Imbery Terence A, Carrico Caroline K
Department of General Practice Virginia Commonwealth University School of Dentistry Richmond Virginia.
Department of Oral Health Promotion and Community Outreach, Oral Health Services Research Core, VCU Philips Institute for Oral Health Research Virginia Commonwealth University School of Dentistry Richmond Virginia.
Clin Exp Dent Res. 2019 Jun 10;5(4):365-376. doi: 10.1002/cre2.191. eCollection 2019 Aug.
From casual observation of our colleagues, only a few individuals use the dental dam for operative procedures in their faculty practice. The purpose of this study was to obtain faculty perceptions of the dental dam, quantify its utilization in their intramural faculty practice, and determine the factors that influence dental dam usage.
A survey containing 11 questions was sent to 19 faculty members who teach full time and maintain an intramural dental practice involving operative dentistry. Thirty electronic dental health records of the 19 providers were reviewed to gather the following information from restorative procedures they completed: isolation methods, tooth location and involved surfaces, and dental restorative material.
Overall, dental dam was utilized for 30% of all restorative procedures and was used less than 20% of the time for placement of class II and class III composite resins. Dental dam utilization rate by general dentists was 37% and 17.6% for prosthodontists. Those general dentists with prior history of military dental practice had a utilization rate of 78.6% and nonmilitary dentists only 7.6%. Eight faculty members responded to the questionnaire for a 42% return rate. Those who practiced dentistry in the military strongly agreed that the dental dam is the standard of care, improves their quality of restorative work, and should be documented in the dental record.
There were significantly different dental dam utilization rates between general dentists and prosthodontists and between dentists with prior military experience and those without.
通过对同事的日常观察，发现只有少数人在其校内教职员工诊所的手术操作中使用牙垫。本研究的目的是了解教职员工对牙垫的看法，量化其在校内教职员工诊所的使用情况，并确定影响牙垫使用的因素。
向19位全职授课且在校内开展涉及口腔手术的牙科诊疗服务的教职员工发送了一份包含11个问题的调查问卷。查阅了这19位提供者的30份电子牙科健康记录，以从他们完成的修复手术中收集以下信息：隔离方法、牙齿位置和受累表面以及牙科修复材料。
总体而言，在所有修复手术中，牙垫的使用率为30%，在放置II类和III类复合树脂时，牙垫的使用时间不到20%。普通牙医的牙垫使用率为37%，口腔修复科医生为17.6%。有军队牙科工作经历的普通牙医的使用率为78.6%，无军队牙科工作经历的牙医仅为7.6%。8位教职员工回复了问卷，回复率为42%。有军队牙科工作经历的人强烈认同牙垫是护理标准，能提高修复工作质量，且应记录在牙科病历中。
普通牙医与口腔修复科医生之间以及有军队牙科工作经历的牙医与无此经历的牙医之间，牙垫使用率存在显著差异。
