Research Output per year
Methods: Overall, 31 DPs from FiCTION-trained dental surgeries in four regions of the UK participated in semi-structured interviews about their experiences of the three treatment arms (conventional management of carious lesions and prevention (C + P), biological management of carious lesions and prevention (B + P) or prevention alone (PA)). A theoretical framework, drawing on social practice theory (SPT), was developed for analysis.
Results: Participants discussed perceived effectiveness of, and familiarity with, the three techniques. The C + P arm was familiar, but some participants questioned the effectiveness of conventional restorations. Attitudes towards the B + P arm varied in terms of familiarity, but once DPs were introduced to the techniques, this was seen as effective. While prevention was familiar, PA was described as ineffective. DPs manage children with carious lesions day-to-day, drawing on previous experience and knowledge of the child to provide what they view as the most appropriate treatment in the best interests of each child. Randomisation undermined these normal choices. Several DPs reported deviating from the trial arms in order to treat a patient in a particular way. Participants valued evidence-based dentistry, and expect to use the results of FiCTION to inform future practice. They anticipate continuing to use the full range of treatment options, and to personally select appropriate strategies for individual children.
Conclusions: RCTs take place in the context of day-to-day practices of doing dentistry. DPs employ experiential and interpersonal knowledge to act in the best interests of their patients. Randomisation within a clinical trial can present a source of tension for DPs, which has implications for assuring individual equipoise in future trials.
- Carious lesions
- Dental caries
- Dental professionals
- Paediatric dentistry
- Primary care
- Qualitative research
- Randomised controlled trial
Research output: Book/Report › Book
The FiCTION trial: Child oral health-related quality of life and dental anxiety across three treatment strategies for managing caries in young childrenFreeman, R., Maguire, A., Ryan, V., Wilson, N., Innes, N. P. T., Clarkson, J. E., McColl, E., Marshman, Z., Robertson, M., Abouhajar, A., Chadwick, B., Deery, C., Wong, F. & Douglas, G. V. A., 27 Apr 2020, In : Community Dentistry and Oral Epidemiology. 23 p.
Research output: Contribution to journal › Article