Threlfall A G, Pilkington L, Milsom K M, Blinkhorn A S, Tickle M
DH Research Training Fellow, Oral Health Unit, National Primary Care R and D Centre, Manchester University Dental School, Higher Cambridge Street, Manchester, M15 6LP, UK.
Br Dent J. 2005 Oct 8;199(7):453-5; discussion 441. doi: 10.1038/sj.bdj.4812746.
To ascertain general dental practitioners' views on the use of stainless steel (pre-formed metal) crowns to restore carious primary molars.
Ninety-three general dental practitioners were selected at random from those practising in Lancashire, Cheshire and Greater Manchester in 2003 and interviewed separately about the clinical care they provide to the primary dentition. Before the interview participants recorded the care they would provide for a case scenario, describing a child with a carious lesion that the British Society of Paediatric Dentistry (BSPD) guidelines indicate should be treated with a stainless steel crown.
In answering the case scenario only six (7%) of the dentists reported that they would fit a stainless steel crown. Of the 93 dentists interviewed 71% knew of the BSPD guidelines, but only 18% had ever fitted a stainless steel crown in general practice. Reasons given for not using stainless steel crowns were they are inappropriate for many children, time consuming to fit, difficult to manipulate, expensive, and ugly.
The BSPD guidelines on the use of stainless steel crowns do not reflect the views of the majority of general dental practitioners who consider these crowns unsuitable for most children and an impractical restorative technique in busy daily practice.
确定普通牙科医生对于使用不锈钢（预成金属）冠修复龋坏乳牙的看法。
2003年从在兰开夏郡、柴郡和大曼彻斯特执业的医生中随机挑选93名普通牙科医生，分别就他们为乳牙列提供的临床护理进行访谈。在访谈前，参与者记录了他们针对一个病例情况会提供的护理，该病例描述了一名患有龋损的儿童，英国儿童牙科学会（BSPD）指南指出该病例应使用不锈钢冠进行治疗。
在回答该病例情况时，只有6名（7%）牙医报告他们会安装不锈钢冠。在接受访谈的93名牙医中，71%知道BSPD指南，但只有18%在一般临床实践中曾安装过不锈钢冠。不使用不锈钢冠的原因包括它们不适用于许多儿童、安装耗时、操作困难、价格昂贵以及外观难看。
BSPD关于使用不锈钢冠的指南并未反映大多数普通牙科医生的观点，这些医生认为这些冠不适用于大多数儿童，并且在日常繁忙的临床实践中是一种不实用的修复技术。
