{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:02:32Z","timestamp":1759017752695,"version":"3.44.0"},"reference-count":16,"publisher":"Operative Dentistry","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n        <jats:sec>\n          <jats:title>Objectives:<\/jats:title>\n          <jats:p>To depict restorative treatment recommendations of US dentists for posterior proximal enamel caries lesions detected with bitewing radiographs in permanent teeth.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods:<\/jats:title>\n          <jats:p>The Fact Box format was utilized to depict the probabilities of restorative treatment recommendations made by US dentists for posterior proximal enamel caries lesions detected with bitewing radiographs in permanent teeth. Four case scenarios were considered, including patients at low caries risk versus those at high caries risk for two proportions (10% versus 38%) of proximal enamel caries lesions with external surface cavitation.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>The Fact Box showed that the decision to restore posterior proximal enamel caries lesion was more likely to be an incorrect decision (61-91%) in the four case scenarios considered. Meanwhile, the decision to not provide restorative treatment for posterior proximal enamel caries lesion was less likely to be erroneous (9-37%) in the four case scenarios considered.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion:<\/jats:title>\n          <jats:p>Using the Fact Box to depict restorative decision-making for posterior proximal enamel caries lesions in permanent teeth may improve communication of decisional probabilities and reduce restorative overtreatment.<\/jats:p>\n        <\/jats:sec>","DOI":"10.2341\/24-070-lit","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T16:49:14Z","timestamp":1751302154000},"page":"274-279","source":"Crossref","is-referenced-by-count":0,"title":["Depicting Errors in Clinical Decisions for Posterior Proximal Enamel Caries Lesions in Permanent Teeth Using the Fact Box Format"],"prefix":"10.2341","volume":"50","author":[{"given":"S. M.","family":"Hashim Nainar","sequence":"first","affiliation":[{"name":"S.M. Hashim Nainar, BDS, MDSc, associate professor of Pediatric Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"10","key":"b1","series-title":"Journal of American Dental Association","first-page":"837","article-title":"Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions \u2013 A report from the American Dental Association","volume":"149","author":"Slayton\n              RL","year":"2018","unstructured":"Slayton\n              RL\n            , UrquhartO, AraujoMWB, FontanaM, Guzm\u00e1n-ArmstrongS, NascimentoMM, Nov\u00fdBB, TinanoffN, WeyantRJ, WolffMS, YoungDA, ZeroDT, TampiMP, PilcherL, BanfieldL, & Carrasco-LabraA (2018) Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions \u2013 A report from the American Dental AssociationJournal of American Dental Association149(10) 837-849. https:\/\/doi.org\/10.1016\/j.adaj.2018.07.002"},{"issue":"7","key":"b2","series-title":"British Dental Journal","first-page":"474","article-title":"When to intervene in the caries process? A Delphi consensus statement","volume":"229","author":"Banerjee\n              A","year":"2020","unstructured":"Banerjee\n              A\n            , SpliethC, BreschiL, FontanaM, ParisS, BurrowM, CrombieF, PageLF, Gat\u00f3n-Hern\u00e1ndezP, GiacamanRA, GugnaniN, HickelR, JordanRA, LealS, LoE, TasseryH, ThomsonWM, MantonDJ, & SchwendickeF (2020) When to intervene in the caries process? A Delphi consensus statementBritish Dental Journal229(7) 474-482. https:\/\/doi.org\/10.1038\/s41415-020-2220-4"},{"issue":"2","key":"b3","series-title":"Caries Research","first-page":"146","article-title":"An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth","volume":"26","author":"Pitts\n              NB","year":"1992","unstructured":"Pitts\n              NB\n             & RimmerPA (1992) An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teethCaries Research26(2) 146-152. https:\/\/doi.org\/10.1159\/000261500"},{"issue":"1","key":"b4","series-title":"Journal of Clinical Pediatric Dentistry","first-page":"59","article-title":"Comparison of three methods for detection of carious lesions in proximal surfaces versus direct visual examination after tooth separation","volume":"28","author":"Mialhe\n              FL","year":"2003","unstructured":"Mialhe\n              FL\n            , PereiraAC, PardiV, & de Castro MeneghimM (2003) Comparison of three methods for detection of carious lesions in proximal surfaces versus direct visual examination after tooth separationJournal of Clinical Pediatric Dentistry28(1) 59-62."},{"issue":"6","key":"b5","series-title":"Operative Dentistry","first-page":"589","article-title":"Detection of approximal caries lesions in adults: a cross-sectional study","volume":"44","author":"Urz\u00faa\n              I","year":"2019","unstructured":"Urz\u00faa\n              I\n            , CabelloR, Mar\u00ednP, RuizB, JazanovichD, MautzC, LiraM, S\u00e1nchezJ, Rodr\u00edguezG, OsorioS, & OrtizME (2019) Detection of approximal caries lesions in adults: a cross-sectional studyOperative Dentistry44(6) 589-594. https:\/\/doi.org\/10.2341\/17-314-C"},{"issue":"3","key":"b6","series-title":"Caries Research","first-page":"171","article-title":"Detection of cavitated proximal carious lesions in permanent teeth: A visual and radiographic assessment","volume":"56","author":"Mu\u00f1oz-Sandoval\n              C","year":"2022","unstructured":"Mu\u00f1oz-Sandoval\n              C\n            , Gambetta-TessiniK, BotelhoJN, & GiacamanRA (2022) Detection of cavitated proximal carious lesions in permanent teeth: A visual and radiographic assessmentCaries Research56(3) 171-178. https:\/\/doi.org\/10.1159\/000525193"},{"issue":"8","key":"b7","series-title":"Acta