Sulimany Ayman M, Aldowsari Mannaa, Saleh Saad Bin, Almajhdi Faisal F, Al Ajlan Omar A, ALSayyari Ibrahim M, Alshehri Khalid M, Hamdan Hebah M
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, 11545 Riyadh, Saudi Arabia.
College of Dentistry, King Saud University, 11545 Riyadh, Saudi Arabia.
J Clin Pediatr Dent. 2023 Nov;47(6):86-93. doi: 10.22514/jocpd.2023.082. Epub 2023 Nov 3.
Worldwide, dental schools employ varying approaches to teaching vital pulp therapy (VPT) for primary teeth. However, little is known about the VPT techniques taught in dental schools in Saudi Arabia. Therefore, this study aimed to describe the approaches of VPT for primary teeth taught in undergraduate dental schools in Saudi Arabia. A nationwide cross-sectional study was conducted between January and June 2022, using an online questionnaire distributed to pediatric dentistry faculty members at all dental schools in Saudi Arabia. The questionnaire collected information on socio-demographic characteristics, educational background, work setting, and VPT teaching approaches. Descriptive statistics and logistic regression models assessed the association between participants' characteristics and the VPT techniques taught. Seventy-seven faculty members from 17 out of 27 dental colleges in Saudi Arabia participated in the study. Most respondents reported teaching indirect pulp capping (95%), with glass ionomer cement and calcium hydroxide being the most popular materials. Only 11 participants (14%) taught direct pulp capping, with mineral trioxide aggregate and calcium hydroxide being the most commonly used materials. Pulpotomy procedures were taught in all dental schools, with formocresol being the most commonly used medicament (84%). No significant associations were found between faculty member characteristics and the likelihood of teaching indirect pulp capping. However, older age categories had a significantly higher chance of teaching direct pulp capping (trend odds ratio: 2.27, = 0.02). In conclusion, most faculty members (95%) reported teaching indirect pulp capping using glass ionomer cement and calcium hydroxide for primary teeth. Only 14% of the respondents taught direct pulp capping, and the use of mineral trioxide aggregate for direct pulp capping appears to be increasing. Formocresol was the most commonly used pulpotomy medicament. Further research is needed to investigate factors that influence the teaching of VPT for primary teeth in Saudi Arabia.
在全球范围内，牙科学院采用不同的方法来教授乳牙的牙髓活力保存治疗（VPT）。然而，对于沙特阿拉伯牙科学院所教授的VPT技术却知之甚少。因此，本研究旨在描述沙特阿拉伯本科牙科学院中教授的乳牙VPT方法。2022年1月至6月进行了一项全国性横断面研究，使用在线问卷分发给沙特阿拉伯所有牙科学院的儿童牙科教员。该问卷收集了社会人口统计学特征、教育背景、工作环境和VPT教学方法等信息。描述性统计和逻辑回归模型评估了参与者特征与所教授的VPT技术之间的关联。沙特阿拉伯27所牙科学院中的17所的77名教员参与了该研究。大多数受访者报告教授间接盖髓术（95%），其中玻璃离子水门汀和氢氧化钙是最常用的材料。只有11名参与者（14%）教授直接盖髓术，其中矿物三氧化物凝聚体和氢氧化钙是最常用的材料。所有牙科学院都教授牙髓切断术，其中甲醛甲酚是最常用的药物（84%）。教员特征与教授间接盖髓术的可能性之间未发现显著关联。然而，年龄较大的类别教授直接盖髓术的可能性显著更高（趋势优势比：2.27，P = 0.02）。总之，大多数教员（95%）报告使用玻璃离子水门汀和氢氧化钙教授乳牙间接盖髓术。只有14%的受访者教授直接盖髓术，并且矿物三氧化物凝聚体用于直接盖髓术的情况似乎正在增加。甲醛甲酚是最常用的牙髓切断术药物。需要进一步研究来调查影响沙特阿拉伯乳牙VPT教学的因素。
