School of Dentistry, The University of Queensland, Brisbane QLD, Australia.
Aust Dent J. 2010 Jun;55(2):162-9. doi: 10.1111/j.1834-7819.2010.01210.x.
Biopsy procedures and diagnostic histopathology are rarely used by general dental practitioners (GDPs) compared with dental specialists. The aim of this study was to investigate the usage patterns and views of GDPs and specialists in Brisbane on these procedures.
An analysis was carried out on 1027 oral biopsy accessions at a private pathology laboratory. A survey was distributed to 200 GDPs and dental specialists inquiring about their use of and views on biopsy and diagnostic histopathology. An analysis was carried out on 327 and 95 biopsies performed at a private oral medicine practice and at the University of Queensland School of Dentistry, respectively.
The majority (76.2%) of GDPs surveyed referred all oral lesions requiring biopsy to a specialist, rather than undertaking biopsy themselves. Although most GDPs recognized the importance of biopsy, a large proportion (58.1%) did not feel competent in undertaking the procedure due to concerns of inadequate experience and practical skills.
Many dental practitioners believe that GDPs should be able to undertake simple biopsies of benign lesions, however more undergraduate and postgraduate training in biopsy and diagnostic histopathology is necessary to promote a greater use of these procedures.
与牙科专家相比，普通牙科医生（GDP）很少进行活检程序和诊断组织病理学检查。本研究旨在调查布里斯班 GDP 和专家对这些程序的使用情况和看法。
对一家私人病理实验室的 1027 份口腔活检标本进行了分析。向 200 名 GDP 和牙科专家分发了一份关于他们使用活检和诊断组织病理学的意见的调查问卷。对在私人口腔医学实践和昆士兰大学牙科学院分别进行的 327 次和 95 次活检进行了分析。
接受调查的大多数 GDP（76.2%）将所有需要活检的口腔病变都转介给了专家，而不是自己进行活检。尽管大多数 GDP 认识到活检的重要性，但由于担心经验和实际技能不足，很大一部分 GDP（58.1%）认为自己没有能力进行该程序。
许多牙科从业者认为 GDP 应该能够对良性病变进行简单的活检，但需要更多的活检和诊断组织病理学的本科和研究生培训，以促进这些程序的更多应用。
