Faizunisa Habibkhan, Chaly Preetha Elizabeth, Junaid Mohammed, Vaishnavi Selvaperumal, Nijesh J E, Musthafa Mohammed
Department of Public Health Dentistry, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India.
Department of Oral Medicine and Radiology, Madha Dental College, Chennai, Tamil Nadu, India.
J Indian Soc Pedod Prev Dent. 2017 Oct-Dec;35(4):291-295. doi: 10.4103/JISPPD.JISPPD_124_17.
The problem of early childhood caries remains a worldwide public concern, as most of the caries remains untreated. Despite advances in dental care, most children fail to benefit from oral health-care services not only due to differences in attitudes in parents but also in oral health-care providers.
The objective of the study is to determine the road blocks perceived by the dentist in Chennai, toward the treatment of early childhood caries.
Following a simple random sampling technique, a cross-sectional questionnaire study was conducted among general dentists (n = 50) and pediatric dentists (n = 50) in Chennai city. Each selected dentist was asked to complete the Barriers to Childhood Caries Treatment (BaCCT) questionnaire: a 29-item measure considering child, parent, dentist, and healthcare system factors.
The mean BaCCT score was found to be significantly higher among general dentists 2.68 ± 0.36 when compared to pediatric dentists 2.36 ± 0.45 (P = 0.0001). Similarly, mean BaCCT score was found to be significantly higher among general dentists in Domain-I (child coping abilities), Domain-II (dentist attitudes toward offering restorative treatment), and Domain-III (dentist attitudes toward restoring primary teeth) when compared to the pediatric dentists (P < 0.001).
The general dentists exhibited inherent barriers in providing treatment for early childhood caries compared to pediatric dentists. Training in the field of pediatric dentistry enhances their ability to handle early child caries better.
幼儿龋齿问题仍是全球公众关注的焦点，因为大多数龋齿仍未得到治疗。尽管牙科护理有所进步，但大多数儿童未能从口腔保健服务中受益，这不仅是因为家长态度不同，还因为口腔保健提供者的态度存在差异。
本研究的目的是确定钦奈的牙医在治疗幼儿龋齿方面所感知到的障碍。
采用简单随机抽样技术，对钦奈市的普通牙医（n = 50）和儿童牙医（n = 50）进行横断面问卷调查研究。要求每位选定的牙医完成《儿童龋齿治疗障碍》（BaCCT）问卷：这是一项包含29个项目的测量工具，考虑了儿童、家长、牙医和医疗保健系统等因素。
发现普通牙医的BaCCT平均得分显著高于儿童牙医，分别为2.68 ± 0.36和2.36 ± 0.45（P = 0.0001）。同样，与儿童牙医相比，普通牙医在领域I（儿童应对能力）、领域II（牙医对提供修复治疗的态度）和领域III（牙医对修复乳牙的态度）中的BaCCT平均得分也显著更高（P < 0.001）。
与儿童牙医相比，普通牙医在为幼儿龋齿提供治疗方面存在内在障碍。儿童牙科领域的培训可提高他们更好地处理幼儿龋齿的能力。
