Adoption of minimally invasive dentistry in Palestine: assessing practices and barriers – a cross-sectional study

Abstract

Aims This study explored the diagnostic and treatment practices of Palestinian general dentists related to minimally invasive dentistry (MID) and identified perceived barriers to its broader application. Materials and methods A cross-sectional online survey collected data from general dentists on demographics, MIDrelated practices, and barriers. Descriptive and inferential statistics were used to evaluate current practices and their associations with dentist demographics and professional characteristics. Results A substantial proportion of dentists applied MID-related principles. Preventive, nonoperative approaches are slightly more common for occlusal lesions and more clearly favored for approximal lesions. Approximately two-thirds adopted conservative cavity designs such as vertical slots or saucer-shaped preparations, whereas approximately half preferred selective removal for deep caries. Most dentists opted to repair rather than replace defective restorations. Clinical experience had a stronger influence on these practices than gender or workplace setting did, and the main barriers included limited training, restricted access to modern materials and technologies, and low patient awareness. Conclusion Palestinian dentists demonstrated variability in the application of MID-related practices, with greater use reported among more experienced practitioners and those in private practice. Addressing educational, infrastructural and cultural barriers could support broader integration of evidence-based, minimally invasive approaches into routine care. These findings set the foundation for developing national policies, curricular reform, and continuing education, underscoring their importance in advancing evidence-based, minimally invasive care in Palestine.