Hincapié Sandra, Fuks Anna, Mora Ingrid, Bautista Gloria, Socarras Fernanda
Department of Pediatric Dentistry, University El Bosque Dental School, Bogotá, Colombia.
Int J Paediatr Dent. 2015 Mar;25(2):87-92. doi: 10.1111/ipd.12103. Epub 2014 Mar 21.
To describe the teaching practical guidelines in pulp therapy for primary teeth in Colombian dental schools, based on Primosch et al. survey (1997).
A 27-question survey was sent to 31 dental schools. A total of 68 surveys were obtained for analysis of the results, in which pediatric dentists answered 48 surveys, 11 surveys by general practitioners, and 9 were answered but were not identified in any of these groups.
Indirect pulp treatment (IPT) is taught by pediatric dentists (83%) and general practitioners (90%). Calcium hydroxide and glass ionomer were the preferred materials in this treatment. Pulpotomy is the most commonly procedure used. There was no different percentage in the use of medicaments: cresatin, glutaraldehyde, calcium hydroxide, formocresol. Pulpectomy is taught by general practitioners (73%) and pediatric dentists (96%). The preferred filler material, used by general practitioners (73%) and pediatric dentists (94%), was zinc oxide and eugenol.
There is a discrepancy in the choice of treatment and medications for pulp therapy primary teeth between general practitioners and pediatric dentists. The recommendations given in American Academy of Pediatric Dentistry (AAPD) guidelines 2012 for pulp therapy in primary and young permanent teeth are being followed in the majority instances.
基于普里莫施等人1997年的调查,描述哥伦比亚牙科学院乳牙牙髓治疗的教学实践指南。
向31所牙科学院发送了一份包含27个问题的调查问卷。共获得68份调查问卷用于结果分析,其中儿科牙医回答了48份,全科医生回答了11份,另外9份已作答但未明确所属群体。
儿科牙医(83%)和全科医生(90%)都教授间接盖髓术(IPT)。氢氧化钙和玻璃离子是该治疗中首选的材料。牙髓切断术是最常用的操作。在使用药物(甲酚醛、戊二醛、氢氧化钙、甲醛甲酚)方面,比例没有差异。全科医生(73%)和儿科牙医(96%)都教授牙髓摘除术。全科医生(73%)和儿科牙医(94%)首选的填充材料是氧化锌丁香酚。
全科医生和儿科牙医在乳牙牙髓治疗的治疗方法和药物选择上存在差异。大多数情况下遵循了美国儿科学会(AAPD)2012年乳牙和年轻恒牙牙髓治疗指南中的建议。