DHAT-delivered dental care vs Dentist-delivered dental care: Technical performance / deficient restorations (DHATs vs dentists)
- Population
- Alaska Native dental patients (children aged 6-17 and adults) and their caregivers
- Intervention
- DHAT-delivered dental care
- Comparison
- Dentist-delivered dental care
- Outcome
- Technical performance / deficient restorations (DHATs vs dentists)
DHATs had a lower amalgam restoration deficiency rate than dentists (12% vs 22%; certainty not graded).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Dental care provided by dental health aide therapists (DHATs, mid-level providers) vs Dental care provided by dentists (or no comparison group) Technical performance / deficient restorations (DHATs vs dentists) · Alaska Native dental patients (children aged 6-17 and adults) and their caregivers · Cross-sectional (DHATs practising ~9 months to several years), Alaska Native communities (Alaska Dental Health Aide Therapist program), Amalgam restorations DHATs had a lower amalgam restoration deficiency rate than dentists (12% vs 22%; certainty not graded). Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions… (2013) All outcomes | Deficient restorations (%), DHAT vs dentist 12 vs 22 (DHAT vs dentist) | 2 studies | GRADE not reported |
Dental care provided by dental health aide therapists (DHATs, mid-level providers) vs Dental care provided by dentists (or no comparison group) Technical performance / deficient restorations (DHATs vs dentists) · Alaska Native dental patients (children aged 6-17 and adults) and their caregivers · Cross-sectional (DHATs practising ~9 months to several years), Alaska Native communities (Alaska Dental Health Aide Therapist program), Composite restorations DHATs and dentists had similar composite restoration deficiency rates (15% vs 12%; certainty not graded). Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions… (2013) All outcomes | Deficient restorations (%), DHAT vs dentist 15 vs 12 (DHAT vs dentist) | 2 studies | GRADE not reported |
Dental care provided by dental health aide therapists (DHATs, mid-level providers) vs Dental care provided by dentists (or no comparison group) Technical performance / deficient restorations (DHATs vs dentists) · Alaska Native dental patients (children aged 6-17 and adults) and their caregivers · Cross-sectional (DHATs practising ~9 months to several years), Alaska Native communities (Alaska Dental Health Aide Therapist program), Stainless steel crowns DHATs had a lower stainless steel crown deficiency rate than dentists (3% vs 9%; certainty not graded). Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions… (2013) All outcomes | Deficient placements (%), DHAT vs dentist 3 vs 9 (DHAT vs dentist) | 2 studies | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel… 2013 All outcomes | October 5, 2012 | 11 | Critically Low / Critically Low |
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- Clinical technical performance of dental therapists in Alaska · 2011 · included by 1 of these review
- Fiset 2005 · included by 1 of these review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.