Comparative evaluation of Turkish dentists’ knowledge, attitudes, and practices in caries management according to specialty education

Abstract

Background: The professional knowledge, attitudes, and practices of dentists in managing dental caries in high-risk adult individuals can significantly impact the prevention of caries. This study aims to compare the oral hygiene recommendations and preventive treatment practices of general dentists and dental specialists in Turkey for patients at high caries risk. Methods: A study was conducted using a questionnaire consisting of 16 questions, both open and closed-ended, directed at dentists in Turkey. The questionnaire presented a scenario of an adult patient with high caries risk. Dentists were asked questions about the oral hygiene recommendations and preventive treatments they would provide to the patient. The responses regarding preventive treatments were structured according to an evidence-based guideline. The responses of general and specialist dentists were compared. Descriptive statistics were provided in terms of numbers and percentages. Cross-tabulations were created, and chi-square analyses were performed on the data. Results: A total of 354 dentists responded to the survey, including 205 general dentists and 149 dental specialists. Dental specialists (82.6%) were more likely than general dentists (68.8%) to recommend fluoride-containing toothpaste (p < 0.05). Dental specialists (36.9%) applied fluoride varnish more frequently than general dentists (23.9%) (p < 0.05). On the other hand, general dentists (13.7%) recommended chlorhexidine more frequently than dental specialists (4.7%) (p < 0.05). Additionally, 15.5% of the dentists agreed that preventing caries in adults is not as effective as in children. Conclusions: This study highlights the significant role of specialty education training in shaping dentists’ preventive practices. It is suggested that the role of fluoride in general dentistry education in Turkey should be reconsidered. Additionally, caries management should be more strongly emphasized in specialty education.