Zimmerman J A, Feigal R J, Till M J, Hodges J S
Division of Pediatric Dentistry, University of Minnesota, Minneapolis, Minn, USA.
Pediatr Dent. 2009 Jan-Feb;31(1):63-70.
The purpose of this study was to determine pediatric dentists' current practices and the perceptions about parents' opinions and how those parental preferences regarding dental materials influence dentists' practices.
A questionnaire was sent to 500 randomly selected active members of the American Academy of Pediatric Dentistry. Twenty-five items queried demographics, use of restorative materials, perceptions of parents' attitudes towards materials, and dentists' reactions to parents' concerns.
The survey response rate was 61%. Parental concerns about materials in decreasing order were: (1) esthetics; (2) cost; (3) toxicity; and (4) durability. Parents' greatest concerns about stainless steel crowns were: (1) esthetics; and (2) cost. Among respondents, 43% followed parental preferences when challenged, and 28% currently never use amalgam. Amalgam use and the dentists' perception of parental challenge were each related to the socioeconomic status of the practice population, with lower socioeconomic practices feeling less parental challenge than higher socioeconomic practices and being more likely to use amalgam than "white" filling materials (P = .001).
Mercury concerns occur more frequently with higher than lower socioeconomic status parents (P = .002). Stainless steel crowns are challenged based on esthetics and cost. When confronted, many pediatric dentists (43%) follow parental preferences, even when that action is contrary to their initial clinical judgment.
本研究旨在确定儿科牙医的当前执业情况以及对家长意见的看法，以及家长对牙科材料的偏好如何影响牙医的执业行为。
向随机抽取的500名美国儿科学会活跃会员发送了一份调查问卷。25个问题涉及人口统计学、修复材料的使用、家长对材料的态度认知以及牙医对家长担忧的反应。
调查回复率为61%。家长对材料的担忧程度从高到低依次为：（1）美观性；（2）成本；（3）毒性；（4）耐用性。家长对不锈钢牙冠最主要的担忧是：（1）美观性；（2）成本。在受访者中，43%在受到质疑时会遵循家长的偏好，28%目前从不使用汞合金。汞合金的使用以及牙医对家长质疑的认知均与执业人群的社会经济地位相关，社会经济地位较低的执业机构感受到的家长质疑比社会经济地位较高的执业机构少，且比使用“白色”填充材料更有可能使用汞合金（P = 0.001）。
社会经济地位较高的家长比社会经济地位较低的家长更频繁地担心汞问题（P = 0.002）。不锈钢牙冠因美观性和成本受到质疑。面对质疑时，许多儿科牙医（43%）会遵循家长的偏好，即使该行为与他们最初的临床判断相悖。
