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牙医对乳磨牙深龋病变管理的决策。

Dentists' decisions for deep carious lesions management in primary teeth.

机构信息

Department of Paediatric Dentistry, Faculty of Dentistry, Côte d'Azur University, Nice, France.

Paediatric Dentistry, CHU Nice, Nice, France.

出版信息

Int J Paediatr Dent. 2020 Sep;30(5):578-586. doi: 10.1111/ipd.12639. Epub 2020 Apr 7.

Abstract

BACKGROUND

Questionnaire surveys have been undertaken worldwide to investigate practices and knowledge related to deep carious lesion (DCL) management in permanent teeth, and there is a lack of data in primary teeth.

AIM

A cross-sectional questionnaire survey was undertaken to describe the management strategies for DCL of vital primary teeth, focusing on the different caries removal techniques, among dentists practicing pediatric dentistry (DPPDs) in France. Their behavior was compared to members one registered to European Academy of Pediatric Dentistry (EAPD).

DESIGN

A questionnaire was electronically administrated (2018-2019) to members of the Collège des Enseignants en Odontologie Pédiatrique (CEOP), the Société Française d'Odontologie Pédiatrique (SFOP), and the EADP. Descriptive and statistical analyses were performed.

RESULTS

Response rate was, respectively, for CEOP, SFOP, and EAPD about 74%, 29%, and 15%. About half of the respondents (53%) would perform a complete caries removal into one step when 12% would indicate a stepwise technique: 68% of the DPPDs practicing in France would perform complete caries removal in one step when the preferred option in the other EAPD members was the selective excavation (44%) (P < .001).

CONCLUSIONS

Complementary education of French dentists in the domain of caries management appears necessary regarding current recommendations.

摘要

背景

全世界都开展了问卷调查,以调查与恒牙深龋(DCL)管理相关的实践和知识,而在乳牙中缺乏相关数据。

目的

本横断面问卷调查旨在描述法国儿童牙科医生(DPPD)对活髓乳牙 DCL 的管理策略,重点关注不同的龋蚀去除技术。并将其与注册欧洲儿童牙科学会(EAPD)的医生的行为进行比较。

设计

2018-2019 年,向 ColégedesEnseignantsenOdontologiePédiatrique(CEOP)、SociétéFrançaised'OdontologiePédiatrique(SFOP)和 EADP 的成员电子发放问卷。进行描述性和统计分析。

结果

CEOP、SFOP 和 EAPD 的回复率分别约为 74%、29%和 15%。约一半的受访者(53%)会一步到位地进行彻底的龋蚀去除,而 12%的人会选择逐步去除:法国的 DPPD 中有 68%会一步到位地进行彻底的龋蚀去除,而其他 EAPD 成员的首选是选择性挖掘(44%)(P<0.001)。

结论

针对当前的推荐意见,法国牙医在龋病管理领域的补充教育似乎是必要的。

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