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挪威奥斯陆牙医和牙科保健师对磨牙牙釉质发育不全(MIH)的知识、经验和认知。

Knowledge, experience and perception regarding molar incisor hypomineralisation (MIH) among dentists and dental hygienists in Oslo, Norway.

机构信息

Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway.

出版信息

Eur Arch Paediatr Dent. 2021 Oct;22(5):851-860. doi: 10.1007/s40368-021-00649-8. Epub 2021 Aug 12.

Abstract

AIM

The aim of this study is to gather baseline information on knowledge, perceptions, clinical experience and treatment options regarding MIH among dental care providers in Oslo, Norway, before a larger epidemiological study.

METHODS

An electronic questionnaire was distributed to dentists (n = 88) and dental hygienists (n = 47) working in the Public Dental Service (PDS) in Oslo. The questionnaire consisted of five sections related to sociodemographic, clinical experience, perceptions, clinical management and preferences for further training. Descriptive statistics with chi-squared test was used, and level of statistical significance was set to 5%.

RESULTS

Replies were obtained from 74.1% (n = 100) after two reminders. All respondents encountered MIH in their practice. The respondents' perception of the prevalence of MIH in Oslo varied. The majority felt confident when diagnosing MIH (86%). The clinicians qualified in the last 10 years felt more confident than those who had qualified earlier (p = 0.016). Most were self-confident when treating these patients (68.3%), however, nearly all (88%) agreed that MIH was a clinical problem. The clinician's treatment of MIH varied. Difficulties achieving adequate local anaesthetic (71.4%) and the child's behavioural problems (84.1%) were treatment barriers for the dentists. Approximately two thirds (69%) would like further training, in particular on the aetiology (70%), diagnosis (57%) and treatment (77%) of the developmental disorder.

CONCLUSION

All clinicians were familiar with the diagnosis of MIH and experienced the condition to be a clinical problem. Continuing education on aetiology, diagnosis and treatment of MIH is requested by dental health personnel.

摘要

目的

本研究旨在在挪威奥斯陆开展更大规模的流行病学研究之前,收集牙科保健提供者对 MIH 的知识、认知、临床经验和治疗选择的基线信息。

方法

向奥斯陆公共牙科服务机构(PDS)的牙医(n=88)和牙科保健师(n=47)发放电子问卷。问卷由与社会人口统计学、临床经验、认知、临床管理和进一步培训偏好相关的五个部分组成。采用卡方检验进行描述性统计,统计学显著性水平设为 5%。

结果

两次提醒后,收到了 74.1%(n=100)的回复。所有受访者在实践中都遇到过 MIH。受访者对 MIH 在奥斯陆的流行程度的看法存在差异。大多数人对 MIH 的诊断有信心(86%)。在过去 10 年获得资格的临床医生比更早获得资格的临床医生更有信心(p=0.016)。大多数人在治疗这些患者时对自己有信心(68.3%),然而,几乎所有人(88%)都认为 MIH 是一个临床问题。临床医生对 MIH 的治疗方法各不相同。牙医在治疗 MIH 时遇到的困难包括难以获得足够的局部麻醉(71.4%)和儿童的行为问题(84.1%)。大约三分之二(69%)的人希望进一步接受培训,特别是关于病因(70%)、诊断(57%)和治疗(77%)发育障碍。

结论

所有临床医生都熟悉 MIH 的诊断,认为这种情况是一个临床问题。牙科保健人员要求对 MIH 的病因、诊断和治疗进行继续教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0321/8526464/47b0f3cce30b/40368_2021_649_Fig1_HTML.jpg

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