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英国普通牙科医生对后牙根管填充牙修复的看法:病例调查。

Opinions of UK General Dental Practitioners on the Restoration of Posterior Root Filled Teeth: a Vignette Survey.

机构信息

Dariusz Kasperek BDS Academic Clinical Fellow Dental Core Trainee, University of Liverpool, UK.

Afzal Haque BDS (Hons), MFDS RCS Ed, MSc (Endodontology), MEndo RCS Ed, DDSc (Endodontics) Principal Dentist, Stretford Road Dental Practice, Manchester, UK.

出版信息

Prim Dent J. 2024 Mar;13(1):80-88. doi: 10.1177/20501684241230198.

Abstract

OBJECTIVE

To investigate factors which influence UK general dental practitioners (GDPs) when restoring posterior root filled teeth.

METHOD

An electronic survey was designed to explore current strategies of treatment of posterior root filled teeth by UK-based GDPs working in primary care. Three vignette cases included in the questionnaire explored a variety of tooth, patient, and financial factors. The survey was distributed by email and social media platforms between December 2018 and February 2019.

RESULTS

A total of 528 valid responses were collected. The majority of participants (84.1%) regularly restored posterior root filled teeth with an indirect restoration. Presence of persistent symptoms post root canal treatment (RCT) completion would impact the management of 85% of the surveyed respondents. Referral to a specialist, deferral of provision of the definitive restoration, and fear of litigation were reported by the GDPs as influencing factors.

CONCLUSION

This survey highlights that decision making regarding restoration of root filled teeth is a multifactorial process. Tooth, patient, and financial factors were all shown to influence the restorative management of the posterior root filled teeth.

摘要

目的

探讨影响英国普通牙科医生(GDP)对后牙根管治疗后牙齿进行修复的因素。

方法

设计了一项电子调查,以探索英国初级保健机构中工作的 GDP 对后牙根管治疗后牙齿的治疗策略。调查问卷中的三个案例探讨了各种牙齿、患者和经济因素。该调查于 2018 年 12 月至 2019 年 2 月通过电子邮件和社交媒体平台进行分发。

结果

共收集了 528 份有效回复。大多数参与者(84.1%)经常使用间接修复体来修复后牙根管治疗后的牙齿。85%的受访者表示,根管治疗(RCT)完成后持续存在症状会影响他们的治疗管理。调查对象报告称,转介给专家、推迟提供最终修复以及担心诉讼是影响他们决策的因素。

结论

本调查强调了后牙根管治疗后牙齿修复的决策是一个多因素的过程。牙齿、患者和经济因素均被证明会影响后牙根管治疗后牙齿的修复管理。

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