Department of Paediatric Dentistry, Faculty of Dentistry, Côte D'Azur University, Site Saint Jean d'Angely - Bt SJA 2, 5 rue du 22ème BCA, 06357, Nice Cedex 4, France.
Laboratory URB2i - EA 4462, Paris University, Paris, France.
Eur Arch Paediatr Dent. 2021 Oct;22(5):899-910. doi: 10.1007/s40368-021-00625-2. Epub 2021 Apr 20.
While many questionnaire surveys have been undertaken worldwide to investigate practices toward deep carious lesion (DCL) management in adults, very few are related to children and adolescents. The present cross-sectional study aimed to assess DCL management in children and adolescents among dentists practicing paediatric dentistry in France (Fr-DPPDs). The secondary objective was to compare practices between Fr-DPPDs and dentists registered in the European Academy of Paediatric Dentistry (EAPD).
A questionnaire was electronically administrated to members of the CEOP (Collège des Enseignants en Odontologie Pédiatrique), the SFOP (Société Française d'Odontologie Pédiatrique), and the EAPD. Descriptive analyses, Chi-square and McNemar tests, ANOVA, crude and adjusted binary logistic regression analyses were performed.
A total of 99 Fr-DPPDs and 146 EAPD members answered the questionnaire. Among the Fr-DPPDs, the preferred caries removal (CR) methods were the complete CR in one step for primary teeth and mature permanent teeth (respectively, 70% and 48%) and in two steps for immature permanent teeth (39%). EAPD members were more likely, than Fr-DPPDs, to choose selective CR versus complete CR in primary teeth (odds ratio = 2.60; 95% CI 1.39-4.85). Moreover, for primary or immature permanent teeth, general practitioners were less likely to choose selective CR than specialists and exclusive practitioners in paediatric dentistry, (p < 0.001).
Tooth type [primary, permanent (immature or mature)] seemed to influence DCL management. Fr-DPPS should prioritise pulpal vitality when managing DCL.
尽管全球范围内开展了许多问卷调查，以研究成人深龋（DCL）管理的实践情况，但与儿童和青少年相关的研究却很少。本横断面研究旨在评估法国儿童牙科医生（Fr-DPPD）治疗儿童和青少年 DCL 的情况。次要目标是比较 Fr-DPPD 和欧洲儿童牙科学会（EAPD）注册牙医之间的做法。
通过电子方式向 CEOP（儿童牙科教师协会）、SFOP（法国儿童牙科学会）和 EAPD 的成员发送了问卷。进行了描述性分析、卡方检验和 McNemar 检验、方差分析、原始和调整后的二元逻辑回归分析。
共有 99 名 Fr-DPPD 和 146 名 EAPD 成员回答了问卷。在 Fr-DPPD 中，首选龋坏去除（CR）方法为一次去除所有龋坏组织，适用于乳牙和成熟恒牙（分别为 70%和 48%），而对于未成熟恒牙则分两步进行（39%）。与 Fr-DPPD 相比，EAPD 成员更倾向于选择乳牙选择性 CR 而非完全 CR（比值比 = 2.60；95%CI 1.39-4.85）。此外，对于乳牙或未成熟恒牙，与专科医生和专门从事儿童牙科的医生相比，全科医生更不可能选择选择性 CR（p < 0.001）。
牙齿类型（乳牙、恒牙（未成熟或成熟））似乎会影响 DCL 的管理。Fr-DPPS 在管理 DCL 时应优先考虑牙髓活力。
