Algarni Amnah A, Alwusaydi Raghad M, Alenezi Raghad S, Alharbi Nada A, Alqadi Soha F
Department of Restorative Dental Sciences, Taibah University, Faculty of Dentistry, Almadinah Almunawwarah, KSA.
Taibah University, College of Dentistry, Almadinah Almunawwarah, KSA.
J Taibah Univ Med Sci. 2023 Sep 7;19(1):10-17. doi: 10.1016/j.jtumed.2023.08.005. eCollection 2024 Feb.
Over time, the management of dental caries has shifted towards minimally invasive dentistry (MID) and more conservative and evidence-based strategies. Although most dental schools have begun to incorporate MID caries management strategies in their curriculum; it has yet to be established whether these strategies are being implemented in everyday practice. In this study, we aimed to evaluate the knowledge and attitude of dentists working in Almadinah Almunawwarah province in KSA with regards to the implementation of MID in caries management.
This was a cross-sectional study which involved sending a self-administered and anonymous questionnaire to dentists practicing in both private and public clinics in Almadinah Almunawwarah, KSA. The questionnaire consisted of four sections: demographic data, dental education, clinical experience, and knowledge and attitude with regards to MID and the management of caries. For statistical analysis, we calculated simple descriptive statistics, including mean and frequency distributions; comparisons were performed using the Chi-squared test.
A total of 130 dentists participated in the study; the majority of respondents were Saudi general dentists working in private dental clinics; there was a similar distribution of males and females and the age of the dentists ranged from 25 to 35 years. With regards to knowledge relating to selective caries removal (SCR), only 20% of subjects responded that SCR is based on lesion depth, while 74.6% reported that carious dentin consistency is important for SCR. Although 60% of respondents reported that they would assess a patient's risk of caries before commencing treatment, only 11.5% would perform risk assessment and non-surgical treatment in the first visit for caries management. Only 4.6% reported that they used the International Caries Detection and Assessment System (ICDAS) II criteria for the diagnosis of caries while 46.2% used the G.V. Black criteria. In addition, 53.8% of participants agreed that caries must be completely removed to prevent the progression of caries.
Dentists in Almadinah Almunawwarah province had reasonable levels of knowledge regarding the importance of MID in caries management. However, they did not fully implement certain concepts, such as caries risk assessment and the recently recommended criteria for the diagnosis of caries, in their everyday clinical practice.
随着时间的推移，龋齿的管理已转向微创牙科（MID）以及更保守且基于证据的策略。尽管大多数牙科学院已开始在其课程中纳入MID龋齿管理策略，但这些策略在日常实践中是否得到实施仍有待确定。在本研究中，我们旨在评估沙特阿拉伯王国麦地那省的牙医在龋齿管理中实施MID方面的知识和态度。
这是一项横断面研究，涉及向在沙特阿拉伯王国麦地那的私立和公立诊所执业的牙医发送一份自行填写的匿名问卷。问卷包括四个部分：人口统计学数据、牙科教育、临床经验以及关于MID和龋齿管理的知识与态度。对于统计分析，我们计算了简单的描述性统计数据，包括均值和频率分布；使用卡方检验进行比较。
共有130名牙医参与了该研究；大多数受访者是在私立牙科诊所工作的沙特普通牙医；男女分布相似，牙医年龄在25至35岁之间。关于选择性龋坏去除（SCR）的知识，只有20%的受试者回答SCR基于病变深度，而74.6%报告龋坏牙本质的质地对SCR很重要。尽管60%的受访者报告他们会在开始治疗前评估患者的龋齿风险，但只有11.5%会在龋齿管理的首次就诊时进行风险评估和非手术治疗。只有4.6%报告他们使用国际龋病检测与评估系统（ICDAS）II标准进行龋齿诊断，而46.2%使用G.V. 布莱克标准。此外，53.8%的参与者同意必须完全去除龋坏以防止龋齿进展。
麦地那省的牙医对MID在龋齿管理中的重要性有合理程度的了解。然而，他们在日常临床实践中并未充分实施某些概念，如龋齿风险评估和最近推荐的龋齿诊断标准。
