Dental Public Health Sciences, Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, PA 19140, USA.
J Am Dent Assoc. 2011 Sep;142(9):1033-40. doi: 10.14219/jada.archive.2011.0324.
The authors conducted a study to survey the perspectives of dentists regarding the 2010 American Dental Association (ADA) recommendation to seal non-cavitated carious lesions (NCCLs) in children and young adults.
The authors mailed a questionnaire to a randomly selected sample of 2,400 general dentists (GDs) and pediatric dentists (PDs) in the United States. The sample was chosen by the ADA's Survey Center. The questionnaire included two photographs of NCCLs (permanent first molar and premolar) in a 12-year-old child. Respondents were provided with radiographic findings and asked to choose from several management options.
In the absence of radiographic evidence of caries, 37.4 percent and 42.3 percent of GDs and PDs, respectively, indicated that they would seal the NCCL in the molar. For the premolar, a significantly lower percentage of GDs than of PDs indicated that they would seal the NCCL. With radiographic evidence of caries in dentin, less than 4 percent of all dentists surveyed indicated that they would seal the NCCLs, and more than 90 percent indicated that they would remove the caries and place restorations. Less than 40 percent of dentists indicated that they sealed NCCLs in their practice.
The U.S. dentists surveyed have not adopted evidence-based clinical recommendations regarding the sealing of NCCLs. Practice Implications. New educational and dissemination programs should be developed regarding these evidence-based caries management approaches.
作者进行了一项研究，旨在调查牙医对 2010 年美国牙科协会（ADA）推荐对儿童和年轻成人的非龋性窝沟封闭（NCCL）进行封闭的看法。
作者向美国的 2400 名普通牙医（GDs）和儿童牙医（PDs）随机抽样邮寄了一份调查问卷。该样本由 ADA 的调查中心选择。问卷包括两张儿童（12 岁）NCCL（恒牙第一磨牙和前磨牙）的照片。向受访者提供了放射学检查结果，并要求他们从几种管理选项中进行选择。
在没有龋病放射学证据的情况下，分别有 37.4%和 42.3%的 GDs 和 PDs 表示他们会封闭磨牙上的 NCCL。对于前磨牙，与 PDs 相比，GDs 中表示会封闭 NCCL 的比例明显较低。对于牙本质中有龋病放射学证据的情况，不到 4%的调查牙医表示他们会封闭 NCCL，超过 90%的牙医表示他们会去除龋病并放置修复体。不到 40%的牙医表示他们在实践中会封闭 NCCL。
接受调查的美国牙医尚未采用关于封闭 NCCL 的循证临床建议。实践意义。应该针对这些循证龋病管理方法制定新的教育和传播计划。
