Uhlen M-M, Wang N J, Skudutyte-Rysstad R
Oral Health Centre of Expertise in Eastern Norway, Sørkedalsveien 10A, 0369, Oslo, Norway.
Eur Arch Paediatr Dent. 2019 Dec;20(6):577-583. doi: 10.1007/s40368-019-00440-w. Epub 2019 Apr 12.
To investigate routines and attitudes among dentists and dental hygienists concerning use of fissure sealants and fluoride varnish for non-operative management of occlusal caries.
All dentists and dental hygienists working in child dental care in three counties in Norway were invited to answer a questionnaire on routines for use of fissure sealants and fluoride varnish. Nine statements regarding attitudes towards use of sealants were scored using a five-point Likert scale. Multivariable logistic regression analyses were performed to assess indicators associated with reported routines for use of sealants and varnish. The study was approved by the Norwegian Centre for Research Data.
In total 142 of 189 (75%) dentists and dental hygienists answered the questionnaire. The majority of the respondents, n = 83 (59%), reported to prefer fissure sealants while fluoride varnish was preferred by 57 (41%) of the respondents. Frequent use of fissure sealants was reported by 58 (41%) and frequent use of varnish by 104 (74%) of the respondents. Most (n = 104, 74%), used sealants on specific indications, and 89 (64%) opened fissures only when suspecting dentine caries. Preferred method and routines for occlusal caries management differed between counties (p < 0.05). Almost all clinicians agreed with the statement that sealants are protective against caries, while statements regarding costs, technique sensitivity and children's cooperation revealed some concerns regarding fissure sealing.
Fissure sealants were the preferred method for occlusal caries management despite reported concerns related to technical aspects and patient cooperation. County-level variation in frequency of sealant use was observed.
调查牙医和口腔保健员在使用窝沟封闭剂和氟化物漆进行咬合面龋非手术治疗方面的常规做法和态度。
邀请挪威三个县从事儿童牙科护理工作的所有牙医和口腔保健员回答一份关于窝沟封闭剂和氟化物漆使用常规的问卷。使用五点李克特量表对九条关于使用封闭剂态度的陈述进行评分。进行多变量逻辑回归分析，以评估与报告的封闭剂和氟化物漆使用常规相关的指标。该研究获得了挪威研究数据中心的批准。
189名牙医和口腔保健员中共有142名（75%）回答了问卷。大多数受访者，n = 83（59%），报告更喜欢窝沟封闭剂，而57名（41%）受访者更喜欢氟化物漆。58名（41%）受访者报告经常使用窝沟封闭剂，104名（74%）受访者经常使用氟化物漆。大多数（n = 104，74%）在特定适应症下使用封闭剂，89名（64%）仅在怀疑有牙本质龋时才打开窝沟。不同县之间咬合面龋管理的首选方法和常规存在差异（p < 0.05）。几乎所有临床医生都同意封闭剂可预防龋齿这一说法，而关于成本、技术敏感性和儿童合作的陈述显示出对窝沟封闭存在一些担忧。
尽管报告了与技术方面和患者合作相关的担忧，但窝沟封闭剂仍是咬合面龋管理的首选方法。观察到县级层面封闭剂使用频率存在差异。
