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简短通讯:儿科学研究生对龋坏乳磨牙治疗管理的泛欧洲比较

Short communication: a pan-European comparison of the management of carious primary molar teeth by postgraduates in paediatric dentistry.

作者信息

Foley J I

机构信息

Dept Paediatric Dentistry, University of Aberdeen Dental School and Hospital, Foresterhill, Aberdeen, Scotland.

出版信息

Eur Arch Paediatr Dent. 2012 Feb;13(1):41-6. doi: 10.1007/BF03262840.

Abstract

AIM

To assess the preferences amongst European postgraduates (PG) in Paediatric Dentistry for the treatment of a child with differing caries severity in a primary molar tooth.

STUDY DESIGN

An on-line structured questionnaire.

METHODS

All European Paediatric Dentistry PGs were contacted by e-mail and asked to participate in an on-line questionnaire. The survey described four different case scenarios of a 5-year-old child, presenting with a mesio-occlusal cavity in tooth 85 with varying symptoms and signs. Treatment options were listed and participants asked to select the single most preferred treatment for each case. The same scenarios were presented for both non-anxious and dentally-anxious patients.

RESULTS

Responses were received from 32/56 (F: 27; M: 5) PGs. A range of treatment options were selected for patients with no indication of pulpal involvement for non-anxious patients whilst the Hall technique was selected by 16/32 students for a dentally-anxious patient. For both a nonanxious and dentally-anxious patient, the preferred option for a tooth which produced pulpal symptoms was extraction selected by 16/32 students in both cases, although the mode of extraction differed.

CONCLUSION

There was no consistency of response by PGs in Paediatric Dentistry within Europe. The Hall technique appeared to be a favoured option by half of the students for treatment of an asymptomatic carious primary molar tooth in a dentally-anxious child patient. Dental extraction was an option for a tooth demonstrating pulpal symptoms in both non-anxious and dentally-anxious patients.

摘要

目的

评估欧洲儿科牙科研究生对于治疗患有不同龋病严重程度的乳磨牙患儿的偏好。

研究设计

一份在线结构化问卷。

方法

通过电子邮件联系了所有欧洲儿科牙科研究生,邀请他们参与在线问卷。该调查描述了一名5岁儿童的四种不同病例情况,其85号牙出现近中咬合面龋洞,伴有不同的症状和体征。列出了治疗方案,要求参与者为每个病例选择唯一最偏好的治疗方法。针对非焦虑型和牙科焦虑型患者都呈现了相同的病例情况。

结果

收到了32/56名(女性:27名;男性:5名)研究生的回复。对于非焦虑型患者中无牙髓受累迹象的患者,选择了一系列治疗方案,而对于牙科焦虑型患者,16/32名学生选择了霍尔技术。对于非焦虑型和牙科焦虑型患者,出现牙髓症状的牙齿的首选方案在两种情况下均为16/32名学生选择的拔牙,尽管拔牙方式有所不同。

结论

欧洲儿科牙科研究生的回答没有一致性。霍尔技术似乎是一半学生治疗牙科焦虑型儿童患者无症状龋坏乳磨牙的首选方案。对于非焦虑型和牙科焦虑型患者中出现牙髓症状的牙齿,拔牙是一种选择。

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