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一项随机对照试验,旨在探究苏格兰普通牙科服务中对常规洗牙和抛光的态度,并比较手动洁治与超声洁治[国际标准随机对照试验编号:ISRCTN99609795]。

A randomised controlled trial to explore attitudes to routine scale and polish and compare manual versus ultrasonic scaling in the general dental service in Scotland [ISRCTN99609795].

作者信息

Bonner Brian C, Young Linda, Smith Patricia A, McCombes Wendy, Clarkson Jan E

机构信息

The Dental Health Services Research Unit, Mackenzie Building, Kirsty Semple Way, Dundee DD2 4BF, UK.

出版信息

BMC Oral Health. 2005 Jun 23;5:3. doi: 10.1186/1472-6831-5-3.

DOI:10.1186/1472-6831-5-3
PMID:15975140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1183219/
Abstract

BACKGROUND

To investigate, within general dental practice, patients' and vocational dental practitioners' (VDP) attitudes towards the benefits and costs of a simple scale and polish and to compare the experience of using manual versus ultrasonic instruments to scale teeth.

METHODS

28 VDPs and 420 patients participated. Patients were randomly allocated to either group. Patients' and VDPs' attitudes towards, and experience of, the scale and polish were elicited by means of self-administered questionnaires.

RESULTS

The majority of patients (99%) believed a scale and polish was beneficial. VDPs considered ultrasonic treatment to be appropriate on significantly more occasions than they did for manual scale and polish (P < 0.001). Patient discomfort: with ultrasonic scaling 69.2% felt 'a little uncomfortable' or worse compared with 60% of those undergoing manual treatment (P = 0.072). VDPs considered treatment charges were appropriate for 77% of patients.

CONCLUSION

Routine scaling and polishing is considered beneficial by both patients and vocational trainees. The majority of patients, regardless of treatment method, experience some degree of discomfort when undergoing a scale and polish. VDPs showed a preference for the ultrasonic treatment method.

摘要

背景

在普通牙科诊疗中,调查患者和实习牙医(VDP)对简单洗牙和抛光的益处及成本的态度,并比较使用手动器械和超声器械洗牙的体验。

方法

28名实习牙医和420名患者参与。患者被随机分配到两组。通过自行填写问卷来了解患者和实习牙医对洗牙和抛光的态度及体验。

结果

大多数患者(99%)认为洗牙和抛光有益。实习牙医认为超声治疗适用的情况明显多于手动洗牙和抛光(P < 0.001)。患者不适:超声洗牙时69.2%的人感觉“有点不舒服”或更糟,而接受手动治疗的患者中这一比例为60%(P = 0.072)。实习牙医认为77%的患者的治疗费用是合适的。

结论

患者和实习牙医都认为常规洗牙和抛光有益。大多数患者,无论采用何种治疗方法,在洗牙和抛光时都会经历一定程度的不适。实习牙医表现出对超声治疗方法的偏好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/33354bb208f2/1472-6831-5-3-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/dec3b675e1d5/1472-6831-5-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/6e4953d0c40f/1472-6831-5-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/250a5b31a224/1472-6831-5-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/33354bb208f2/1472-6831-5-3-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/dec3b675e1d5/1472-6831-5-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/6e4953d0c40f/1472-6831-5-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/250a5b31a224/1472-6831-5-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708b/1183219/33354bb208f2/1472-6831-5-3-4.jpg

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本文引用的文献

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Routine scale and polish for periodontal health in adults.成人牙周健康的常规洗牙和牙齿抛光。
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Effects of evidence-based treatment and consent on professional autonomy.
患者对单次就诊洁治和抛光益处的看法:一项随机对照试验。
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