Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia.
Faculty of Dentistry, University of Hong Kong, Pokfulam, Hong Kong SAR.
Aust Dent J. 2019 Sep;64(3):282-292. doi: 10.1111/adj.12710. Epub 2019 Aug 8.
The management of carious lesions in children and adolescents can have lifelong implications for the patient. The aim of this study was to assess the decision-making process of dentists when managing carious lesions in children and adolescents.
Approximately, 11 000 dentists listed as members of the Australian Dental Association Inc. (ADA) and Australian and New Zealand Society of Paediatric Dentistry (ANZSPD) were emailed a link in April 2017 to a 19-question survey delivered by SurveyMonkey™.
In this study, 887 responses were received. In 'enamel-limited' carious lesions, dentists intervened most frequently in primary tooth approximal (365, 41.1%), followed by permanent tooth occlusal (295, 33.3%) and approximal (244, 27.5%), and primary tooth occlusal (203, 22.9%) surface carious lesions. Age, university of graduation, practicing state, decade of graduation and frequency of treatment of children between 6 and 15 years were significant demographic factors influencing the restorative threshold.
Australian dentists reported significant variation in their management of approximal and occlusal carious lesions in both primary and permanent teeth. A substantial proportion of respondents would intervene surgically on non-cavitated enamel-limited lesions.
儿童和青少年龋齿的治疗管理可能会对患者的一生产生影响。本研究旨在评估牙医在治疗儿童和青少年龋齿时的决策过程。
2017 年 4 月，通过 SurveyMonkey™ 向澳大利亚牙科协会（ADA）和澳大利亚及新西兰儿童牙科学会（ANZSPD）的约 11000 名牙医会员发送了一个包含 19 个问题的链接，邀请他们参与这项调查。
本研究共收到 887 份回复。在“牙釉质局限型”龋齿中，牙医最常干预的是乳牙邻面（365 例，占 41.1%），其次是恒牙窝沟（295 例，占 33.3%）和邻面（244 例，占 27.5%），以及乳牙窝沟（203 例，占 22.9%）表面龋齿。年龄、毕业院校、执业州、毕业十年以及 6-15 岁儿童的治疗频率是影响补牙阈值的重要人口统计学因素。
澳大利亚牙医在治疗儿童和青少年的乳牙和恒牙邻面及窝沟龋齿时存在显著差异。相当一部分受访者会对非龋性釉质局限型病变进行手术干预。
