title: Adoption of innovative caries-control services in dental practice: a survey of Washington State dentists.
abstract: To assess the adoptability of the medical model for caries control, the authors surveyed general dentists about their use of four caries-control services among adult patients: salivary functioning tests, fluoride varnishes, chlorhexidine rinses, and pit-and-fissure sealants. Responses indicated that leaders in the dental community and those with a wider network of professional colleagues were likely to adopt new services more quickly than other dentists. Earlier adopters also had more correct information about these services than later or nonadopters. Overall, the knowledge base of the services studied in this survey was not uniform, making adoption of the medical model for caries control premature.
authors.affiliation: Department of Dental Public Health Sciences, University of Washington, Seattle 98195-7475, USA.
authors.forename: L
authors.initials: L
authors.lastname: Fiset
authors.forename: D
authors.initials: D
authors.lastname: Grembowski
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002327:Cariostatic Agents / Q000627:therapeutic use; D002710:Chlorhexidine / Q000627:therapeutic use; D003188:Composite Resins / Q000627:therapeutic use; D003731:Dental Caries / Q000517:prevention & control*; D003815:Dentists / Q000523:psychology; D004059:Diffusion of Innovation; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000627:therapeutic use; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D011313:Preventive Dentistry / Q000706:statistics & numerical data*; D012463:Saliva / Q000378:metabolism; D011795:Surveys and Questionnaires; D014861:Washington
chemical_list: D002327:Cariostatic Agents; D003188:Composite Resins; D005460:Fluorides, Topical; D009067:Mouthwashes; D010895:Pit and Fissure Sealants; D002710:Chlorhexidine