Doméjean Sophie, Léger Stéphanie, Simon Antoine, Boucharel Nadège, Holmgren Christopher
CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63001 Clermont-Ferrand; Univ Clermont1, UFR d'Odontologie; Centre de Recherche en Odontologie Clinique EA 4847, F-63000, Clermont-Ferrand, France.
Département de Mathématiques, Univ Blaise Pascal, F-63177, Aubière, France.
Clin Oral Investig. 2017 Mar;21(2):653-663. doi: 10.1007/s00784-016-1932-y. Epub 2016 Aug 22.
The objective of this study was to describe the knowledge, opinions and practices of French general dental practitioners with respect to caries risk assessment (CRA) through the use of a national questionnaire survey.
A postal questionnaire survey was applied to a simple random sample of dentists (n = 2000) in France. Descriptive and logistic regression analyses were performed.
The response rate was 34.7 %. Of the respondents, 38.4 % reported that CRA was not part of their routine practice. Among those who claimed to use CRA only 4.5 % did so using a specific evaluation form. Responses showed that there is great variation among respondents with respect to the importance given to different factors to be considered for the development of a treatment plan in adults. Moreover, 32.3 % of respondents reported no regular scheduling of preventive care based on the caries risk of their patients. Nearly 12 % of respondents admitted they did not know exactly what minimal intervention in caries management involved. The results also showed that socio-demographic characteristics of the practitioner influence the use of CRA and other practice patterns.
CRA has not widely entered clinical practice in France.
This study, the first of its nature in France, shows the need to develop the use of CRA in daily dental practice in France.
本研究的目的是通过一项全国性问卷调查,描述法国普通牙科医生在龋病风险评估(CRA)方面的知识、观点和实践情况。
对法国的一个简单随机样本的牙医(n = 2000)进行邮寄问卷调查。进行描述性和逻辑回归分析。
回复率为34.7%。在受访者中,38.4%报告称CRA并非其常规诊疗的一部分。在那些声称使用CRA的人中,只有4.5%使用特定的评估表。回复表明,在制定成人治疗计划时,受访者对不同因素重要性的重视程度差异很大。此外,32.3%的受访者报告没有根据患者的龋病风险定期安排预防性护理。近12%的受访者承认他们并不确切知道龋病管理中的最小干预具体包括什么。结果还表明,从业者的社会人口统计学特征会影响CRA的使用和其他诊疗模式。
在法国,CRA尚未广泛应用于临床实践。
这项法国首次开展的此类研究表明,在法国日常牙科实践中需要推广CRA的使用。