埃及口腔医师对循证牙科学和修复牙科学的知识及态度：一项横断面调查。

Knowledge and attitudes toward evidence-based cariology and restorative dentistry among Egyptian dental practitioners: a cross-sectional survey.

机构信息

Conservative Department, Faculty of Dentistry, Cairo University, Giza, Egypt.

Health Affairs Directorate, Egyptian Ministry of Health and Population, Banisuif, 62511, Egypt.

出版信息

BMC Oral Health. 2023 Sep 1;23(1):622. doi: 10.1186/s12903-023-03333-z.

DOI:10.1186/s12903-023-03333-z

PMID:37658399

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10474780/

Abstract

BACKGROUND

This is the first study to assess Egyptian dental practitioners' knowledge about conservative caries management approaches and investigate whether this knowledge transfers into clinical practice and the barriers to translating research into evidence-based practice.

METHODS

A sample of dental practitioners was surveyed using an online questionnaire. Convenience and snowball sampling were used to collect data from February to June 2022. We included graduated dentists from Egyptian universities who practiced in Egypt. Data were analyzed with descriptive statistics, and the associations between variables were checked using Kruskal Wallis and Chi-Square tests.

RESULTS

This study included 396 participants from throughout Egypt. There were significant correlations between specialty and participants' knowledge and behaviors toward evidence-based caries management (p = 0.002) and between specialization and tools used to detect carious lesions (p < 0.001). Most participants (59.1%) used G.V Black's classification, and (80.8%) removed caries based on the feature of dentin hardness and color, whereas (67%) removed caries until hard dentine remained. The participants' primary hurdle to staying up-to-date was their belief that the newly gained information would not be clinically applicable due to a lack of equipment or working in low-economic areas. Patient-related barriers were the major obstacles for participants in implementing evidence-based practice.

CONCLUSION

Egyptian dentists did not fully embrace minimal invasive approaches for caries management, and practitioners' experiences continue to shape decision-making. It emphasizes the imperative to practically educate dentists using effective knowledge translation dissemination to promote evidence adoption in daily practice and advocate value-based dental care to address the economic crisis's impact on Egypt's healthcare.

摘要

背景

这是第一项评估埃及牙科医生对保守龋病管理方法的知识的研究，并调查这种知识是否转化为临床实践，以及将研究转化为循证实践的障碍。

方法

使用在线问卷对牙科医生进行了抽样调查。方便抽样和滚雪球抽样用于 2022 年 2 月至 6 月期间收集数据。我们纳入了在埃及执业的埃及大学毕业的牙医。使用描述性统计分析数据，并使用克鲁斯卡尔-沃利斯和卡方检验检查变量之间的关联。

结果

这项研究包括来自埃及各地的 396 名参与者。专业和参与者对循证龋病管理的知识和行为之间存在显著相关性（p=0.002），专业和用于检测龋损的工具之间存在显著相关性（p<0.001）。大多数参与者（59.1%）使用 G.V Black 分类法，并且（80.8%）根据牙本质硬度和颜色的特征去除龋损，而（67%）则在硬牙本质残留之前去除龋损。参与者更新知识的主要障碍是他们认为由于缺乏设备或在经济欠发达地区工作，新获得的信息在临床上可能无法应用。患者相关的障碍是参与者实施循证实践的主要障碍。