title: Cross sectional: use of coolant for high-speed tooth preparation: a survey of pediatric dentist members of the American Academy of Pediatric Dentistry.
abstract: OBJECTIVE
  To report the findings of a survey to determine the educational experiences, opinions and clinical practices relative to the use of coolant during cavity preparation of pediatric dentist members of the American Academy of Pediatric Dentistry (AAPD) and to determine whether teaching policies influenced the type of coolant used in private practice.
  
  
  METHODS
  Four thousand fifty surveys were emailed to AAPD members and included questions regarding demographics and predoctoral, graduate, and current practice policies for the use of dry cutting.
  
  
  RESULTS
  Returned survey numbered 1730 for a response rate of 43%. Fifteen percent were taught the concept of dry cutting in their predoctoral programs and 34% in their specialty, programs. Sixty percent never or rarely prepare teeth without water coolant. Slightly more than 40% prepared teeth with air coolant alone. Patient behavior (25%) and sedation (21%) were reported as determining factors for cutting dry. Thirty-one percent of private practice clinicians and 34% of part time academics use dry cutting, while only 15% of full time academicians use the technique (P<0.0001).
  
  
  CONCLUSIONS
  Respondents tend to use the technique they were taught during their residency. Use of dry cutting was more likely to be utilized during sedations or general anesthesia to avoid airway compromise.
authors: Department of Pediatric Dentistry, UMDNJ-New Jersey Dental School, Newark, USA. drkup@netvision.net.il
authors: Ari
authors: A
authors: Kupietzky
authors: Anna B
authors: AB
authors: Fuks
authors: Kaaren G
authors: KG
authors: Vargas
authors: William F
authors: WF
authors: Waggoner
mesh_terms: D000388:Air; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D001291:Attitude of Health Personnel; D002648:Child; D002652:Child Behavior; D003080:Cold Temperature; D016292:Procedural Sedation; D003430:Cross-Sectional Studies; D003737:Dental Cavity Preparation / Q000295:instrumentation / Q000379:methods; D003754:Dental High-Speed Equipment; D003755:Dental High-Speed Technique; D003815:Dentists / Q000523:psychology; D004499:Education, Dental, Graduate; D006801:Humans; D007396:Internship and Residency; D010377:Pediatric Dentistry / Q000193:education; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data; D011331:Private Practice / Q000706:statistics & numerical data; D011365:Professional Practice Location; D012953:Societies, Dental; D019246:Tooth Preparation / Q000295:instrumentation / Q000379:methods*; D014481:United States; D014867:Water
chemical_list: D014867:Water