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Evaluation of an intervention to promote minimally invasive dentistry (MID) in an Australian community dental agency—A pilot study

Objectives To evaluate the impact of an intervention consisting of a 1‐day continuing professional development (CPD) education programme on the International Caries Classification and Management System (ICCMS™), and monthly performance feedback, and to promote minimally invasive dentistry (MID) for...

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Published in:International journal of dental hygiene 2022-11, Vol.20 (4), p.627-634
Main Authors: Nguyen, Tan Minh, Tonmukayakul, Utsana, Calache, Hanny
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creator Nguyen, Tan Minh
Tonmukayakul, Utsana
Calache, Hanny
description Objectives To evaluate the impact of an intervention consisting of a 1‐day continuing professional development (CPD) education programme on the International Caries Classification and Management System (ICCMS™), and monthly performance feedback, and to promote minimally invasive dentistry (MID) for children aged under 12 years in an Australian community dental agency. The a priori hypotheses assumed the intervention would increase preventive services, and treatment demand was met. Methods A quasi non‐randomized controlled trial with convenience sampling method was adopted. Fourteen dental practitioners received the intervention. The prevalence of dental caries and gingivitis in Australian children was used to determine the treatment demand and used as the performance benchmark. Ten types of preventive and non‐preventive dental services were examined. A Difference‐in‐Differences (DiD) of 12‐month pre‐ (baseline) and post‐intervention analysis was performed. Results The intervention group demonstrated increases in topical fluoride application and dietary analysis and advice services. The standard care group had increases in oral prophylaxis or scale and clean, topical fluoride application and oral hygiene instructions (p‐value
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The a priori hypotheses assumed the intervention would increase preventive services, and treatment demand was met. Methods A quasi non‐randomized controlled trial with convenience sampling method was adopted. Fourteen dental practitioners received the intervention. The prevalence of dental caries and gingivitis in Australian children was used to determine the treatment demand and used as the performance benchmark. Ten types of preventive and non‐preventive dental services were examined. A Difference‐in‐Differences (DiD) of 12‐month pre‐ (baseline) and post‐intervention analysis was performed. Results The intervention group demonstrated increases in topical fluoride application and dietary analysis and advice services. The standard care group had increases in oral prophylaxis or scale and clean, topical fluoride application and oral hygiene instructions (p‐value &lt;0.05). The DiD analysis confirmed the above findings in the intervention group, while other preventive services declined. In the intervention group, the performance benchmark for oral prophylaxis or scale and clean and oral hygiene instructions was met at baseline and post‐intervention. Conclusions Only a few preventive services had already met the performance benchmark. The intervention was associated with varied changes to preventive and non‐preventive dental services. More robust study design addressing the study limitations and validating the performance benchmark is required.</description><identifier>ISSN: 1601-5029</identifier><identifier>ISSN: 1601-5037</identifier><identifier>EISSN: 1601-5037</identifier><identifier>DOI: 10.1111/idh.12523</identifier><identifier>PMID: 34018672</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Australia - epidemiology ; Child ; continuing ; dental ; Dental Care ; dental care for children ; Dental caries ; Dental Caries - epidemiology ; Dental Caries - prevention &amp; control ; dental health services ; Dentistry ; Dentists ; Disease prevention ; education ; Fluoride treatments ; Fluorides ; Fluorides - therapeutic use ; Fluorides, Topical - therapeutic use ; Gingivitis ; health care ; Humans ; Hygiene ; Oral hygiene ; Original ; Pilot Projects ; Professional Role ; Prophylaxis ; quality assurance ; topical</subject><ispartof>International journal of dental hygiene, 2022-11, Vol.20 (4), p.627-634</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2021 The Authors. 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The a priori hypotheses assumed the intervention would increase preventive services, and treatment demand was met. Methods A quasi non‐randomized controlled trial with convenience sampling method was adopted. Fourteen dental practitioners received the intervention. The prevalence of dental caries and gingivitis in Australian children was used to determine the treatment demand and used as the performance benchmark. Ten types of preventive and non‐preventive dental services were examined. A Difference‐in‐Differences (DiD) of 12‐month pre‐ (baseline) and post‐intervention analysis was performed. Results The intervention group demonstrated increases in topical fluoride application and dietary analysis and advice services. The standard care group had increases in oral prophylaxis or scale and clean, topical fluoride application and oral hygiene instructions (p‐value &lt;0.05). The DiD analysis confirmed the above findings in the intervention group, while other preventive services declined. 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Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of dental hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Tan Minh</au><au>Tonmukayakul, Utsana</au><au>Calache, Hanny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of an intervention to promote minimally invasive dentistry (MID) in an Australian community dental agency—A pilot study</atitle><jtitle>International journal of dental hygiene</jtitle><addtitle>Int J Dent Hyg</addtitle><date>2022-11</date><risdate>2022</risdate><volume>20</volume><issue>4</issue><spage>627</spage><epage>634</epage><pages>627-634</pages><issn>1601-5029</issn><issn>1601-5037</issn><eissn>1601-5037</eissn><abstract>Objectives To evaluate the impact of an intervention consisting of a 1‐day continuing professional development (CPD) education programme on the International Caries Classification and Management System (ICCMS™), and monthly performance feedback, and to promote minimally invasive dentistry (MID) for children aged under 12 years in an Australian community dental agency. The a priori hypotheses assumed the intervention would increase preventive services, and treatment demand was met. Methods A quasi non‐randomized controlled trial with convenience sampling method was adopted. Fourteen dental practitioners received the intervention. The prevalence of dental caries and gingivitis in Australian children was used to determine the treatment demand and used as the performance benchmark. Ten types of preventive and non‐preventive dental services were examined. A Difference‐in‐Differences (DiD) of 12‐month pre‐ (baseline) and post‐intervention analysis was performed. Results The intervention group demonstrated increases in topical fluoride application and dietary analysis and advice services. The standard care group had increases in oral prophylaxis or scale and clean, topical fluoride application and oral hygiene instructions (p‐value &lt;0.05). The DiD analysis confirmed the above findings in the intervention group, while other preventive services declined. In the intervention group, the performance benchmark for oral prophylaxis or scale and clean and oral hygiene instructions was met at baseline and post‐intervention. Conclusions Only a few preventive services had already met the performance benchmark. The intervention was associated with varied changes to preventive and non‐preventive dental services. More robust study design addressing the study limitations and validating the performance benchmark is required.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>34018672</pmid><doi>10.1111/idh.12523</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1613-0585</orcidid><orcidid>https://orcid.org/0000-0002-6464-744X</orcidid><orcidid>https://orcid.org/0000-0002-9986-7629</orcidid><oa>free_for_read</oa></addata></record>
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subjects Australia - epidemiology
Child
continuing
dental
Dental Care
dental care for children
Dental caries
Dental Caries - epidemiology
Dental Caries - prevention & control
dental health services
Dentistry
Dentists
Disease prevention
education
Fluoride treatments
Fluorides
Fluorides - therapeutic use
Fluorides, Topical - therapeutic use
Gingivitis
health care
Humans
Hygiene
Oral hygiene
Original
Pilot Projects
Professional Role
Prophylaxis
quality assurance
topical
title Evaluation of an intervention to promote minimally invasive dentistry (MID) in an Australian community dental agency—A pilot study
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