Rajan Soumya, Kuriakose Sobha, Varghese Bobby J, Asharaf Firoz, Suprakasam Suprasidh, Sreedevi Athira
Department of Pedodontics and Preventive Dentistry, Sri Sankara Dental College, Thiruvananthapuram, Kerala, India.
Department of Public Health Dentistry, Sri Sankara Dental College, Thiruvananthapuram, Kerala, India.
Int J Clin Pediatr Dent. 2019 Jul-Aug;12(4):251-254. doi: 10.5005/jp-journals-10005-1631.
The objective of this study was to investigate knowledge, attitude, and practices of dental practitioners in Thiruvananthapuram, India regarding dental management of children with special healthcare needs (CSHCN).
A structured questionnaire was given to 400 dental practitioners. The data were analyzed using SPSS software (version 23.0) and Chi-square test was used.
The response rate was 94%. An estimated 73.8% treated children, 66.5% showed willingness to treat CSHCN, and 70.8% had attended CSHCN in their practice. A partial knowledge in dental management of CSHCN was reported by 67.5%. An estimated 36% had undergone training in special care dentistry (SCD) but 45% were not sure whether they can provide dental care with the graduate-level training. Knowledge regarding guidelines for CSHCN was known to 19.5% and that regarding timing of the first dental visit was known to 69% of participants. Tooth extraction (43.1%) and a subsequent caries treatment (39.1%) were the most frequently done procedures, and nonpharmacological management (46.5%) was the mostly used behavior management technique. Among the barriers faced by dentists in treating CSHCN, time consumption (55.6%) and lack of training (55.1%) were commonly enlisted. Further training and improved facilities would motivate the respondents in providing better care to CSHCN.
This study suggests that majority of the dentists participated had a partial knowledge on SCD and were willing to treat CSHCN. Insufficient training in the field of SCD was a major drawback, which prevented most general dentists from effectively managing CSHCN. Additional training and improving facilities can improve dental care to CSHCN.
Rajan S, Kuriakose S, Knowledge, Attitude, and Practices of Dental Practitioners in Thiruvananthapuram on Oral Health Care for Children with Special Needs. Int J Clin Pediatr Dent 2019;12(4):251-254.
本研究的目的是调查印度特里凡得琅市牙科从业者在特殊医疗需求儿童（CSHCN）口腔管理方面的知识、态度和实践情况。
向400名牙科从业者发放了一份结构化问卷。使用SPSS软件（版本23.0）对数据进行分析，并采用卡方检验。
回复率为94%。估计73.8%的从业者治疗过儿童，66.5%表示愿意治疗CSHCN，70.8%在其执业过程中接触过CSHCN。67.5%的人报告对CSHCN的口腔管理有部分了解。估计36%的人接受过特殊护理牙科（SCD）培训，但45%不确定他们能否通过研究生水平的培训提供口腔护理。19.5%的参与者了解CSHCN的指导方针，69%的参与者了解首次看牙的时间。拔牙（43.1%）和后续的龋齿治疗（39.1%）是最常进行的操作，非药物管理（46.5%）是最常用的行为管理技术。在治疗CSHCN时，牙医面临的障碍中，耗时（55.6%）和缺乏培训（55.1%）是常见的。进一步的培训和改善设施将激励受访者为CSHCN提供更好的护理。
本研究表明，大多数参与的牙医对SCD有部分了解，并愿意治疗CSHCN。SCD领域培训不足是一个主要缺点，这阻碍了大多数普通牙医有效管理CSHCN。额外的培训和改善设施可以改善对CSHCN的口腔护理。
Rajan S，Kuriakose S，印度特里凡得琅市牙科从业者对特殊需求儿童口腔保健的知识、态度和实践。《国际临床儿科牙科杂志》2019；12（4）：251 - 254。
