Evidence map›Paper›PMID 26971353›Full record

ArticleClinical oral investigations2017

Dentists' attitudes and behaviour regarding deep carious lesion management: a multi-national survey.

Falk Schwendicke, Lina Stangvaltaite, Christopher Holmgren, Marisa Maltz, Marion Finet, Karim Elhennawy, Isabel Eriksen, Tone Christiansen Kuzmiszyn, Eero Kerosuo, Sophie Doméjean

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02754466 (Oral Health and Its Relation to Growth, Development and Well-being of Schoolchildren Before and After Restorative Treatments), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
25.9field-weighted citation impact, top 1% 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.

NCT02754466 naterminatednot on this map

Oral Health and Its Relation to Growth, Development and Well-being of Schoolchildren Before and After Restorative Treatments

TypeinterventionalSponsorUniversity of BrasiliaRan2017 to 2021Enrolled270ConditionsDental Caries, Dental Atraumatic Restorative Treatment, Oral HealthArmsSubjective vs objective criteria in selective excavation, Glass-ionomer vs Bulk fill composites in the ART approach
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Management of deep caries.British dental journal · 2026
    Review
  7. Article
  8. Does gender make a difference in endodontic care delivery?International endodontic journal · 2025
    Review
  9. Selective caries removal and management of exposed pulp in fully developed and immature teeth with reversible pulpitis: a questionnaire-based study in Greece.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Deep carious lesions management in children and adolescents: a questionnaire survey among dentists practicing paediatric dentistry in France.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Article
  20. 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

10 authors at 5 institutions in 4 countries.

Falk SchwendickeDepartment of Operative and Preventive Dentistry, Charite - Universitätsmedizin Berlin, Campus Benjamin Franklin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
Lina StangvaltaiteDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Postboks 6050 Langnes, 9037, Tromsø, Norway.
Christopher HolmgrenAide Odontologique Internationale, 1 Rue Maurice Arnoux, 92120, Montrouge, France.
Marisa MaltzDepartment of Social and Preventive Dentistry, Faculty of Odontology, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos 2492, Porto Alegre, RS, 90035-003, Brazil.
Marion FinetCHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63001 Clermont-Ferrand, France. Univ Clermont1, UFR d'Odontologie, Centre de Recherche en Odontologie Clinique EA 4847, F-63100 Clermont-Ferrand, France, 2 rue de Braga, 63100, Clermont-Ferrand, France.
Karim ElhennawyDepartment of Operative and Preventive Dentistry, Charite - Universitätsmedizin Berlin, Campus Benjamin Franklin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
Isabel EriksenDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Postboks 6050 Langnes, 9037, Tromsø, Norway.
Tone Christiansen KuzmiszynDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Postboks 6050 Langnes, 9037, Tromsø, Norway.
Eero KerosuoDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Postboks 6050 Langnes, 9037, Tromsø, Norway.
Sophie DoméjeanCHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63001 Clermont-Ferrand, France. Univ Clermont1, UFR d'Odontologie, Centre de Recherche en Odontologie Clinique EA 4847, F-63100 Clermont-Ferrand, France, 2 rue de Braga, 63100, Clermont-Ferrand, France. sophie.domejean@udamail.fr.
UiT The Arctic University of Norway · NOCentre Hospitalier Universitaire de Clermont-Ferrand · FRCharité - Universitätsmedizin Berlin · DEPosten (Norway) · NOUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study aimed, using a questionnaire, to assess and compare behaviour, attitudes and beliefs of French, German and Norwegian dentists regarding deep carious lesion management. MATERIALS AND

methodsA mail survey was applied to simple random national samples of dentists. Descriptive analysis and logistic regression analysis were performed.

resultsSample size was 661 (response rate, 33 %) in France, 622 (25 %) in Germany and 199 (33 %) in Norway. Hardness was the criterion used most often for assessing carious tissue removal in all three countries (>95 %), with most dentists aiming for only hard dentine remaining at the pulpal wall (>66 %); dentine colour was not found relevant by most respondents. The majority of French and German practitioners (>66 %) would perform complete excavation even for deep lesions, while most Norwegian dentists (84 %) opted for stepwise excavation. Most dentists thought complete removal was required to avoid lesion progression and were uncertain if remaining sealed bacteria would harm the pulp. Treatment decisions were guided by prior experience and familiarity. For example, stepwise removal was performed less often by dentists who were male, French, German or those in the private sector.

conclusionsLess invasive strategies for managing deep lesions have not widely entered clinical practice in France and Germany. Underlying beliefs shape decision-making. CLINICAL RELEVANCE: The present study is the first of its nature to analyse and compare deep carious lesion management between three European countries. It shows that there is an urgent need to practically educate dentists in less invasive strategies.

Indexed as

Attitude of Health PersonnelDental CariesFemaleFranceGermanyHumansMaleNorwayPractice Patterns, Dentists'Surveys and QuestionnairesAttitudesBehaviourBeliefsDeep carious lesionsDentistsQuestionnaire survey

Identifiers

PMID26971353
OpenAlexW2294286469

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.