Key Points
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Questions what it is that influences the implementation of mixed dentition interceptive orthodontic treatment in primary care.
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Reports that lack of knowledge, self-confidence and experience are the three main barriers to providing interceptive orthodontic care.
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Finds general dental practitioners' lack of self-confidence is the greatest barrier to providing interceptive orthodontic care.
Abstract
Objective To understand what influences the implementation of mixed dentition interceptive orthodontic treatment in primary care.
Methods Postal survey of a random sample of 400 general dental practitioners in Scotland. The questionnaire assessed knowledge, beliefs and attitudes towards providing interceptive treatment in seven different clinical scenarios in order to identify variables that may explain the decision to undertake this treatment.
Results One hundred and one (25%) completed questionnaires were received. Confidence to carry out the treatment plan (16%), knowledge (11%), and age (7%) all significantly predicted intention to provide interceptive treatment.
Conclusions The greatest barrier to providing interceptive orthodontic care in general dental practice is practitioners' lack of self-confidence relating to the effectiveness of their chosen treatment plan.
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References
Al Nimri K, Richardson A . Interceptive orthodontics in the real world of community dentistry. Int J Paediatr Dent 2000; 10: 99–108.
Sutton F, Ellituv Z N, Seed R . A survey of self-perceived educational needs of general dental practitioners in the Merseyside region. Prim Dent Care 2005; 12: 78–82.
Fleming P S, Dowling P A . A survey of undergraduate orthodontic training and orthodontic practices by general dental practitioners. J Ir Dent Assoc 2005; 51: 68–72.
Jackson O A, Cunningham S J, Moles D R, Clark J R . Orthodontic referral behaviour of West Sussex dentists. Br Dent J 2009; 207: E18.
Derringer K A . Undergraduate orthodontic teaching in UK dental schools. Br Dent J 2005; 199: 224–232.
Derringer K A . Undergraduate orthodontic assessment and examination in UK dental schools. Br Dent J 2006; 201: 225–229.
Murray F J, Blinkhorn A S, Bulman J . An assessment of the views held by recent graduates on their undergraduate course. Eur J Dent Educ 1999; 3: 3–9.
Patel J, Fox K, Grieveson B, Youngson C C . Undergraduate training as preparation for vocational training in England: A survey of vocational dental practitioners' and their trainers' views. Br Dent J 2006; 201: 9–15.
Ajzen I . Perceived behavioural control, self-efficacy, locus of control, and the theory of planned behaviour. J Appl Soc Psychol 2002; 32: 665–683.
Ajzen I . The theory of planned behaviour. Organizational Behaviour and Human Decision Processes 1991; 50: 179–211.
Bandura A . Self-efficacy: toward a unifying theory of behavioural change. Psychol Rev 1977; 84: 191–215.
Bandura A . Health promotion by social cognitive means. Health Educ Behav 2004; 31: 143–164.
Bandura A, Adams N E . Analysis of self-efficacy theory of behavioural change. Cognitive Ther Res 1977; 1: 287–310.
Bonetti D, Young L, Black I, Cassie H, Ramsay C R, Clarkson J . Can't do it, won't do it! Developing a theoretically framed intervention to encourage better decontamination practice in Scottish dental practices. Implement Sci 2009; 4: 31.
Bonetti D, Ross J, Stewart S, Clarkson J . What influences intention to become a postgraduate trainer; Br Dent J 2007; 203: 31–35.
Ackerman J L, Proffit W R . Preventive and interceptive orthodontics: A strong theory proves weak in practice. Angle Orthod 1980; 50: 75–87.
Hiles A M . Is orthodontic screening of 9-year-old school children cost effective? Br Dent J 1985; 159: 41–45.
Popovich F, Thompson G W . Evaluation of preventive and interceptive orthodontic treatment between three and eighteen years of age. St.Louis: Mosby Company, 1975.
Allen F . Factors influencing the provision of removable partial dentures by dentists in Ireland. J Ir Dent Assoc 2010; 56: 224–229.
Cherry W R, Lee J Y, Shugars D A, White Jr R P, Vann Jr W F . Antibiotic use for treating dental infections in children: A survey of dentists' prescribing practices. J Am Dent Assoc 2012; 143: 31–38.
Humza Bin Saeed M, Daly B, Newton J T . Knowledge and practice of behavioural management principles among dentists treating adults with learning disabilities. Spec Care Dentist 2012; 32: 190–195.
Laud A, Gizani S, Maragkou S, Welbury R, Papagiannoulis L . Child protection training, experience, and personal views of dentists in the prefecture of Attica, Greece. Int J Paediatr Dent 2013; 23: 64–71.
Singh B P, Khan S A, Agrawal N, Siddharth R, Kumar L . Current biomedical waste management practices and cross-infection control procedures of dentists in India. Int Dent J 2012; 62: 111–116.
General Dental Council. The first five years: a framework for undergraduate dental education. 2nd ed. London: GDC, 2002.
General Dental Council. Preparing for practice. London: GDC, 2011. Online article available at http://www.gdc-uk.org/Newsandpublications/Publications/Publications/GDC%20Learning%20Outcomes.pdf (accessed April 2014).
NHS Education for Scotland. Dental workforce report: September 2012. NES, 2012. Online report available at http://www.nes.scot.nhs.uk/media/1554871/dental-workforce-report-2012-final.pdf (accessed June 2014).
Bonetti D, Johnston M, Clarkson J E et al. Applying psychological theories to evidence-based clinical practice: Identifying factors predictive of placing preventive fissure sealants. Implement Sci 2010; 5: 25.
Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N . Changing the behaviour of healthcare professionals: The use of theory in promoting the uptake of research findings. J Clin Epidemiol 2005; 58: 107–112.
Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A . Making psychological theory useful for implementing evidence based practice: A consensus approach. Qual Saf Health Care 2005; 14: 26–33.
Acknowledgements
We would like to thank the Scottish Dental Practice Based Research Network (SDPBRN) team who supported and funded this study, and the dentists who gave their time to complete the questionnaire.
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Borrie, F., Bonetti, D. & Bearn, D. What influences the implementation of interceptive orthodontics in primary care?. Br Dent J 216, 687–691 (2014). https://doi.org/10.1038/sj.bdj.2014.525
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DOI: https://doi.org/10.1038/sj.bdj.2014.525
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