Al-Rabab'ah Mohammad A, Bustani Mohammad A, Khraisat Ameen S, Sawair Faleh A
Conservative Dentistry Department, School of Dentistry, The University of Jordan, Amman, Jordan. E-mail.
Saudi Med J. 2016 Dec;37(12):1381-1386. doi: 10.15537/smj.2016.12.16163.
To assess the knowledge of Jordanian dentists toward phase down of dental amalgam as recommended by the Minamata Convention, and their training and competency in placing posterior composites. Methods: This study was conducted through structured questionnaire interviews with randomly selected cohort of dentists in Jordan between March 2015 and June 2015. Out of 230 dentists who were invited, 196 (85.2%) agreed to participate. Dentists were asked if they know about the Minamata Convention. They were also asked about their training in placement of posterior composite. Results: Out of the 196 interviewed, only 13.8% know about Minamata Convention and 17% had an undergraduate training in favor of placing composites in posterior teeth. Approximately 50% of those dentists were not trained in using rubber dam when placing posterior composites, while only 38.3% had training in sectional matrix placement. Undergraduate training did not influence (p=0.00) the dentists' decision to remove old amalgam based on patient's demands. Only 28.1% were of the opinion of discontinuing the use of amalgam due to its alleged health and environmental hazards. There was no general agreement on the type of composite, liner, and bonding strategy when placing posterior composites. Conclusion: Dentists are not well informed on the Minamata Convention and the phase down of amalgam. Training in posterior composite placement should be given more room in undergraduate curriculum and continuous dental education.
评估约旦牙医对《水俣公约》所建议的逐步淘汰牙科汞合金的了解程度，以及他们在后牙复合树脂充填方面的培训情况和操作能力。方法：本研究于2015年3月至2015年6月期间，通过对约旦随机抽取的一组牙医进行结构化问卷调查访谈开展。在邀请的230名牙医中，196名（85.2%）同意参与。询问牙医是否了解《水俣公约》，还询问了他们在后牙复合树脂充填方面的培训情况。结果：在接受访谈的196名牙医中，只有13.8%了解《水俣公约》，17%接受过支持在后牙使用复合树脂的本科培训。大约50%的牙医在后牙复合树脂充填时未接受过使用橡皮障的培训，而只有38.3%接受过分段成形片放置的培训。本科培训并未影响（p = 0.00）牙医根据患者需求去除旧汞合金充填物的决定。只有28.1%的人认为由于汞合金对健康和环境的危害而应停止使用。在后牙复合树脂充填时，对于复合树脂类型、衬层材料和粘结策略没有普遍共识。结论：牙医对《水俣公约》和汞合金逐步淘汰的了解不足。本科课程和继续牙科教育中应给予后牙复合树脂充填培训更多空间。
