Salem Abdurahman, Aouididi Rayhana, Delatorre Bronzato Juliana, Al-Waeli Haider, Abufadalah Mousa, Shaikh Saleem, Yassir Yassir, Mhanni Ahmed, Vasantavada Priyanka, Amer Hatem, Qutieshat Abubaker
Primary Care, National Health Service, Lothian, UK.
Oral Biology, Jordan University of Science and Technology, Irbid, Jordan.
J Conserv Dent. 2021 Mar-Apr;24(2):163-168. doi: 10.4103/jcd.jcd_20_21. Epub 2021 Oct 9.
The potential of an improved understanding to prevent and treat a complex oral condition such as root caries is important, given its correlation with multiple factors and the uncertainty surrounding the approach/material of choice. Deeper insights into risk factors may improve the quality of treatment and reduce the formation of root surface caries.
The present work aims to gain knowledge about dentists' opinions and experiences on assessing the risk factor related to the development of root caries and to help identify any overlooked factors that may contribute to less efficacious clinical outcomes.
A questionnaire related to root surface caries was distributed among practicing dentists in nine different countries, namely the United Kingdom, Libya, Jordan, Saudi Arabia, Egypt, Brazil, India, Malaysia, and Iraq. Questionnaire responses were analyzed, and the results were compared among the groups.
Dentists around the world ranked the oral hygiene status of patients as the most important factor in the development of root surface caries. Patients with poor oral hygiene, active periodontal disease, reduced salivary flow, and gingival recession are perceived to have a higher risk of developing new root surface caries. There is a greater focus on prevention in the UK and greater levels of untreated dental disease in other countries, especially those recovering from civil wars.
This work identified some overlooked factors that may have contributed to the less efficacious clinical outcomes reported in the literature. It is hoped that this deep dive into risk factors coupled with the findings presented in Part I of this study will be used as a basis for a more comprehensive investigation into the management of patients with root surface caries.
鉴于根龋与多种因素相关且在治疗方法/材料选择上存在不确定性，加深对这种复杂口腔疾病的理解对于预防和治疗而言具有重要意义。对风险因素的深入了解可能会提高治疗质量并减少根面龋的形成。
本研究旨在了解牙医对评估与根龋发生相关的风险因素的看法和经验，并帮助识别可能导致临床疗效欠佳的任何被忽视的因素。
一份关于根面龋的问卷在九个不同国家的执业牙医中进行了分发，这九个国家分别是英国、利比亚、约旦、沙特阿拉伯、埃及、巴西、印度、马来西亚和伊拉克。对问卷回复进行了分析，并在各群体之间比较了结果。
世界各地的牙医将患者的口腔卫生状况列为根面龋发生的最重要因素。口腔卫生差、患有活动性牙周疾病、唾液流量减少以及牙龈退缩的患者被认为发生新的根面龋的风险更高。英国更注重预防，而其他国家，尤其是那些刚从内战中恢复的国家，未经治疗的牙病水平更高。
这项研究确定了一些可能导致文献中报道的临床疗效欠佳的被忽视因素。希望对风险因素的深入研究以及本研究第一部分所呈现的结果将作为对根面龋患者管理进行更全面调查的基础。
