Gaskin Elizabeth B, Levy Steven, Guzman-Armstrong Sandra, Dawson Deborah, Chalmers Jane
11th Dental Company Detachment, Marine Corps Air Station, Iwakuni, Japan 96310.
Mil Med. 2010 Feb;175(2):115-21. doi: 10.7205/milmed-d-09-00140.
Although minimal intervention dentistry (MID) is on the increase, little is known about the patterns of knowledge, attitudes, and behaviors of dentists in the United States.
Federal service and civilian dentists who were active members of the American Dental Association (N = 1,500) received a pretested questionnaire about their knowledge, attitudes, and behaviors concerning MID. Descriptive statistics and bivariate analyses were conducted to assess dentist personal and practice characteristics associated with the knowledge, attitudes, and behaviors.
Federal service dentists reported more knowledge of MID than civilian dentists (Cochrane Mantel Haenszel Ridit Scores), p < 0.0043, with similar attitudes toward fluoride (p = 0.11), and decisions regarding monitoring or restoring enamel caries (p = 0.22). Federal service dentists remineralized noncavitated carious lesions more (p < 0.0001) and had lower composite scores, indicating more MID tendency (Wilcoxon p < 0.0001).
Federal service dentists reported more knowledge and clinical practices regarding minimal intervention dentistry compared to civilian dentists.
尽管微创牙科（MID）的应用正在增加，但对于美国牙医的知识、态度和行为模式却知之甚少。
美国牙科协会的在职联邦服务牙医和普通牙医（N = 1500）收到了一份经过预测试的问卷，内容涉及他们对微创牙科的知识、态度和行为。进行描述性统计和双变量分析，以评估与知识、态度和行为相关的牙医个人及执业特征。
联邦服务牙医报告的微创牙科知识比普通牙医更多（ Cochr ane Mantel Haenszel Ridit评分），p < 0.0043，对氟化物的态度相似（p = 0.11），在监测或修复牙釉质龋方面的决策也相似（p = 0.22）。联邦服务牙医对非龋洞性龋损进行再矿化的操作更多（p < 0.0001），且综合评分更低，表明其微创牙科倾向更强（Wilcoxon检验，p < 0.0001）。
与普通牙医相比，联邦服务牙医报告的关于微创牙科的知识和临床实践更多。
