Fukui Institute of Health Science, Saitama, Japan.
Int Dent J. 2010 Dec;60(6):389-94.
To compare treatment decisions about primary dentistry made by Japanese and English general dental practitioners (GDPs).
Four clinical scenarios were used to ascertain the clinical opinions of GDPs about what treatment to offer a 6-year-old boy with a carious molar. The first and second scenarios were a single distal and a distalocclusal cavity in a vital tooth without pain. The third was a large distal-occlusal cavity in a non-vital tooth without pain. The fourth was large distal-occlusal cavity in a non-vital tooth with pain. The participants were 234 GDPs in Japan and 322 GDPs in England.
In the first scenario, 62.2% of Japanese GDPs preferred traditional restorative care compared with 34.7% of English GDPs. In the second scenario, Japanese participants were less likely to offer atraumatic treatment (16.5% vs. 34.9%). In the third scenario, Japanese dentists displayed a greater tendency to open the pulp chamber (55.2% vs. 7.6%). In the final scenario, 71% of Japanese GDPs would open the pulp chamber, whereas 50.3% of English GDPs favoured extraction.
Japanese and English GDPs differed substantially in their views about the best treatment for a young child with a carious molar.
比较日本和英国普通牙科医生（GDP）在初级牙科治疗决策方面的差异。
使用四个临床场景来确定 GDP 对一名 6 岁男孩龋齿磨牙的治疗意见。第一个和第二个场景是无疼痛的活髓牙单个远中或远中𬌗面龋洞，第三个场景是无疼痛的死髓牙大的远中𬌗面龋洞，第四个场景是有疼痛的死髓牙大的远中𬌗面龋洞。参与者包括日本的 234 名 GDP 和英国的 322 名 GDP。
在第一个场景中，62.2%的日本 GDP 倾向于传统修复治疗，而英国 GDP 的这一比例为 34.7%。在第二个场景中，日本参与者不太可能提供无创伤治疗（16.5%比 34.9%）。在第三个场景中，日本牙医更倾向于打开牙髓腔（55.2%比 7.6%）。在最后一个场景中，71%的日本 GDP 会打开牙髓腔，而 50.3%的英国 GDP 则倾向于拔牙。
日本和英国 GDP 在治疗儿童龋齿磨牙方面的观点存在很大差异。
