational highlights: “Botox and Dermal Filler Training” and “Botulinum Toxin for Best Therapeutic and Esthetic Outcomes,” presented by Dr. Louis Malcmacher; “Geriatrics Mini-Residency,” presented by Dr. Gretchen Gibson, Dr. Randy Huffines and Dr. Linda Niessen; and “Pediatric Oral Healthcare Mini-Residency,” presented by Dr. Melinda Clark, Dr. Gregory Psaltis, Dr. David Rothman and Dr. J.C. Shirley.

Other highlights: “Lab Tech Day,” presented by Thomas Sing, Arian Deutsch, Jungo Endo and Mike Dominguez; and “S.I.L.V.E.R. (Strategies to Implement that Lead to a Valuable, Enjoyable Retirement),” presented by Dr. Wayne Kerr, Joseph Jordan and Wes Moss.

 

 

Household catastrophic health expenditure and impoverishment

Household catastrophic health expenditure and impoverishment due to payments for dental care in low and middle income countries.

At the 45th Annual Meeting & Exhibition of the American Association for Dental Research, researcher Eduardo Bernabé, King's College London Dental Institute, England, UK, will present a study titled "Household Catastrophic Health Expenditure and Impoverishment Due to Payments for Dental Care in Low and Middle Income Countries." The AADR Annual Meeting is being held in conjunction with the 40th Annual Meeting of the Canadian Association for Dental Research.

In this study, researchers explored whether dental care spending was associated with household catastrophic health expenditure and impoverishment in 40 low- and middle-income countries. Data from 174,257 respondents age 18 years and over (62,961 in 17 low income countries, 58,388 in 15 lower middle income countries and 52,908 in 8 upper middle income countries) who participated in the World Health Organization's World Health Surveys were analyzed.

Respondents were asked to provide information on total household expenditure over the last four weeks, and then details of item-by-item expenditure (including dental care) over the same period. Health expenditure was defined as catastrophic (CHE) if it was equal to or higher than 40 percent of the household capacity to pay. A household was considered impoverished when household expenditure was equal to or higher than subsistence spending but lower than subsistence spending net of health expenditure. The association between expenditure on dental care, CHE and impoverishment was assessed in multilevel logistic regression, with individuals nested within countries and adjusting for a number of individual and country-level factors.

The proportion of households with dental care spending in the last four weeks was 7.8%, whereas the proportions of households incurring CHE and becoming impoverished were 11.2 percent and 4.3 percent, respectively. The odds of CHE (1.88, 95 percent CI: 1.78-1.99) and impoverishment (1.65, 95percent CI: 1.52-1.80) were significantly greater among adults living in households that spent on dental care in the last four weeks, after adjustment for gender, age, marital status, education, household wealth and size, having children less than five years old and adults over 60 years old in the household, health insurance status and urban/rural status, gross domestic product, Gini coefficient and national out-of-pocket health expenditure. This study shows that payments for dental care can pose a considerable burden on households, to the extent of preventing expenditure on basic necessities and pushing families into poverty.