{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:11:05Z","timestamp":1783631465568,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T00:00:00Z","timestamp":1597622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Whether the understanding of dental caries influences how future dentists manage the disease themselves has not been previously studied. Thus, this study evaluated whether the conceptualization (understanding) of dental caries by dental students is related to their own preventive oral care routine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Dental students at a U.S. dental school (n\u00a0=\u00a0517) were invited to voluntarily respond to an anonymous electronic survey in spring 2018. Demographic characteristics, caries conceptualization (CC), dental care habits, and self\u2010caries risk determination were asked. Discursive responses to CC were analyzed by content analysis technique, and categories [c] were created. Chi\u2010square and Fisher's exact tests were used for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall response rate was 54.5% (n\u00a0=\u00a0282, 48.2% female). Three researchers independently analyzed discursive answers and classified them into 1 of 6 caries concept categories [c]: [c1] only signs of the disease (10.3%), [c2] bacterial disease\u2010not specifying bacterial metabolism (38.3%), [c3] bacterial byproducts\u2010not specifying substrate (13.8%), [c4] biological or multifactorial concept (24.8%), [c5] comprehensive multifactorial disease (8.2%), or [c6] other (4.6%). Only 33% completely defined dental caries according to the modern understanding of the disease (c4\u2212c5). Statistical differences were found between: CC and diet modification, CC and rinsing after brushing, year of school (YS) and self\u2010determined caries\u2010risk, YS and brushing at school, and YS and rinsing after brushing (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data suggest that the students\u2019 understanding of the disease can influence how they will manage the disease in terms of diet modification and behavior after brushing. Moreover, self\u2010caries risk determination influenced students\u2019 brushing behavior.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jdd.12357","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T02:56:22Z","timestamp":1598583382000},"page":"1426-1437","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Conceptualization of dental caries by dental students is related to their preventive oral care routine"],"prefix":"10.1002","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0979-7637","authenticated-orcid":false,"given":"Constanza E.","family":"Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Cariology Unit Department of Oral Rehabilitation Faculty of Health Sciences University of Talca  Talca Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Chanin","sequence":"additional","affiliation":[{"name":"College of Dental Medicine\u2010Illinois (CDMI) Midwestern University  Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella M.","family":"Appice","sequence":"additional","affiliation":[{"name":"College of Dental Medicine\u2010Illinois (CDMI) Midwestern University  Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley M.","family":"Culver","sequence":"additional","affiliation":[{"name":"College of Dental Medicine\u2010Illinois (CDMI) Midwestern University  Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Stein","sequence":"additional","affiliation":[{"name":"Office of Research and Sponsored Programs Midwestern University  Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/0103-6440201302359"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40496-015-0064-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2013.77.10.tb05607.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.21815\/JDE.018.006"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/0103-6440201300149"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0579.2011.00694.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2016.80.6.tb06133.x"},{"issue":"1","key":"e_1_2_7_9_1","article-title":"Development of a competency\u2010based curriculum in cariology for undergraduate dental students in Chile","volume":"11","author":"Giacaman R","year":"2018","journal-title":"Rev Clin Periodoncia Implantol Rehabil"},{"issue":"4","key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"277\u2010278, 280\u201028","DOI":"10.12968\/denu.2013.40.4.277","article-title":"Changing concepts in cariology: forty years on","volume":"40","author":"Kidd E","year":"2013","journal-title":"Dent Update"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0744-7"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/000163599428887"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517693605"},{"issue":"4","key":"e_1_2_7_14_1","first-page":"443","article-title":"Recent advances in dental caries research. 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