Abstract
The aim of this study was to evaluate whether dentists and dental undergraduate students know the terminology of the International Caries Consensus Collaboration (ICCC), and make their restorative treatment decisions regarding carious tissue removal accordingly. Data collection was performed using an electronic questionnaire, considering: a) profile of the respondent; b) analysis of four clinical cases with respect to possible management strategies; and c) questions on cariology field terminology. Sample size consisted of 175 dentists and 66 last semester dental students. Statistical analyses were performed comparing profile, type of institution and dental specialty of the participants. Results showed students were less conservative and agreed less with the ICCC than dentists, and private schools, less than public institutions. Private institutions were 12% (95%CI = 0.833-0.949; p = 0.000) more likely to be less updated with the ICCC recommendations than public institutions, and dentists were 20% more likely to agree with them than students (95%CI = 1.118-1.302; p = 0.000). Dentists were 66% more likely to be conservative than students (95%CI = 0.203-0.554; p = 0.000); dentists and students who graduated or were graduating from public universities were twice as likely to be conservative as those from private universities (95%CI = 1.336-3.333; p = 0.001). In conclusion, students in the last semester are less conservative than dentists, and respondents who graduated or were graduating from public dental schools were more aligned with the current concepts of the ICCC. Several answers were not aligned with ICCC directives, thus showing that management of deep carious lesions still causes restorative therapeutic insecurity.
Highlights
IntroductionComplete caries removal with cavity preparation extending to sound dental tissue was advocated by Greene Vardiman Black in 1893, and was considered the gold standard treatment of decayed teeth for many years.1.2 With the advances made in understanding the etiopathogenesis of the caries process, and in developing adhesive materials, more conservative approaches were proposed
Submitted: February 3, 2020 Accepted for publication: April 7, 2020 Last revision: May 6, 2020Complete caries removal with cavity preparation extending to sound dental tissue was advocated by Greene Vardiman Black in 1893, and was considered the gold standard treatment of decayed teeth for many years.1.2 With the advances made in understanding the etiopathogenesis of the caries process, and in developing adhesive materials, more conservative approaches were proposed
The expert consensus aimed to synthesize well-grounded evidence collected from the literature into clear, unambiguous recommendations.4.5 The International Caries Consensus Collaboration (ICCC) presented clinical recommendations for carious tissue removal and cavitated carious lesion management based on the texture of demineralized dentine and lesion depth
Summary
Complete caries removal with cavity preparation extending to sound dental tissue was advocated by Greene Vardiman Black in 1893, and was considered the gold standard treatment of decayed teeth for many years.1.2 With the advances made in understanding the etiopathogenesis of the caries process, and in developing adhesive materials, more conservative approaches were proposed. This approach is one of the pillars of the. It is known that a divergence exists in dental restorative terminology, diagnosis and decisionmaking processes in clinical practice This leads to an inconsistency in carious lesion management. There is no way of estimating the impact of the recommendations on dentistry, in either clinical or academic universes
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
