{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T19:09:27Z","timestamp":1772046567053,"version":"3.50.1"},"reference-count":43,"publisher":"Operative Dentistry","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n        <jats:sec>\n          <jats:title>Objectives<\/jats:title>\n          <jats:p>This study was designed to: 1) evaluate and compare the evidence-practice gap (EPG) in minimal intervention dentistry (MID) in Japan and Brazil by measuring concordance between dentists\u2019 clinical practice and published evidence; and 2) identify dentists\u2019 factors associated with the EPG in both countries.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods<\/jats:title>\n          <jats:p>We performed a cross-sectional study using a web-delivered questionnaire among 136 Japanese and 110 Brazilian dentists. The questionnaire consisted of three questions concerning \u201crestoration diagnosis and treatment,\u201d \u201cdeep caries diagnosis and treatment,\u201d and \u201ccaries risk assessment\u201d regarding MID. A chi-square test was used to analyze differences in concordance among clinical practice and evidence from the literature between Japanese and Brazilian dentists. Logistic regression analyses were performed to analyze dentists\u2019 factors associated with overall concordance for all three questions.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>Overall concordance was significantly higher in Brazil (55%) than in Japan (38%) (<jats:italic>p<\/jats:italic>&lt;0.01). Concerning how evidence was obtained, textbooks, nonacademic journals, and seminars and workshops were used as information sources more frequently by Japanese than Brazilian dentists (p&lt;0.001), whereas scientific journal articles in English were used more frequently by Brazilian dentists (<jats:italic>p<\/jats:italic>&lt;0.001). On logistic regression analysis, overall concordance was higher for Japanese dentists who frequently obtained evidence from scientific journal articles in English (<jats:italic>p<\/jats:italic>&lt;0.05), whereas Brazilian dentists who frequently obtained evidence from the Internet were associated with lower overall concordance (<jats:italic>p<\/jats:italic>&lt;0.05).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>Because overall concordance was significantly higher in Brazil than in Japan, Japan may have a greater EPG in MID practice. Specific characteristics of Japanese and Brazilian dentists showed significant associations with overall concordance.<\/jats:p>\n        <\/jats:sec>","DOI":"10.2341\/23-074-c","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T23:33:54Z","timestamp":1704843234000},"page":"127-135","source":"Crossref","is-referenced-by-count":4,"title":["The Evidence-practice Gap in Minimal Intervention Dentistry: An International Comparison Between Dentists in Japan and Brazil"],"prefix":"10.2341","volume":"49","author":[{"given":"N","family":"Kakudate","sequence":"first","affiliation":[{"name":"*Naoki Kakudate, DDS, PhD, MPH, professor and division director, Division of Clinical Epidemiology, Kyushu Dental University, Kitakyushu, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Yoko Yokoyama, PhD, MPH, project senior assistant professor, Graduate School of Media and Governance, Keio University, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EPS","family":"Tagliaferro","sequence":"additional","affiliation":[{"name":"Elaine Pereira da Silva Tagliaferro, DDS, MSc, PhD, professor, Department of Community Dentistry, S\u00e3o Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Sumida","sequence":"additional","affiliation":[{"name":"Futoshi Sumida, DDS, dentist, Daiich Dental Clinic, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Yuki Matsumoto, DDS, director, Matsumoto Dental Clinic, Aichi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VV","family":"Gordan","sequence":"additional","affiliation":[{"name":"Valeria V Gordan, DDS, MS, MS-CI, distinguished professor and associate dean for research, Department of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GH","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Gregg H. Gilbert, DDS, MBA, FAAHD, FICD, distinguished professor, James R. Rosen Endowed Chair of Dental Research, and chair, Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"7023","key":"b1","series-title":"British Medical Journal","first-page":"71","article-title":"Evidence-based medicine: What it is and what it isn\u2019t","volume":"312","author":"Sackett\n              DL","year":"1996","unstructured":"Sackett\n              DL\n            , RosenbergMC, GrayJA, HaynesRB, & RichardsonWS (1996) Evidence-based medicine: What it is and what it isn\u2019tBritish Medical Journal312(7023) 71-72. https:\/\/doi:10.1136\/bmj.312.7023.71"},{"issue":"1","key":"b2","series-title":"Implementation Science","first-page":"37","article-title":"Examining and addressing evidence-practice gaps in cancer care: A systematic review","volume":"9","author":"Bryant\n              J","year":"2014","unstructured":"Bryant\n              J\n            , BoyesA, JonesK, Sanson-FisherR, CareyM, & FryR (2014) Examining and addressing evidence-practice gaps in cancer care: A systematic reviewImplementation Science9(1) 37. https:\/\/doi10.1186\/1748-5908-9-37"},{"issue":"2","key":"b3","series-title":"PLoS Medicine","article-title":"Living systematic reviews: An emerging opportunity to narrow the evidence-practice gap","volume":"11","author":"Elliott\n              JH","year":"2014","unstructured":"Elliott\n              JH\n            , TurnerT, ClavisiO, ThomasJ, HigginsJPT, MavergamesC, & GruenRL (2014) Living systematic reviews: An emerging opportunity to narrow the evidence-practice gapPLoS Medicine11(2) e1001603. https:\/\/10.1371\/journal.pmed.1001603"},{"issue":"26","key":"b4","series-title":"New England Journal of Medicine","first-page":"2635","article-title":"The quality of health care delivered to adults in the United States","volume":"348","author":"McGlynn\n              EA","year":"2003","unstructured":"McGlynn\n              EA\n            , AschSM, AdamsJ, KeeseyJ, HicksJ, DeCristofaroA, & KerrEA (2003) The quality of health care delivered to adults in the United StatesNew England Journal of Medicine348(26) 2635-2645. https:\/\/doi:10.1056\/NEJMsa022615"},{"issue":"2","key":"b5","series-title":"Journal of Continuing Education in the Health Professions","first-page":"94","article-title":"Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care","volume":"27","author":"Cochrane\n              LJ","year":"2007","unstructured":"Cochrane\n              LJ\n            , OlsonCA, MurrayS, DupuisM, ToomanT, & HayesS (2007) Gaps between knowing and doing: Understanding and assessing the barriers to optimal health careJournal of Continuing Education in the Health Professions27(2) 94-102. https:\/\/doi:10.1002\/chp.106"},{"issue":"S6","key":"b6","series-title":"Medical Journal of Australia","first-page":"S48","article-title":"Gaps between best evidence and practice: Causes for concern","volume":"180","author":"Buchan\n              H","year":"2004","unstructured":"Buchan\n              H\n            \n           (2004) Gaps between best evidence and practice: Causes for concernMedical Journal of Australia180(S6) S48-S49. https:\/\/doi:10.5694\/j.1326-5377.2004.tb05944.x"},{"issue":"8 Supplement 2","key":"b7","series-title":"Medical Care","first-page":"II46","article-title":"Successes and failures in the implementation of evidence-based guidelines for clinical practice","volume":"39","author":"Grol\n              R","year":"2001","unstructured":"Grol\n              R\n            \n           (2001) Successes and failures in the implementation of evidence-based guidelines for clinical practiceMedical Care39(8 Supplement 2) II46-II54. https:\/\/doi:10.1097\/00005650-200108002-00003"},{"issue":"1","key":"b8","series-title":"International Dental Journal","first-page":"1","article-title":"Minimal intervention dentistry\u2014a review. 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