儿童龋齿预防剂的使用：基于牙科实践研究网络的发现
Use of caries-preventive agents in children: findings from the dental practice-based research network.
作者信息
Riley J L, Richman Joshua S, Rindal D Brad, Fellows Jeffrey L, Qvist Vibeke, Gilbert Gregg H, Gordan Valeria V
机构信息
Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA.
出版信息
Oral Health Prev Dent. 2010;8(4):351-9.
PURPOSE
Scientific evidence supports the application of caries-preventive agents in children and adolescents, and this knowledge must be applied to the practice of dentistry. There are few multi-region data that allow for comparisons of practice patterns between types of dental practices and geographical regions. The objective of the present study was to characterise the use of specific caries-preventive agents for paediatric patients in a large multi-region sample of practising clinicians.
METHODS
The present study surveyed clinicians from the Dental Practice-based Research Network who perform restorative dentistry in their practices. The survey consisted of a questionnaire that presented a range of questions about caries risk assessment and the use of preventive techniques in children aged 6 to 18 years.
RESULTS
Dental sealants (69%) or in-office fluoride (82%) were the most commonly used caries-preventive agents of the caries preventive regimens. The recommendation of at-home caries-preventive agents ranged from 36% to 7%,with the most commonly used agent being non-prescription fluoride rinse. Clinicians who practised in a large group practice model and clinicians who come from the Scandinavian region use caries risk assessment more frequently compared to clinicians who come from regions that had, predominantly, clinicians in private practice. Whether or not clinicians used caries risk assessment with their paediatric patients was poorly correlated with the likelihood of actually using caries-preventive treatments on patients.
CONCLUSIONS
Although clinicians reported the use of some form of in-office caries-preventive agent, there was considerable variability across practices. These differences could represent a lack of consensus across practising clinicians about the benefits of caries-preventive agents, or a function of differing financial incentives, or patient pools with differing levels of overall caries risk.
目的
科学证据支持在儿童和青少年中应用防龋剂，并且这一知识必须应用于牙科实践。几乎没有多区域数据可用于比较不同类型牙科实践和地理区域之间的实践模式。本研究的目的是在大量多区域执业临床医生样本中，描述针对儿科患者使用特定防龋剂的情况。
方法
本研究对牙科实践研究网络中在其诊所进行修复牙科治疗的临床医生进行了调查。该调查包括一份问卷，其中提出了一系列关于龋病风险评估以及6至18岁儿童预防技术使用情况的问题。
结果
在龋病预防方案中，牙科密封剂（69%）或诊室氟化物（82%）是最常用的防龋剂。家庭用防龋剂的推荐率从36%到7%不等，最常用的制剂是非处方氟化物漱口水。与主要是私人执业临床医生的地区相比，在大型团体执业模式下执业的临床医生以及来自斯堪的纳维亚地区的临床医生更频繁地使用龋病风险评估。临床医生是否对其儿科患者进行龋病风险评估与实际对患者使用防龋治疗的可能性之间相关性较差。
结论
尽管临床医生报告使用了某种形式的诊室防龋剂，但各诊所之间存在很大差异。这些差异可能代表执业临床医生对防龋剂益处缺乏共识，或者是不同经济激励措施的作用，或者是总体龋病风险水平不同的患者群体的作用。
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