Demographic - MetLife - Dental Survey 01 - 2448788v1.0 Contact Information A. Post Operative Hypersensitivity With Composite Resin Restorations Is the frequency of composite resin hypersensitivity a concern in your practice What is your estimate of the percentage of Class I restorations with this problem How frequently have you noticed hypersensitivity in two or more restorations for a number of patients Do you routinely use a self-etching dentin bonding system for composite restorations Do you routinely use a resin modified glass ionomer liner for composite restorations B. Dental Care For Pregnant Women Do you provide comprehensive dental care for pregnant women in your practice Do you limit treatment of pregnant women to emergency care About how many individual pregnant women present for care in your dental practice Does your state have guidelines for treatment of pregnant women C. Porcelain Repair How often is porcelain repair employed in your practice on a per month basis How often do these repairs fail Do you use hydrofluoric acid etching of porcelain during the repair Do you use "micro etching" (sandblasting) during a porcelain repair Do you use both "micro etching" and hyrofluorid acid etching C. Porcelain Repair In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure If yes to the above, what method of indirect pulp capping procedure do you follow If no to the above, do you usually If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding E. Smoking Cessation Do you have a smoking cessation program in your practice If yes, what percentage of the patients approached concerning this program participates If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled Is a course on smoking cessation required for a dental license in your state F. Visual Classification Of Caries Are you aware of visual classification systems for the progress of caries Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions G. Cracked Tooth How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth Do you feel the diagnosis of a cracked tooth is a routine procedure What method besides visualization and radiographs do you primarily use to assist with diagnosis H. Leaking Sealant Detection Do you routinely apply sealants to children's teeth in your practice Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice Ii. Professional Information General Practice or Specialist If Specialist, which Gender Ethnicity If Hispanic or Latino, specify Race Iii. Description Of Your Practice How would you characterize your practice 
