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牙科专业人员对铸造局部义齿的态度:印度的一项问卷调查

Attitude of dental professionals toward cast partial denture: A questionnaire survey in India.

作者信息

Sonnahalli Nithin Kumar, Mishra Sunil Kumar, Chowdhary Ramesh

机构信息

Department of Prosthodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.

Department of Prosthodontics, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

出版信息

J Indian Prosthodont Soc. 2020 Jan-Mar;20(1):104-109. doi: 10.4103/jips.jips_304_19. Epub 2020 Jan 27.

Abstract

AIMS

The use of cast partial dentures (CPDs) has been decreased and its importance has been declined in the teaching curriculum. The purpose of this survey was to evaluate the attitudes of dental professionals toward conditions using CPDs in private practice in India.

SETTINGS AND DESIGN

Descriptive survey.

MATERIALS AND METHODS

This survey consists of eight close-ended questions concerning the use of CPD by dental professionals practicing in India. The URLs of the questionnaire were shared via E-mail to dentists practicing throughout India, to obtain a response of 384 which is a predetermined sample size.

STATISTICAL ANALYSIS USED

Statistical analysis was done using counts and percentages and the results were further analyzed statistically by the Chi-square test.

RESULTS

Nearly 42.79% of general dental practitioners (GDPs), 47.26% of prosthodontists, and 9.95% of other specialist dentists responded to the questionnaire. GDPs mostly preferred removable partial dentures (RPDs) (71.87%) and fixed partial dentures (57.22%), whereas prosthodontists preferred mostly implant (60.91%). GDPs mostly preferred flexible dentures (62.42%), whereas prosthodontists preferred CPDs 62.84%. Almost 52.50% of the GDPs mostly raised a cost issue and 63.11% of the prosthodontists had difficulty in adjustment with CPDs. Nearly 63.46% of the dentists told that implant-supported restorations are better options compared to CPDs; still, majority of the dentists (53.23%) were in favor that more importance for teaching CPDs in graduation curriculum should be given.

CONCLUSIONS

This survey shows that in India a significant proportion of GDPs (71.87%) preferred RPDs, mostly flexible dentures (62.42%) due to their low cost compared to CPDs. Prosthodontists mostly preferred implants (60.91%) because they are more confident and better trained in these. It is recommended that more importance be given in teaching implants along with CPDs in graduation curriculum so that practitioners can better educate their patients about implants and their advantages over flexible dentures and their utilization in cases where patients are not willing for CPDs.

摘要

目的

铸造局部义齿(CPD)的使用有所减少,其在教学课程中的重要性也有所下降。本次调查的目的是评估印度牙科专业人员对私人执业中使用CPD情况的态度。

设置与设计

描述性调查。

材料与方法

本次调查包括八个关于印度执业牙科专业人员使用CPD的封闭式问题。问卷的网址通过电子邮件分享给全印度的执业牙医,以获得384份回复,这是预先确定的样本量。

所用统计分析方法

使用计数和百分比进行统计分析,结果通过卡方检验进一步进行统计学分析。

结果

近42.79%的普通牙科医生(GDP)、47.26%的口腔修复医生和9.95%的其他专科牙医回复了问卷。普通牙科医生大多更喜欢可摘局部义齿(RPD)(71.87%)和固定局部义齿(57.22%),而口腔修复医生大多更喜欢种植体(60.91%)。普通牙科医生大多更喜欢弹性义齿(62.42%);而口腔修复医生更喜欢CPD的比例为62.84%。几乎52.50%的普通牙科医生大多提出了成本问题,63.11%的口腔修复医生在CPD的调整方面有困难。近63.46%的牙医表示,与CPD相比,种植体支持的修复体是更好的选择;然而,大多数牙医(53.23%)赞成在毕业课程中应更重视CPD的教学。

结论

本次调查表明,在印度,相当一部分普通牙科医生(71.87%)更喜欢RPD,大多是弹性义齿(62.42%),因为与CPD相比其成本较低。口腔修复医生大多更喜欢种植体(60.9%),因为他们对种植体更有信心且接受过更好的培训。建议在毕业课程中,在教授CPD的同时更重视种植体的教学,以便从业者能够更好地向患者介绍种植体及其相对于弹性义齿的优势,以及在患者不愿意接受CPD的情况下种植体的应用。

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