Variations in restorative treatment decisions: an international comparison.

https://arctichealth.org/en/permalink/ahliterature210460
Source
Community Dent Oral Epidemiol. 1996 Dec;24(6):376-9
Publication Type
Article
Date
Dec-1996
Author
E J Kay
D. Locker
Author Affiliation
Turner Dental School, University of Manchester, England.
Source
Community Dent Oral Epidemiol. 1996 Dec;24(6):376-9
Date
Dec-1996
Language
English
Publication Type
Article
Keywords
Adolescent
Canada
Culture
Decision Making
Dental Care
Dental Caries - radiography - therapy
Dental Enamel - pathology - radiography
Dental Restoration, Permanent
Dentin - pathology - radiography
Dentist's Practice Patterns
Humans
Oral Health
Oral Hygiene
ROC Curve
Radiography, Bitewing
Scotland
Sensitivity and specificity
Abstract
Variations between dentists in treatment thresholds and diagnostic decisions based on radiographs have not been fully explained. Since variations have been shown to exist between as well as within countries, it is possible that the structure of incentives inherent in different health care systems, and cultural influences on health and health care may play a part. This paper compares the results of a study undertaken in Scotland with a replication study undertaken in Canada concerning dentists' restorative thresholds and treatment decisions based on radiographic evidence. The Canadian dentists operated with greater sensitivity but lower specificity than their Scottish counterparts, although ROC analysis indicated similar overall abilities to detect carious lesions. The dentists' action thresholds also differed. However, methodological issues mean that the data from the study need to be interpreted with caution.
PubMed ID
9007352 View in PubMed
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