牙医师在龋齿风险评估和管理方面的知识、态度和实践：乌干达坎帕拉都会区的横断面调查。

Dental Practitioners' Knowledge, Attitude, and Practice in Caries Risk Assessment and Management: A Cross-sectional Survey in Kampala Metropolitan, Uganda.

机构信息

Department of Dentistry, School of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda, Phone: +256759544336, e-mail:

Department of Dentistry, School of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

J Contemp Dent Pract. 2021 Dec 1;22(12):1377-1385.

PMID:35656674

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9395258/

Abstract

AIM

The objective of this study was to determine the knowledge, attitude, and practices regarding caries risk assessment (CRA) and management among dental practitioners in Kampala Metropolitan, Uganda.

MATERIALS AND METHODS

This cross-sectional study was conducted among 270 dental practitioners in Kampala Metropolitan, Uganda, in May 2021. The participants were dental surgeons and public health dental officers. A self-administered structured questionnaire was used to collect data. The questionnaire included items about participants' sociodemographic characteristics, knowledge, attitude, and practices in CRA and management. Attitude and practices were rated using different Likert scales. Descriptive statistics, Chi-square/Fisher's exact and one-way analysis of variance (ANOVA) with post-hoc Bonferroni tests were used to analyze the data. The significance level was set at <0.05.

RESULTS

About 60.7% of the participants were public health dental officers with a median age of 30 years (interquartile range [IQR], 27-60). Overall, the participants were familiar with the current concepts regarding CRA and management. More than 70% of the participants correctly identified risk factors and indicators of dental caries. Most participants (98.5%) had a positive attitude toward performing CRA. However, their practices regarding caries management were inadequate as majority (>75%) of participants reported that they never or occasionally recommended evidence-based products like topical fluoride, probiotics, or xylitol products in the prevention and management of dental caries. Dental surgeons had significantly better knowledge and practices than public health dental officers ( <0.05).

CONCLUSION

In the present study, the participants were familiar with the current concepts about CRA and had a positive attitude toward CRA. However, their practices regarding caries prevention and management were inadequate.

CLINICAL SIGNIFICANCE

The study provided baseline data about knowledge, attitude, and practices regarding CRA and caries management among dental practitioners in Uganda. It is recommended to design training courses in evidence-based protocols in the prevention and management of dental caries for dental practitioners in Uganda.

摘要

目的

本研究旨在确定乌干达坎帕拉大都市区牙科从业者对龋病风险评估（CRA）和管理的知识、态度和实践情况。

材料和方法

本横断面研究于 2021 年 5 月在乌干达坎帕拉大都市区的 270 名牙科从业者中进行。参与者为口腔外科医生和公共卫生牙科官员。使用自我管理的结构化问卷收集数据。问卷包括参与者的社会人口统计学特征、CRA 和管理方面的知识、态度和实践的项目。使用不同的李克特量表对态度和实践进行评分。采用描述性统计、卡方/费舍尔精确检验和单向方差分析（ANOVA）及事后 Bonferroni 检验对数据进行分析。显著性水平设置为<0.05。

结果

约 60.7%的参与者为公共卫生牙科官员，中位年龄为 30 岁（四分位距 [IQR]，27-60）。总体而言，参与者熟悉 CRA 和管理的当前概念。超过 70%的参与者正确识别了龋齿的危险因素和指标。大多数参与者（98.5%）对进行 CRA 持积极态度。然而，他们在龋齿管理方面的实践并不充分，因为大多数（>75%）参与者表示他们从未或偶尔推荐过基于证据的产品，如局部氟化物、益生菌或木糖醇产品，用于预防和管理龋齿。口腔外科医生的知识和实践明显优于公共卫生牙科官员（<0.05）。