A Cross-Sectional Assessment of Knowledge and Clinical Integration of Minimally Invasive Dentistry Among Dental Practitioners in Turkiye

Year 2025, Volume: 3 Issue: 2, 36 - 40, 31.08.2025

Oyun Erdene Batgerel , Bilinç Bulucu , Umut Kaan Yelkenoğlu

https://doi.org/10.62243/edr.1760391

Abstract

Aim This study aimed to assess dentists’ knowledge, attitudes, and perceptions regarding minimally invasive dentistry (MID) and explore relationships between these factors and demographic characteristics.
Material and method A cross-sectional online survey was conducted among n=114 dentists in Turkey. The questionnaire covered demographics, MID knowledge, clinical application, and perceived barriers. Data were analyzed using SPSS 27.0 with Chi-square, Mann-Whitney U, and Spearman correlation tests (p < 0.05).
Results Among participants, 53.8% were female, 50% aged 20–29, and 61.5% were general dentists. Overall, 55.8% reported familiarity with MID. Knowledge increased with age and experience; 42.3% of younger dentists (20–29) had insufficient knowledge, while 72.7% of dentists aged 40+ reported good knowledge. No significant gender differences were found. Specialists, especially pediatric (80%) and restorative (66.7%) dentists, showed higher knowledge and application of MID compared to general dentists (p < 0.05). Only 25% consistently applied MID, and 42.3% applied it occasionally. The main barriers were lack of equipment (57.7%), patient expectations (21.2%), and cost (15.4%). Equipment shortage negatively correlated with MID application (r = –0.39, p < 0.05). Most participants (82.7%) expressed interest in further MID training.
Conclusion Turkish dentists generally have a positive attitude toward MID, but knowledge and application vary by age and specialty. Younger general dentists show lower knowledge and use, while specialists demonstrate greater awareness and implementation. Addressing equipment shortages and enhancing training opportunities, especially for younger dentists, are essential to promote wider MID adoption.

Keywords

Clinical application , Dental education , Dental practice , Knowledge level , Minimal invasive dentistry

References

• Suma, G., & Salman, Y. (2017). Knowledge, attitude, behavior, and practice toward minimal intervention dentistry among dental professionals in Bengaluru City, India. Journal of Health Sciences & Research, 8(1), 20–24.
• Gaskin, E. B., Levy, S., Guzman-Armstrong, S., Dawson, D., & Chalmers, J. (2010). Knowledge, attitudes, and behaviors of federal service and civilian dentists concerning minimal intervention dentistry. Military Medicine, 175(2), 115–121.
• Tarfa, S., & Al Jubouri, M. (2023). Minimally invasive cavity preparation techniques. Journal of Research in Medical and Dental Science, 11(1), 1–10.
• Mania, T. V., Domingues, N. B., & Raggio, D. P. (2024). Dental professionals’ knowledge towards minimal intervention dentistry regarding caries management in the public health service in Vitória da Conquista, Brazil. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 24, e230056.
• Dixit, A., Sindi, A. S., Paul, S., Badiyani, B. K., Kumar, A., Arya, R., & Obulareddy, V. T. (2023). A study to assess knowledge, attitude, and perception of dental practitioners on minimally invasive dentistry concepts. Journal of Pharmacy and Bioallied Sciences, 15(Suppl 2), S993–S996.
• Holmgren, C. J., Roux, D., & Doméjean, S. (2013). Minimal intervention dentistry: Part 5. Atraumatic restorative treatment (ART) – a minimum intervention and minimally invasive approach for the management of dental caries. British Dental Journal, 214(1), 11–18.
• Pinheiro, S., Corralo, D. J., & do Prado Funk, P. (2016). Conhecimento, frequência e indicações de uso do tratamento restaurador atraumático por cirurgiões-dentistas da rede municipal de saúde de Passo Fundo, RS, Brasil. RFO UPF, 21(3), 325–330.
• Hesse, D., Bonifácio, C. C., Mendes, F. M., Braga, M. M., Imparato, J. C. P., & Raggio, D. P. (2014). Sealing versus partial caries removal in primary molars: A randomized clinical trial. BMC Oral Health, 14(1), 58.
• Oliveira, D. C. (2011). Minimally invasive dentistry approach in dental public health (Master’s thesis, The University of Iowa).
• Gujjar, K. R., & Sumra, N. (2013). Minimally invasive dentistry – A review. International Journal of Clinical Preventive Dentistry, 9(2), 109–120.
• Katz, C. R. T., de Andrade, M. D. R. B., Lira, S. S., Vieira, É. L. R., & Heimer, M. V. (2013). The concepts of minimally invasive dentistry and its impact on clinical practice: A survey with a group of Brazilian professionals. International Dental Journal, 63(2), 85–90.
• Autio-Gold, J. T., & Tomar, S. L. (2008). Dental students’ opinions and knowledge about caries management and prevention. Journal of Dental Education, 72(1), 26–32.
• Mount, G. J., & Ngo, H. (2000). Minimal intervention: A new concept for operative dentistry. Quintessence International, 31(8), 527–533.
• Shah, A. H., Sheddi, F. M., Alharqan, M. S., Khawja, S. G., Vohra, F., Akram, Z., & Khalil, H. S. (2016). Knowledge and attitude among general dental practitioners towards minimally invasive dentistry in Riyadh and Al Kharj. Journal of Clinical and Diagnostic Research, 10(7), ZC90–ZC94.
• Lynch, C. D., Frazier, K. B., McConnell, R. J., Blum, I. R., & Wilson, N. H. (2011). Minimally invasive management of dental caries: Contemporary teaching of posterior resin-based composite placement in US and Canadian dental schools. Journal of the American Dental Association, 142(6), 612–620.
• Schwendicke, F., Dörfer, C. E., Schlattmann, P., Page, L. F., Thomson, W. M., & Paris, S. (2015). Socioeconomic inequality and caries: A systematic review and meta-analysis. Journal of Dental Research, 94(1), 10–18.
• Frencken, J. E., Peters, M. C., Manton, D. J., Leal, S. C., Gordan, V. V., & Eden, E. (2012). Minimal intervention dentistry for managing dental caries – A review: Report of an FDI task group. International Dental Journal, 62(5), 223–243.