Gibson Tammie J, Nash David A
US Public Health Service, Lawton Indian Hospital, Lawton, Okla, USA.
Pediatr Dent. 2004 Jan-Feb;26(1):17-22.
The purpose of this study was to assess the periodicity of the recall examination and frequency and most often used technique for cleaning children's teeth. The resulting data were compared to current scientific evidence and recommendations to determine the appropriateness of practices by board-certified pediatric dentists.
A 28-item questionnaire was mailed to the 1,034 members of the College of Diplomates of the American Board of Pediatric Dentistry residing in the United States. This report describes data pertaining to recall appointment periodicity, frequency and method of cleaning children's teeth, use of auxiliaries in prophylaxis, and instruction in oral hygiene.
Six hundred twenty-nine surveys were returned, tabulated, and analyzed. Only 1% of dentists did not have an active recall program, 95% used a 6-month recall interval, and the remaining 5% had an interval ranging from 3 to 18 months. Hygienists were employed in 62% of pediatric dentistry practices. Pumice/rubber cup prophylaxis was employed routinely at recall by 67% of respondents; 24% reported the use of toothbrush and dental floss for cleaning; the other 9% reported no routine method for prophylaxis. The average fee for a pumice/rubber cup prophylaxis was dollar 42.55, and dollar 40.31 for a toothbrush prophylaxis. One hundred percent of pediatric dentists reported providing oral hygiene instruction for their patients. The instruction was directed to both parent and child in 97% of practices, child only in 2% of practices, and the parent only in 1% of practices.
Recall intervals were not based on specific criteria related to individual patient needs. The majority of pediatric dentists employed the pumice/rubber cup prophylaxis method for cleaning children's teeth.
本研究旨在评估复诊检查的周期性、清洁儿童牙齿的频率及最常用技术。将所得数据与当前科学证据和建议进行比较，以确定获得委员会认证的儿科牙医的操作是否恰当。
向居住在美国的1034名美国儿科牙科委员会院士邮寄了一份包含28个条目的问卷。本报告描述了与复诊预约周期性、清洁儿童牙齿的频率和方法、预防治疗中辅助人员的使用以及口腔卫生指导相关的数据。
共收回629份调查问卷，并进行了列表和分析。只有1%的牙医没有积极的复诊计划，95%的牙医采用6个月的复诊间隔，其余5%的复诊间隔为3至18个月。62%的儿科牙科诊所雇佣了口腔保健员。67%的受访者在复诊时常规采用浮石/橡胶杯预防治疗；24%的受访者报告使用牙刷和牙线进行清洁；另外9%的受访者报告没有常规的预防方法。浮石/橡胶杯预防治疗的平均费用为42.55美元，牙刷预防治疗的平均费用为40.31美元。100%的儿科牙医报告为患者提供口腔卫生指导。在97%的诊所中，指导针对家长和孩子双方，2%的诊所仅针对孩子，1%的诊所仅针对家长指导。
复诊间隔并非基于与个体患者需求相关的具体标准。大多数儿科牙医采用浮石/橡胶杯预防治疗方法清洁儿童牙齿。
