Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, 34 Hospital Rd, Sai Wan Hong Kong, China.
Restorative Dental Sciences, Faculty of Dentistry, The Universitry of Hong Kong, 34 Hospital Rd, Hong Kong, Sai Wan, China.
BMC Oral Health. 2023 Oct 29;23(1):815. doi: 10.1186/s12903-023-03502-0.
Using silver diamine fluoride (SDF) for caries management has raised dentists' interests in Southeast Asia (SEA). However, information about the teaching of SDF in dental schools in SEA is limited. Therefore, this survey aimed to describe the extent to which SDF had been introduced into the education of undergraduate students in the dental schools in SEA.
An online questionnaire survey was conducted on the duration, method, contents, and barriers regarding the teaching of SDF. Teachers in charge of undergraduate program in pediatric dentistry and those in community dentistry in all the 90 dental schools in SEA were approached and we required each department to reply once only. Descriptive statistics and Chi-square test were used to describe and assess the differences between the two departments in the teaching of SDF.
A total of 81 responses from the departments of 49 schools were received, giving a school-level response rate of 54% (49/90). SDF was taught in the undergraduate program in 86% (42/49) of the respondent schools, and 50% (21/42) of these schools had included SDF in the teaching for five or more years. Almost all (98%) of the departments taught SDF through lectures. Furthermore, 55% of them adopted SDF in clinical practice. Regarding the teaching content, the use of SDF for arresting cavitated caries lesion was the most commonly covered (82-97%), followed by for arresting early noncavitated lesions (69-82%), for preventing new caries development (66-79%) and for treating dental hypersensitivity (77%). There were variations in the post-treatment instruction taught. For the departments not teaching SDF, the most common reason (10/19, 53%) was that SDF was not available.
SDF is covered in the undergraduate program in most of the dental schools in SEA. The use of SDF to arrest cavitated caries lesions in primary teeth is usually taught. However, other applications of SDF, such as for prevention of caries and treatment of dental hypersensitivity, are less commonly mentioned in the teaching.
使用银胺氟化物（SDF）进行龋齿管理引起了东南亚（SEA）牙医的兴趣。然而，关于 SEA 牙科学院 SDF 教学的信息有限。因此，本调查旨在描述 SDF 在 SEA 牙科学院本科生教育中的引入程度。
对所有 90 所 SEA 牙科学院的儿童牙科和社区牙科负责本科课程的教师进行了在线问卷调查，要求每个部门仅回复一次。使用描述性统计和卡方检验来描述和评估 SDF 教学中这两个部门之间的差异。
共收到来自 49 所学校的 81 份部门回复，学校层面的回复率为 54%（49/90）。在调查的学校中，86%（42/49）的学校在本科课程中教授 SDF，其中 50%（21/42）的学校已经将 SDF 纳入教学五年或以上。几乎所有（98%）的部门都通过讲座教授 SDF。此外，其中 55%的部门在临床实践中采用 SDF。关于教学内容，最常涵盖的是使用 SDF 来阻止已空洞化的龋齿病变（82-97%），其次是阻止早期非空洞化病变（69-82%）、预防新的龋齿发展（66-79%）和治疗牙齿过敏（77%）。所教授的治疗后指导存在差异。对于不教授 SDF 的部门，最常见的原因（10/19，53%）是 SDF 不可用。
SDF 涵盖了 SEA 大多数牙科学院的本科课程。通常教授使用 SDF 来阻止乳牙的已空洞化龋齿病变。然而，SDF 的其他应用，如预防龋齿和治疗牙齿过敏，在教学中较少提及。
