校准儿科牙科教师：乳牙龋病管理
Calibrating Pediatric Dental Faculty: Caries Management in Primary Teeth.
作者信息
Meyer Beau D, Hansen Marlee, Sweeney Kristin, McDaniel Jodee, Townsend Janice
机构信息
Division of Pediatric Dentistry, College of Dentistry, The Ohio State University; Division of Dentistry, Nationwide Children's Hospital.
Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, and in the Division of Dentistry, Nationwide Children's Hospital.
出版信息
Pediatr Dent. 2022 Mar 15;44(2):95-98.
PURPOSE
The purpose of this study was to evaluate caries treatment decisions agreement in primary teeth among board-certified pedi- atric dentistry faculty at a single teaching institution.
METHODS
Ten full-time faculty selected a treatment for each of 64 primary teeth in 17 children based on clinical photos and radiographs. Cases were presented under three different social and behavioral scenarios. Descriptive and kappa statistics were calculated.
RESULTS
The interrater reliability was 0.59 for the decision at the surgical versus nonsurgical level and 0.55 for the treatment-specific decision (e. g., crown versus extraction). Surgical treatments were the predominant preference (76 percent of responses). Non- surgical treatments were preferred for early-stage lesions and in nonideal social and behavioral scenarios. Surgical options were unanimously preferred in sedation or general anesthesia.
CONCLUSIONS
Different clinical scenarios highlight different treatment preferences among faculty. Further emphasis should be placed on calibrating the decision-making process for selecting caries treatment in primary teeth among pediatric dentists.
目的
本研究旨在评估单一教学机构中获得委员会认证的儿科牙科教员对乳牙龋齿治疗决策的一致性。
方法
10名全职教员根据临床照片和X光片，为17名儿童的64颗乳牙分别选择一种治疗方案。病例在三种不同的社会和行为场景下呈现。计算描述性统计量和kappa统计量。
结果
在手术与非手术层面的决策上，评分者间信度为0.59，在特定治疗决策（如牙冠修复与拔牙）上为0.55。手术治疗是主要偏好（76%的回应）。对于早期病变以及在不理想的社会和行为场景中，非手术治疗更受青睐。在镇静或全身麻醉情况下，手术选项一致受到偏爱。
结论
不同的临床场景凸显了教员之间不同的治疗偏好。应进一步强调校准儿科牙医在乳牙龋齿治疗选择上的决策过程。
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