216 - Lesion Sterilization and Tissue Repair: Use, Knowledge, and Attitudes of Pediatric Dentist in Ilinois & Wisconsin. A Pilot Study.

Abstract:

   

Purpose: This pilot study investigates the use, knowledge, and attitudes of pediatric dentists in the United States regarding the Lesion Sterilization and Tissue Repair (LSTR) technique for treating infected primary molars. Specifically, it aims to identify factors influencing the decision to use LSTR and perceived barriers to its adoption.

Methods: The study was approved by the University of Illinois Chicago IRB. A survey comprising 19 questions was electronically distributed to 308 active members of the American Academy of Pediatric Dentistry (AAPD) in Illinois and Wisconsin 2024. The survey collected data on demographics, practice settings, familiarity with LSTR, and factors influencing its use. Descriptive statistics, logistic regression, Fisher's exact test, Cochran-Armitage Trend Test, and binomial tests were employed for data analysis.

Results: The survey achieved a 20% response rate, with 65 pediatric dentists participating. The majority (78.5%) were familiar with LSTR, but only 20.6% actively used the technique. Significant associations were found between LSTR use and the nature of primary practice (P=0.0002) and familiarity with LSTR (P < 0.0001). Academic intramural practices showed the highest LSTR usage (80%), whereas private practices had the lowest (12.96%). The primary barriers to LSTR adoption included lack of knowledge and experience, cost, procedural complexity, and material availability.

Conclusions: There is a notable gap between awareness and use of LSTR among pediatric dentists. Enhanced training programs, stronger clinical evidence, and clear guidelines are essential to increase the adoption of LSTR. Addressing these barriers could improve patient care outcomes by integrating LSTR more broadly into pediatric dental practice.

Identify Supporting Agency and Grant Number: NA