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Title: How do dental practitioners, educators and students diagnose and manage caries risk and caries lesions? A COM-B analysis
Autores: Abreu-Placeres, Ninoska
Newton, J. T.
Ávila, V.
Garrido, L. E.
Jácome-Liévano, S.
Pitts, N. B.
Ekstrand, K. R.
Ochoa, E. M.
Martignon, S.
Researchers (UNIBE): Abreu-Placeres, Ninoska 
Affiliations: Centro de Investigación en Biomateriales y Odontología (CIBO) 
Research area: Ciencias de la Salud
Keywords: Comprehensive dental care; Dental caries; Dentists; Faculty; Students
Issue Date: 2022
Publisher: Wiley-Blackwell Publishing Ltd.
Source: Community Dentistry and Oral Epidemiology
Journal: Community Dentistry and Oral Epidemiology 
Objective: The International Caries Classification and Management System (ICCMS™), a comprehensive, evidence-informed, best clinical practice system, comprises a 4D cycle: 1D-Determine risk; 2D-Detect and assess lesions; 3D-Decide on a personalized care plan; and 4D-Do preventive and tooth-preserving care. The aim of this study was to establish how Colombian dental practitioners, educators and students diagnose and manage caries risk and caries lesions using the COM-B model and the ICCMS™ system. Methods: A total of 1094 participants (practitioners: n = 277; educators: n = 212; students: n = 605) completed a previously validated 79-item questionnaire which explores, based on the COM-B model, the practitioners' self-reported caries diagnosis and management behaviours. Descriptive statistics, Welch's ANOVAs and multiple linear regressions were computed. Results: All groups generally performed the behaviours within the 4-D categories ‘Most of the time’ to ‘Always’ (students: 4.06 ± 0.95; educators: 3.94 ± 0.98; practitioners: 3.86 ± 1.01). The most frequently performed diagnosis behaviours (1D/2D) were for practitioners assessing initial/moderate lesions (4.09 ± 1.01) and for educators and students cleaning teeth before lesion assessment (4.41 ± 0.80 and 4.38 ± 0.77 respectively). The least frequently performed decision/management (3D/4D) behaviour was non-operative care for moderate-caries lesions (when applicable) (practitioners: 2.64 ± 1.23; educators: 2.68 ± 1.17; students: 3.22 ± 1.41). Opportunity (Resources and Relevance) was the best COM-B predictor for diagnostic behaviours, whereas capability and opportunity (Relevance) were the strongest predictors for management behaviours. Conclusion: Colombian practitioners, educators and students diagnose and manage caries risk and caries lesions implementing best practice with a high to very high frequency.
DOI: 10.1111/cdoe.12735
Appears in Collections:Publicaciones del CIBO-UNIBE
Publicaciones indexadas en Scopus / Web of Science

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