Evidence map›Paper›PMID 23743181›Full record

ArticleJournal of dentistry2013

Agreement among dentists' restorative treatment planning thresholds for primary occlusal caries, primary proximal caries, and existing restorations: findings from The National Dental Practice-Based Research Network.

Tim J Heaven, Valeria V Gordan, Mark S Litaker, Jeffrey L Fellows, D Brad Rindal, Allen R Firestone, Gregg H Gilbert, National Dental PBRN Collaborative Group

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of dentistry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Tim J HeavenUniversity of Alabama at Birmingham, Department of Restorative Sciences, 1919 7th Avenue South, AL 35294-0007, United States. theaven@uab.edu
Valeria V Gordan
Mark S Litaker
Jeffrey L Fellows
D Brad Rindal
Allen R Firestone
Gregg H Gilbert
National Dental PBRN Collaborative Group
University of Alabama at Birmingham · USHealthPartners · USKaiser Permanente Center for Health Research · USThe Ohio State University · USUniversity of Florida · US

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
Dental PBRN Network ChairU01DE016747 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2005 to 2011
$17.3M
Dental Practice-Based Research Network Coordinating CtrU01DE016746 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FUNKHOUSER, ELLEN M · 2005 to 2011
$7.0M
NIDCR NIH HHS U01 DE016746NIDCR NIH HHS U01 DE016747NIDCR NIH HHS U01-DE-16746NIDCR NIH HHS U01-DE-16747NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19-DE-22516
6 · The paper itself

Abstract

objectivesThe aim of this study was to quantify the agreement among individual National Dental Practice-Based Research Network dentists' self-reported treatment decisions for primary occlusal caries, primary proximal caries, and existing restorations.

methodsFive hypothetical clinical scenarios were presented: primary occlusal caries; primary proximal caries; and whether three existing restorations should be repaired or replaced. We quantified the probability that dentists who recommended later restorative intervention for primary caries were the same ones who recommended that existing restorations be repaired instead of replaced.

resultsDentists who recommended later restorative treatment of primary occlusal caries and proximal caries at a more-advanced stage were significantly more likely to recommend repair instead of replacement. Agreement among dentists on a threshold stage for the treatment of primary caries ranged from 40 to 68%, while that for repair or replacement of existing restorations was 36 to 43%.

conclusionsDentists who recommended repair rather than replacement of existing restorations were significantly more likely to recommend later treatment of primary caries. Conversely, dentists who recommended treatment of primary caries at an earlier stage were significantly more likely to recommend replacement of the entire restoration. Between-dentist agreement for primary caries treatment was better than between-dentist agreement for repair or replacement of existing restorations. CLINICAL IMPLICATIONS: These findings suggest consistency in how individual dentists approach the treatment of primary caries and existing restorations. However, substantial variation was found between dentists in their treatment decisions about the same teeth.

Indexed as

Attitude of Health PersonnelDental Restoration, PermanentPatient Care PlanningCommunity-Based Participatory ResearchCross-Sectional StudiesDecision MakingDental CariesDental Caries SusceptibilityDental Restoration RepairDentistsHumansPractice Patterns, Dentists'RetreatmentRisk AssessmentTooth CrownTooth, DeciduousDecision-makingHealth services researchPrimary cariesRestoration repair/replacement

Identifiers

PMID23743181
PMCPMC3788573
OpenAlexW1991962390

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.