Di Fiore Peter M, Tam Lawrence, Thai Ha T, Hittelman Eugene, Norman Robert G
Department of Endodontics, New York University College of Dentistry, NY, USA.
J Dent Educ. 2008 Mar;72(3):352-8.
The purpose of this study was to determine the treatment preferences amongst dental faculty and dental students for either retention of teeth by endodontic and restorative treatment or extraction and implant placement. A survey of 134 general dentistry faculty and 253 senior (fourth-year) dental students was conducted in a university college of dentistry. Participants completed a survey consisting of questions for which one of two choices could be selected. For questions describing specific clinical situations, dental faculty and dental students more frequently selected endodontic and restorative treatment over extraction and implant placement. However, dental students selected implants more frequently than dental faculty, and more recent graduates on the dental faculty selected implants more frequently than less recent graduates on the dental faculty. In addition, there was an increase in the selection of implants, for all participant groups, as the prosthetic and endodontic complexities of the clinical situations increased. Participants were more likely to select endodontics rather than implants for medically compromised patients, and an implant was overwhelmingly selected over a fixed bridge for the replacement of a single tooth unit. In conclusion, the findings of this study indicate that retention of teeth is preferred, but there may be an increased preference toward implants in the future.
本研究的目的是确定牙科教员和牙科学生对于通过牙髓治疗和修复治疗保留牙齿，还是拔牙并植入种植体的治疗偏好。在一所大学牙科学院对134名普通牙科教员和253名高年级（四年级）牙科学生进行了一项调查。参与者完成了一项调查问卷，其中的问题有两种选择。对于描述特定临床情况的问题，牙科教员和牙科学生比起拔牙并植入种植体，更常选择牙髓治疗和修复治疗。然而，牙科学生比牙科教员更常选择种植体，并且牙科教员中刚毕业的比起毕业时间久一些的更常选择种植体。此外，对于所有参与组，随着临床情况中修复和牙髓复杂性的增加，种植体的选择也有所增加。对于有医疗问题的患者，参与者更倾向于选择牙髓治疗而非种植体，并且在替换单个牙单位时，比起固定桥，绝大多数人选择种植体。总之，本研究结果表明牙齿保留是首选，但未来对种植体的偏好可能会增加。
