Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland.
Eur J Paediatr Dent. 2020 Mar;21(1):29-34. doi: 10.23804/ejpd.2020.21.01.06.
This survey assessed Finnish dentists' treatment decisions and choices of restorative materials in selected paediatric dental patient cases, with special emphasis on stainless steel crowns (SSCs).
A questionnaire with patient descriptions and tooth photographs was e-mailed to members of Finnish Dental Society (n=3,747). The respondents were asked to choose their preferred treatment in cases describing 1) extensive occlusal carious lesion in a primary molar of a cooperative child; 2) an identical lesion, treated under dental general anaesthesia (DGA); and 3) a symptomatic first permanent molar with enamel hypomineralisation (consistent with Molar-Incisor Hypomineralization, MIH) and post-eruptive breakdown. Only responses from dentist treating children were included (final n=765).
The majority (47.3%) would have preferred restoration of the extensive primary tooth caries in a normal setting using resin-modified glassionomer cement, and 4.3% by using SSC. The preference of SSC as treatment choice increased to 25.4% upon implementation of DGA. The majority would treat the symptomatic permanent MIH molar with a resin composite restoration (45.0%), while 10.5% suggested SSC. Compared to general dentists, paediatric dentists had a stronger preference for SSCs.
Although the respondents emphasised patient cooperation, but also tooth prognosis and material strength behind their treatment decisions, SSC was an uncommon choice.
本调查评估了芬兰牙医在选定的儿科牙科患者病例中的治疗决策和修复材料选择，特别强调不锈钢冠（SSC）。
通过电子邮件向芬兰牙科协会的成员（n=3747）发送了一份带有患者描述和牙齿照片的问卷。要求受访者在描述以下情况下选择他们首选的治疗方案：1）合作儿童的乳磨牙有广泛的咬合面龋损；2）同一病变，在全身麻醉下治疗；3）有症状的第一恒磨牙有釉质矿化不全（符合磨牙-切牙矿化不全，MIH）和萌出后破裂。仅包括治疗儿童的牙医的回复（最终 n=765）。
大多数（47.3%）人会选择在正常环境下使用树脂改性玻璃离子水门汀修复广泛的乳磨牙龋损，而只有 4.3%的人会选择使用 SSC。在实施全身麻醉后，选择 SSC 作为治疗方案的偏好增加到 25.4%。大多数人会用树脂复合修复体治疗有症状的 MIH 恒磨牙（45.0%），而 10.5%的人建议使用 SSC。与全科牙医相比，儿童牙医更倾向于使用 SSC。
尽管受访者在做出治疗决策时强调了患者的合作，但也强调了牙齿的预后和材料的强度，但 SSC 并不是一个常见的选择。
