Orthodontic Resident, Georgia School of Orthodontics.
Diversity and Transformation University Professor, University of Michigan.
J Dent Educ. 2020 Mar;84(3):290-300. doi: 10.21815/JDE.019.174.
Minimally invasive dentistry (MID) is receiving increased attention. Resin infiltration (RI) is one micro-invasive technique for treating initial caries by sealing white spot lesions on tooth surfaces. The aims of this study were to assess pediatric dentists' RI-related educational experiences, attitudes, and professional behavior and to determine if their educational experiences were significantly related to their professional attitudes and behavior regarding RI. This cross-sectional study used an online survey to collect data from members of the American Academy of Pediatric Dentistry (AAPD) in March-April 2017. Of the 2,367 AAPD members invited to participate, 43 emails could not be delivered, and 273 surveys were completed, for a response rate of 11.8%. While only 9% of the 273 respondents reported that their classroom-based dental education had informed them about RI and only 1% that it had prepared them well to use RI with pediatric patients, higher percentages said they had been informed/prepared well by their classroom-based (24%) and clinical residency education (12%). The majority wanted to learn more about RI (71%) and would like to take a related CE course (59%). The respondents' average RI-related attitudes were positive (on five-point scale with 1=worst attitude: Mean=3.84). Regarding use of RI, 28% of respondents said they used RI sometimes and 4% often/very often, with 64% considering implementing RI in their clinics. Graduation year did not correlate with RI attitudes and use. However, the more education about RI the respondents had received during their residency (r=0.20; p<0.01) and in professional development after graduation (r=0.34; p<0.001), the more they used RI in their own work. This study found that the pediatric dentists' RI-related education was positively correlated with their professional behavior. Increasing predoctoral, resident, and continuing professional education about RI should therefore be considered.
微创牙科（MID）越来越受到关注。树脂渗透（RI）是一种通过密封牙面白垩斑来治疗早期龋的微创技术。本研究旨在评估儿童牙医在 RI 方面的教育经历、态度和专业行为，并确定他们的教育经历是否与他们对 RI 的专业态度和行为有显著关系。这项横断面研究于 2017 年 3 月至 4 月使用在线调查从美国儿童牙科学会（AAPD）的成员中收集数据。在邀请的 2367 名 AAPD 成员中，有 43 封电子邮件无法送达，有 273 份调查完成，回复率为 11.8%。虽然只有 9%的 273 名受访者表示他们的课堂牙科教育使他们了解了 RI，只有 1%的受访者表示他们很好地准备了使用 RI 治疗儿科患者，但更高的比例表示他们通过课堂教育（24%）和临床住院医师教育（12%）获得了很好的信息/准备。大多数人希望了解更多关于 RI（71%），并希望参加相关 CE 课程（59%）。受访者的平均 RI 相关态度为积极（五分制，1=最差态度：平均值=3.84）。关于 RI 的使用，28%的受访者表示他们有时会使用 RI，4%经常/非常经常使用 RI，64%的人认为在诊所中实施 RI。毕业年份与 RI 态度和使用无关。然而，受访者在住院期间接受的 RI 教育（r=0.20；p<0.01）和毕业后的专业发展中接受的 RI 教育（r=0.34；p<0.001）越多，他们在自己的工作中使用 RI 的次数就越多。这项研究发现，儿童牙医在 RI 方面的教育经历与他们的专业行为呈正相关。因此，应考虑增加牙科学前、住院医师和继续教育中关于 RI 的教育。
