Kupietzky Ari, Fuks Anna B, Vargas Kaaren G, Waggoner William F
Department of Pediatric Dentistry, UMDNJ-New Jersey Dental School, Newark, USA.
Pediatr Dent. 2013 Jan-Feb;35(1):18-22.
To report the findings of a survey to determine the educational experiences, opinions and clinical practices relative to the use of coolant during cavity preparation of pediatric dentist members of the American Academy of Pediatric Dentistry (AAPD) and to determine whether teaching policies influenced the type of coolant used in private practice.
Four thousand fifty surveys were emailed to AAPD members and included questions regarding demographics and predoctoral, graduate, and current practice policies for the use of dry cutting.
Returned survey numbered 1730 for a response rate of 43%. Fifteen percent were taught the concept of dry cutting in their predoctoral programs and 34% in their specialty, programs. Sixty percent never or rarely prepare teeth without water coolant. Slightly more than 40% prepared teeth with air coolant alone. Patient behavior (25%) and sedation (21%) were reported as determining factors for cutting dry. Thirty-one percent of private practice clinicians and 34% of part time academics use dry cutting, while only 15% of full time academicians use the technique (P<0.0001).
Respondents tend to use the technique they were taught during their residency. Use of dry cutting was more likely to be utilized during sedations or general anesthesia to avoid airway compromise.
报告一项调查结果，以确定美国儿科学会（AAPD）儿科牙医成员在进行窝洞预备时使用冷却剂的教育经历、观点和临床实践，并确定教学政策是否会影响私人执业中使用的冷却剂类型。
向AAPD成员发送了4050份调查问卷，内容包括人口统计学以及关于使用干切割的博士前、研究生和当前实践政策的问题。
共收到1730份回复问卷，回复率为43%。15%的人在博士前课程中学习过干切割的概念，34%的人在专科课程中学习过。60%的人在没有水冷剂的情况下从不或很少预备牙齿。略多于40%的人仅使用气冷剂预备牙齿。患者行为（25%）和镇静（21%）被报告为干切割的决定因素。31%的私人执业临床医生和34%的兼职学者使用干切割，而只有15%的全职学者使用该技术（P<0.0001）。
受访者倾向于使用他们在住院实习期间所学的技术。在镇静或全身麻醉期间更有可能使用干切割以避免气道受损。
