Kuin D, Veerkamp J S J
Dept. of Paediatric Dentistry, ACTA, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, Netherlands.
Eur Arch Paediatr Dent. 2012 Feb;13(1):27-31. doi: 10.1007/BF03262837.
This case control study was to assess whether paediatric dentists perform significantly more diagnostic, preventive and curative care in a clinical setting then do general dental practitioners.
16 paediatric dentists were approached and a matching control group of 16 general dental practitioners drawn from an insurance random list were selected based on matching age, practice composition and year of graduation. They were asked by mail to participate. Positive respondents were visited. All children seen during the visit were included in this study. During intra-oral inspection DMFS/dmfs was clinically scored, as were the availability of bitewings, gender, presence of fissure sealants, visibility of plaque and gingivitis and presence of fistulas.
Statistical analysis was carried out by using SPSS 15, p<0.05 was considered statistically significant.
Paediatric dentists treat a greater number of younger children (p<0.05), placed more restorations and sealants (p<0.01), take more bitewing radiographs (p<0.01) and give a similar level of care to all children irrespective of their age compared to children seen by general dental practitioners.
Paediatric dentists perform significantly more diagnostic, preventive and curative care in the clinical situation for 0-6 year old children than do general dental practitioners.
本病例对照研究旨在评估儿科牙医在临床环境中进行的诊断、预防和治疗护理是否显著多于普通牙科医生。
联系了16名儿科牙医，并从保险随机名单中选取了16名普通牙科医生作为匹配对照组，根据年龄、业务构成和毕业年份进行匹配。通过邮件邀请他们参与。对积极回复的人进行了走访。走访期间见到的所有儿童都纳入了本研究。在口腔检查期间，对DMFS/dmfs进行临床评分，同时对咬合翼片的可用性、性别、窝沟封闭剂的存在情况、牙菌斑和牙龈炎的可见性以及瘘管的存在情况进行评分。
使用SPSS 15进行统计分析，p<0.05被认为具有统计学意义。
与普通牙科医生诊治的儿童相比，儿科牙医治疗的年幼儿童数量更多（p<0.05），放置的修复体和封闭剂更多（p<0.01），拍摄的咬合翼片更多（p<0.01），并且对所有儿童，无论其年龄大小，都给予相似水平的护理。
在临床环境中，儿科牙医为0至6岁儿童提供的诊断、预防和治疗护理显著多于普通牙科医生。
