Seale N S, Kendrick A G
Department of Pediatric Dentistry, Baylor College of Dentistry, Texas A&M University System Health Science Center, Texas, USA.
Pediatr Dent. 2001 May-Jun;23(3):211-6.
The purpose of this investigation was to obtain information from practicing pediatric dentists about how they manage caries in children three years of age and younger and the problems they are encountering.
A survey mailed to a randomly selected sample of 1,000 members of the American Academy of Pediatric Dentists (AAPD) in January of 1997 asked them to: identify the types and extent of caries in the young age group; define and quantify methods used to manage caries; determine the representation of caries among different payer source groups; identify sources of information used in managing caries; and determine the criteria they use for assessing the success of different methods in managing caries.
The response rate was 43%. Definitions of techniques of managing caries varied among practitioners, and the use of the methods differed for the different degrees of severity of caries. There was a significant relationship between the percentage of Medicaid in a practice and the percentage of children with caries and pulpal involvement. Personal experience/philosophy was most frequently identified as an important source among factors influencing treatment decisions and sources of information about managing. Criteria most frequently cited to determine effectiveness of treatment were "caries free at recall" (45%) and "stop progress of lesion" (30%).
Practitioners use a variety of techniques to manage caries in the child < or = 3 years of age. Disease level and payer source factored heavily in their treatment decisions. Practitioners reported interest in receiving information and help from AAPD on the subject.
本调查旨在从执业儿科牙医处获取有关他们如何处理3岁及以下儿童龋齿问题以及他们所遇到的问题的信息。
1997年1月，向随机抽取的1000名美国儿科牙科学会（AAPD）会员邮寄了一份调查问卷，要求他们：确定该低龄组龋齿的类型和程度；定义并量化处理龋齿的方法；确定不同支付方群体中龋齿的占比；确定处理龋齿时所使用的信息来源；以及确定他们用于评估不同龋齿处理方法成功与否的标准。
回复率为43%。不同从业者对处理龋齿技术的定义各不相同，且针对不同严重程度的龋齿，方法的使用情况也有所差异。诊所中医疗补助患者的占比与患有龋齿及牙髓受累的儿童占比之间存在显著关联。个人经验/理念在影响治疗决策和处理信息来源的因素中，最常被视为重要来源。最常被引用的判断治疗效果的标准是“复诊时无龋齿”（45%）和“病变停止进展”（30%）。
从业者使用多种技术来处理3岁及以下儿童的龋齿问题。疾病程度和支付方来源在他们的治疗决策中起着重要作用。从业者表示有兴趣从AAPD获取有关该主题的信息和帮助。
