Introduction
Material and methods
Sample size calculation
Functional Aspect and generic risk of bias
Variable and attribute | Value (n (%)) |
---|---|
Practice location | |
Rural | 5 (7%) |
City | 3 (44%) |
Large city | 34 (49%) |
Practice setting | |
Single practice | 31 (44%) |
Multipractice | 36 (52%) |
Chain practice | 3 (4%) |
Age | |
Young | 3 (4%) |
Middle age | 39 (56%) |
Old | 24 (34%) |
No information | 4 (6%) |
Specializations | |
Pediatric dentistry | 3 (4%) |
(German society of pediatric dentistry) | |
Any specializations | 12 (17%) |
No information | 55 (79%) |
Search strategy
Data extraction and analysis
Item | Median (IQRa; min-maxb) |
---|---|
1.1 Accessibility | |
Is the information available full text without registration, log-in or subscription | 2 (0; 2–2) |
1.2 Usability | |
Is there a clear statement of who this website is for? | 2 (0; 1–2) |
Is the level of detail appropriate to their level of knowledge? Is the layout of the main block of information clear and readable? | 2 (0; 0–2) |
Is the navigation clear and well structured? | 2 (0; 1–2) |
Can you always tell your current location on the site? | 2 (0; 0–2) |
Do navigational links have a consistent function? | 2 (0; 0–2) |
Is the site structure (categories or organization of pages) applied consistently? | 2 (0; 0–2) |
Does the site provide an effective search function? | 0 (0; 0–2) |
Can you use the site without third-party plugins? | 1 (0; 0–2) |
Can the user make an effective judgment of whether the site applies to them? | 2 (0; 1–2) |
Is the website interactive? | 1 (0; 0–2) |
Does the website integrate non-textual media? | 1 (0; 0–2) |
1.3 Reliability | |
Can users submit comments on specific content? | 0 (0; 0–2) |
Is site content updated at an appropriate interval? | 2 (0; 0–2) |
Is itc clear who runs the site? | 2 (0; 1–2) |
Is itc clear who pays for the site? | 1 (0; 0–1) |
Can the information be checked from original sources? | 1 (0; 0–2) |
Item | Median (IQRa; min-maxb) |
---|---|
2.1 Reliability | |
Are the aims clear? | 2 (0; 1–2) |
Is itc clear what sources of information were used to compile the publication? | 1 (0; 0–2) |
Is itc clear when the information used or reported in the publication was produced? | 0 (0; 0–1) |
Is itc balanced and unbiased? | 2 (0; 0–2) |
Does it provide details of additional sources of support and information? | 1 (0; 0–2) |
Does itc refer to areas of uncertainty? | 0 (0; 0–2) |
2.2 Quality | |
Does itc describe how each treatment works? | 2 (0; 0–2) |
Does itc describe the benefits of each treatment? | 2 (0; 0–2) |
Does it describe the risks of each treatment? | 0 (0; 0–2) |
Does itc describe what would happen if no treatment is used? | 0 (0; 0–1) |
Does itc describe how the treatment choices affect overall quality of life? | 1 (0; 0–2) |
Is itc clear that there may be more than one possible treatment choice? | 2 (0; 2–2) |
Does itc provide support for shared decision making? | 1 (0; 0–2) |
Item | Median (IQRa; min-maxb) |
---|---|
Is MIH/ molar hypomineralization mentioned? | 2 (0; 0–2) |
Is the term MIH explained in complete sentences? | 2 (0; 0–2) |
Is it mentioned that the main etiological factor is unexplained? | 2 (0; 0–2) |
Is it mentioned that the causes are multifactorial? | 2 (0; 0–2) |
Is it mentioned that MIH is a mineralization disorder? | 2 (0; 0–2) |
Is a prevalence mentioned? | 0 (0; 0–2) |
Is mention made of the problems faced by patients? | 2 (0; 0–2) |
Is it mentioned that affected individuals have an increased sensation of heat/cold? | 2 (0; 0–2) |
Is it mentioned that atypical hypersensitivity is prominent? | 2 (0; 0–2) |
Is it mentioned that affected individuals generally have poorer oral hygiene? | 0 (0; 0–2) |
Is the increased prevalence of caries mentioned? | 2 (0; 0–2) |
Is the increased level of suffering mentioned? | 2 (0; 0–2) |
Is it mentioned that affected individuals often have cooperation problems? | 0 (0; 0–2) |
Is it mentioned that the teeth have an increased risk of fracture? | 2 (0;0–2) |
Is it mentioned that clearly circumscribed opacities are seen in mild MIH cases? | 0 (0; 0–2) |
Is it mentioned that post-eruptive enamel breakdown is seen in moderate MIH? | 0 (0; 0–2) |
Is it mentioned that severe cases may present with atypical restorations and extractions? | 0 (0; 0–0) |
Is it mentioned that there are different degrees of severity? | 0 (0; 0–2) |
Is it mentioned that color change may be observed in mild/medium cases? | 2 (0; 0–2) |
Is it mentioned that crown shape may change in particularly severe cases? | 0 (0; 0–2) |
Is an example of therapy given? | 2 (0; 0–2) |
Is it mentioned that therapy depends on many factors? | 0 (0; 0–2) |
Is it mentioned that fluoridation/sealing and control is sufficient for mild cases? | 2 (0; 0–2) |
Is it mentioned that for mild to moderate defects, (temporary) filling therapy is performed? | 2 (0; 0–2) |
Is it mentioned that a steel crown is used for children in the molar region if the defect is severe? | 0 (0; 0–2) |
Does it mention that extraction with orthodontic gap closure may be required for very severe defects? | 0 (0; 0–2) |
Is it mentioned that affected individuals should be moved back to a more closely meshed system if possible? | 2 (0; 0–2) |
Is a prognosis given for the teeth? | 0 (0; 0–2) |
Are other very similar mineralization disorders/shape changes mentioned? | 0 (0; 0–2) |
Are there example images of MIH or other mineralization disorders? | 0 (0; 0–2) |
Statistical analysis
Results
Factor | Beta (mean quality score) | 95% Confidence interval | p-value |
---|---|---|---|
Constant | 15.3 | 12.8 to 18.0 | < 0.001 |
Chained practice (ref.: multi- practice) | 2.2 | 0.3 to 4.1 | 0.053 |
Single practice (ref.: multi- practice) | 0.9 | − 0.2 to 1.9 | |
No information Specialization (ref.: Pediatric dentistry) | − 0.7 | − 2.5 to 1.3 | 0.718 |
Any Specialization (ref.: Pediatric dentistry) | − 0.8 | − 2.9 to 1.2 | |
Rural (ref.: large city) | 0.0 | − 1.4 to 1.5 | 0.127 |
City (ref.: large city) | − 0.7 | − 1.5 to 0.0 | |
Age of dentists (cont., per year)) | − 0.2 | − 0.7 to 0.3 | 0.445 |
Number of dentists (cont.) | 0.0 | − 0.2 to 0.3 | 0.536 |