Odontologica Scandinavica","first-page":"1084","article-title":"Clinical cavitation and radiographic lesion depth in proximal surfaces in an Indian population","volume":"72","author":"Sansare\n              K","year":"2014","unstructured":"Sansare\n              K\n            , RaghavM, SontakkeS, KarjodkarF, & WenzelA (2014) Clinical cavitation and radiographic lesion depth in proximal surfaces in an Indian populationActa Odontologica Scandinavica72(8) 1084-1088. https:\/\/doi.org\/10.3109\/00016357.2014.926025"},{"issue":"5","key":"b8","series-title":"Journal of Dental Research","first-page":"501","article-title":"Restorative thresholds for carious lesions: Systematic review and meta-analysis","volume":"96","author":"Innes NPT","year":"2017","unstructured":"Innes NPT & SchwendickeF (2017) Restorative thresholds for carious lesions: Systematic review and meta-analysisJournal of Dental Research96(5) 501-508. https:\/\/doi.org\/10.1177\/0022034517693605"},{"issue":"8","key":"b9","series-title":"Journal of Dentistry","first-page":"718","article-title":"Agreement among dentists\u2019 restorative treatment planning thresholds for primary occlusal caries, primary proximal caries, and existing restorations: Findings from The National Dental Practice-Based Research Network","volume":"41","author":"Heaven\n              TJ","year":"2013","unstructured":"Heaven\n              TJ\n            , GordanVV, LitakerMS, FellowsJL, RindalDB, FirestoneAR, GilbertGH, & The National Dental PBRN Collaborative Group (2013) Agreement among dentists\u2019 restorative treatment planning thresholds for primary occlusal caries, primary proximal caries, and existing restorations: Findings from The National Dental Practice-Based Research Network. Journal of Dentistry41(8) 718-725. https:\/\/doi.org\/10.1016\/j.jdent.2013.05.014"},{"issue":"8","key":"b10","series-title":"Journal of American Dental Association","first-page":"760","article-title":"The potential harm of not following clinical practice guideline recommendations","volume":"154","author":"Abt\n              E","year":"2023","unstructured":"Abt\n              E\n            , WeyantRJ, Frantsve-HawleyJ, & Carrasco-LabraA (2023) The potential harm of not following clinical practice guideline recommendationsJournal of American Dental Association154(8) 760-765. https:\/\/doi.org\/10.1016\/j.adaj.2023.05.002"},{"key":"b11","series-title":"Journal of Dentistry","first-page":"1","article-title":"An update on the reasons for placement and replacement of direct restorations","volume":"72","author":"Eltahlah\n              D","year":"2018","unstructured":"Eltahlah\n              D\n            , LynchCD, ChadwickBL, BlumIR, & WilsonNHF (2018) An update on the reasons for placement and replacement of direct restorationsJournal of Dentistry721-7. https:\/\/doi.org\/10.1016\/j.jdent.2018.03.001"},{"issue":"1","key":"b12","series-title":"MDM Policy & Pract","first-page":"2381468316665365","article-title":"A simple tool for communicating the benefits and harms of health interventions: A guide for creating a fact box","volume":"1","author":"McDowell\n              M","year":"2016","unstructured":"McDowell\n              M\n            , RebitschekFG, GigerenzerG, & WegwarthO (2016) A simple tool for communicating the benefits and harms of health interventions: A guide for creating a fact boxMDM Policy & Practice 1(1) 2381468316665365. https:\/\/doi.org\/10.1177\/2381468316665365"},{"issue":"10","key":"b13","series-title":"Ergonomics","first-page":"1326","article-title":"Physicians\u2019 perceptions of two ways of algorithm presentation: Graphic versus text-based approach","volume":"65","author":"Bergauer\n              L","year":"2022","unstructured":"Bergauer\n              L\n            , KataifeED, MileoFG, RocheTR, SaidS, SpahnDR, TschollDW, & WetliDJ (2022) Physicians\u2019 perceptions of two ways of algorithm presentation: Graphic versus text-based approachErgonomics65(10) 1326-1337. https:\/\/doi.org\/10.1080\/00140139.2022.2029581"},{"issue":"5","key":"b14","series-title":"Clinical Oral Investigations","first-page":"1623","article-title":"How to intervene in the caries process: proximal caries in adolescents and adults \u2013 A systematic review and meta-analysis","volume":"24","author":"Splieth\n              CH","year":"2020","unstructured":"Splieth\n              CH\n            , KanzowP, WiegandA, SchmoeckelJ, & Jablonski-MomeniA (2020) How to intervene in the caries process: proximal caries in adolescents and adults \u2013 A systematic review and meta-analysisClinical Oral Investigations24(5) 1623-1636. https:\/\/doi.org\/10.1007\/s00784-020-03201-y"},{"issue":"1","key":"b15","series-title":"Journal of American Dental Association","first-page":"23","article-title":"Prescription of bite-wing and panoramic radiographs in pediatric dental patients \u2013 An assessment of current trends and provider compliance","volume":"153","author":"Menaker\n              NH","year":"2022","unstructured":"Menaker\n              NH\n            , YepesJF, VinsonLA, JonesJE, DowneyT, TangQ, & Maupom\u00e9G (2022) Prescription of bite-wing and panoramic radiographs in pediatric dental patients \u2013 An assessment of current trends and provider complianceJournal of American Dental Association153(1) 23-30. https:\/\/doi.org\/10.1016\/j.adaj.2021.07.001"},{"issue":"3","key":"b16","series-title":"British Dental Journal","first-page":"163","article-title":"Increasing awareness of risk literacy","volume":"235","author":"Nainar\n              SMH","year":"2023","unstructured":"Nainar\n              SMH\n            \n           (2023) Increasing awareness of risk literacyBritish Dental Journal235(3) 163-164. https:\/\/doi.org\/10.1038\/\/s41415-023-6169-y"}],"container-title":["Operative 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