Qualitative study exploring general dental practitioners' views of MIH and its management in the UK and Australia

Author:

Osborne R.12ORCID,Silva M.345ORCID,Taylor G. D.12ORCID

Affiliation:

1. School of Dental Sciences, Faculty of Medical Sciences Newcastle University Newcastle upon Tyne UK

2. Newcastle upon Tyne Hospital NHS Foundation Trust Newcastle upon Tyne UK

3. Melbourne Dental School University of Melbourne Melbourne Victoria Australia

4. Inflammatory Origins, Murdoch Children's Research Institute Royal Children's Hospital Melbourne Victoria Australia

5. Evident Foundation South Yarra Victoria Australia

Abstract

AbstractBackgroundMolar–incisor hypomineralisation (MIH) is a prevalent condition, and how it is managed varies greatly between professional groups.AimTo explore, and compare, the UK and Australian general dental practitioners' management of MIH in children.DesignFace‐to‐face (remote) semistructured interviews were undertaken, using country‐specific topic guides. Participants were purposively sampled and recruited through national conferences and research networks (eviDent Foundation and Northern Dental Practice Based Research Network). Interviews (from each country) were audio‐recorded, transcribed verbatim and independently analysed using thematic analysis.ResultsTwo major themes arose from the UK interviews: (i) decision‐making complexities and understanding of treatment options and (ii) need for specialist input. The main Australian themes were (i) multidisciplinary approach to management supporting decision‐making complexities and (ii) economic implications for care. Several difficulties, such as financial implications, multidisciplinary care and clinical decision‐making, were identified as barriers to effectively managing MIH by GDPs in primary care.ConclusionThere are similarities and differences in the knowledge and management of MIH amongst UK and Australian nonspecialists. The different healthcare systems played a significant role in shaping how GDPs manage MIH with barriers relating to affordability, multidisciplinary care and clinical decision‐making.

Publisher

Wiley

Subject

General Dentistry

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