Fukai Institute of Health Science, Saitama, Japan.
Int Dent J. 2012 Aug;62(4):203-7. doi: 10.1111/j.1875-595X.2011.00109.x. Epub 2012 May 11.
The aim of this study was to compare treatment decisions in primary dentistry between Japanese and UK-based paediatric dental specialists.
Four clinical scenarios involving a 6-year-old boy were used to ascertain the clinical opinions of participants. The scenarios presented: (i) a single distal cavity, vital and without pain; (ii) a distal occlusal cavity, vital and without pain; (iii) a large distal occlusal cavity, non-vital and without pain, and (iv) a large distal occlusal cavity, non-vital and painful. Participants were 104 Japanese and 115 UK-based paediatric dental specialists.
In the first scenario, some UK specialists showed a preference for vital pulpotomy with a stainless steel crown (10.3% compared with 0.9% in Japan). In the second scenario, Japanese participants were more likely than UK participants to offer traditional restorative care (73.6% vs. 24.1%). In the third scenario, 54.7% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists selected non-vital pulpotomy with stainless steel crown. In the final scenario, 74.0% of Japanese specialists chose to open the pulp chamber, whereas 51.8% of UK specialists chose not to offer any treatment other than extraction.
Japanese and UK specialists in paediatric dental care choose different interventions for the same clinical problems.
本研究旨在比较日本和英国儿童牙科专家在初级牙科治疗决策中的差异。
本研究使用四个涉及 6 岁男孩的临床场景来确定参与者的临床意见。这些场景包括：（i）单个远中龋洞，活髓且无症状；（ii）远中窝沟龋洞，活髓且无症状；（iii）大的远中窝沟龋洞，无活力且无症状；（iv）大的远中窝沟龋洞，无活力且有疼痛。参与者为 104 名日本和 115 名英国儿童牙科专家。
在第一个场景中，一些英国专家更倾向于采用不锈钢冠活髓切断术（10.3%比日本的 0.9%）。在第二个场景中，日本参与者比英国参与者更倾向于提供传统的修复治疗（73.6%比 24.1%）。在第三个场景中，54.7%的日本专家选择打开牙髓室，而 51.8%的英国专家选择非活髓切断术和不锈钢冠。在最后一个场景中，74.0%的日本专家选择打开牙髓室，而 51.8%的英国专家选择除拔牙外不提供任何治疗。
日本和英国儿童牙科专家在处理相同临床问题时选择不同的干预措施。
