da Silva Tagliaferro Elaine Pereira, da Silva Silvio Rocha Correa, Rosell Fernanda Lopez, Valsecki Aylton, Riley Joseph L, Gilbert Gregg H, Gordan Valeria Veiga
Department of Community Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, Rua Humaitá, 1680, Centro - 14801-903 - Araraquara, SP, Brazil.
University of Florida College of Dentistry, Director, Pain Clinical Research Unit, UF CTSI, Deputy Director, South Atlantic Region, Dental Practice-based Research Network, Clinical and Translational Research Building (CTRB), Room 2227, 2004 Mowry Road, Box 100404, Gainesville, FL 32610-0404, The United States of America.
Braz J Oral Sci. 2020;19. doi: 10.20396/bjos.v19i0.8656224.
Little is known about dental practice patterns of caries prevention in adults among Brazilian dentists.
To quantify procedures used for caries prevention for adult patients among dentists from a Brazilian community.
Dentists (n=197) who reported that at least 10% of their patients are more than 18 years old participated in the first Brazilian study that used a translated version of the "Assessment of Caries Diagnosis and Caries Treatment" from the U.S. National Dental Practice-Based Research Network. A questionnaire about characteristics of their practice and patient population were also completed by the dentists. Generalized linear regression models and a hierarchal clustering procedure were used (p<0.05).
In-office fluoride application was the preventive method most often reported. The main predictors for recommending some preventive agent were: female dentist (dental sealant; in-office fluoride; non-prescription fluoride) and percentage of patients interested in caries prevention (dental sealant; in-office fluoride; non-prescription fluoride). Other predictors included private practice (dental sealant), percentage of patients 65 years or older (in-office fluoride), graduation from a private dental school (non-prescription fluoride), years since dental school graduation (chlorhexidine rinse) and using a preventive method (recommending sealant/fluoride/chlorhexidine rinse/sugarless, xylitol gum). Cluster analysis showed that dentists in the largest subgroup seldom used any of the preventive agents.
Dentists most often reported in-office fluoride as a method for caries prevention in adults. Some practitioner, practice and patients' characteristics were positively associated with more-frequent use of a preventive agent.
巴西牙医对成人龋齿预防的牙科治疗模式了解甚少。
量化巴西一个社区的牙医对成年患者采用的龋齿预防程序。
197名报告称其患者中至少10%年龄超过18岁的牙医参与了巴西第一项使用美国国家基于牙科实践的研究网络的“龋齿诊断与治疗评估”翻译版本的研究。牙医还填写了一份关于其执业和患者群体特征的问卷。使用了广义线性回归模型和层次聚类程序（p<0.05）。
诊室内氟化物应用是最常报告的预防方法。推荐某种预防剂的主要预测因素为：女牙医（窝沟封闭剂；诊室内氟化物；非处方氟化物）和对龋齿预防感兴趣的患者百分比（窝沟封闭剂；诊室内氟化物；非处方氟化物）。其他预测因素包括私人执业（窝沟封闭剂）、65岁及以上患者的百分比（诊室内氟化物）、毕业于私立牙科学校（非处方氟化物）、自牙科学校毕业的年限（洗必泰漱口液）以及使用预防方法（推荐窝沟封闭剂/氟化物/洗必泰漱口液/无糖木糖醇口香糖）。聚类分析表明，最大亚组中的牙医很少使用任何一种预防剂。
牙医最常报告将诊室内氟化物作为成人龋齿预防的方法。一些从业者、执业和患者特征与更频繁使用预防剂呈正相关。
