Faraj Bestoon Mohammad, Mohammad Hawzhen Masoud, Mohammad Kale Masoud
Associated Professor, Senior Lecturer, Department of Conservative Department, School of Dentistry, Faculty of Medical Sciences, University of Sulaimani , Head of Conservative Department .
Lecturer, Department of Conservative Department, School of Dentistry, Faculty of Medical Sciences , University of Sulaimani .
J Clin Diagn Res. 2015 Apr;9(4):ZC22-5. doi: 10.7860/JCDR/2015/13028.5790. Epub 2015 Apr 1.
There has been considerable controversy concerning the health risks and benefits of utilizing mercury-containing amalgam. Across the developing countries, a reduction in the use of dental amalgam in oral health care provision is expected.
Assessment of dentists' and patient's attitude of dental amalgam regarding attractiveness, perceived health, and treatment preferences in Kurdistan, Iraq.
A 4-page questionnaire comprised two parts, specific for dentist and patient were structured and delivered to each dentist oneself. Both open-ended and close-ended questions about the treatment needs of patients, uses of amalgam and its alternative, the properties and usefulness of different materials. Patient's acceptance was assessed by means of structured questionnaire prepared based on commonly asked questions from routinely daily practice. Questions on the type of filling material in their mouth, previous knowledge of mercury in dental amalgam and disappointment due to mercury hazard and toxicity. They were to indicate their acceptance with filling their cavities by dental amalgam with or without prior information about its mercury content. This part was also accomplished by the dentists participated in this survey.
Out of 185 dentists shared, only 39 (21.1%) indicated that amalgam presents no harm for the dentists and patients. While majority of dentists 85 (45.9%) were uncertain about this issue. Amalgam was selected most often 107 (57.8%) as the material of choice for restoring posterior teeth. About 94(50.8%) and 85(45.9%) of the practitioners primarily used glass ionomer/resin-reinforced glass ionomer and composite, respectively. Among 1850 patients received treatment, only 450 (24.32%) claimed to have heard about adverse reactions to dental amalgams. Those who believed it to be safe were 200 (10.82%).Acceptance towards amalgam was 62%.
While amalgam was the most common material used for posterior restorations, direct tooth-coloured restorative materials were also popular among dentists participated in this study. Awareness of toxicity of mercury in dental amalgam was slightly low among the respondents studied. This may be suggested to be a reflection of devoid of planetary amalgam controversy in Kurdistan. The level of acceptance toward amalgam appears to be related to economics, dental education, and aesthetic orientation of the residents.
关于使用含汞汞合金的健康风险和益处一直存在相当大的争议。在发展中国家，预计口腔保健中牙科汞合金的使用会减少。
评估伊拉克库尔德地区牙医和患者对牙科汞合金在美观性、感知健康和治疗偏好方面的态度。
一份4页的问卷分为两部分，分别针对牙医和患者，由每位牙医自行填写。问卷包含关于患者治疗需求、汞合金及其替代品的使用、不同材料的特性和用途的开放式和封闭式问题。患者的接受程度通过基于日常实践中常见问题编制的结构化问卷进行评估。问题包括他们口腔中填充材料的类型、对牙科汞合金中汞的先前了解以及因汞危害和毒性而产生的失望情绪。他们要表明在知晓或不知晓汞合金汞含量的情况下是否接受用其填充龋洞。这部分内容也由参与调查的牙医完成。
在185名参与调查的牙医中，只有39名（21.1%）表示汞合金对牙医和患者无害。而大多数牙医8（45.9%）对此问题不确定。汞合金最常被选为修复后牙的材料，有107名（57.8%）。分别约有94名（50.8%）和85名（45.9%）从业者主要使用玻璃离子体/树脂增强玻璃离子体和复合树脂。在1850名接受治疗的患者中，只有450名（24.32%）声称听说过牙科汞合金的不良反应。认为其安全的有200名（10.82%）。对汞合金的接受率为62%。
虽然汞合金是用于后牙修复最常用的材料，但直接的牙齿颜色修复材料在参与本研究的牙医中也很受欢迎。在所研究的受访者中，对牙科汞合金中汞毒性的认识略低。这可能反映出库尔德地区没有汞合金争议。对汞合金的接受程度似乎与经济、牙科教育和居民的审美取向有关。
