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使用先进和药物行为管理技术的障碍:沙特阿拉伯吉达儿科牙医的一项调查。

Barriers to Using Advanced and Pharmacological Behavior Management Techniques: A Survey of Pediatric Dentists in Jeddah, Saudi Arabia.

作者信息

Felemban Osama, Sijini Ohoud, Baamer Ruba, Bukhari Zuhor, Baghlaf Khlood, Sait Amani, Almalik Manal

机构信息

Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Pediatric Dentistry Department, King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia.

出版信息

J Int Soc Prev Community Dent. 2024 Feb 27;14(1):35-42. doi: 10.4103/jispcd.jispcd_134_23. eCollection 2024 Jan-Feb.

DOI:10.4103/jispcd.jispcd_134_23
PMID:38559646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10980307/
Abstract

AIM

In this study, we assessed the use of advanced pharmacological behavior management techniques (BMTs) among pediatric dentists in Saudi Arabia and the barriers to their clinical application.

MATERIALS AND METHODS

This cross-sectional study used a self-administered electronic survey that targeted members of the Saudi Society of Pediatric Dentistry. The questionnaire included questions on five techniques of advanced and pharmacological behavior management recommended by the American Academy of Pediatric Dentistry. Descriptive statistics, frequency, Chi-square test, and Fisher's exact test were used to present the outcomes and independent variables.

RESULTS

A total of 57 pediatric dentists completed the survey. Nitrous oxide (NO) sedation, general anesthesia (GA), and protective stabilization were used regularly by pediatric dentists in 70.2%, 68.4%, and 56.1% of the participants, respectively. A few participants reported using oral (14.0%) or intravenous (IV) sedation (10.5%) regularly. The most common barriers to using these techniques were either dentists' discomfort or the non-availability of the equipment/drugs.

CONCLUSIONS

The most common method used by pediatric dentists was NO inhalation sedation, followed by GA and protective stabilization. The participants' use of pharmacological BMTs, including IV and oral sedation, was relatively low.

摘要

目的

在本研究中,我们评估了沙特阿拉伯儿科牙医对先进药理学行为管理技术(BMTs)的使用情况及其临床应用的障碍。

材料与方法

这项横断面研究采用了针对沙特儿科牙科学会成员的自填式电子调查问卷。该问卷包括关于美国儿科学会推荐的五种先进药理学行为管理技术的问题。描述性统计、频率、卡方检验和费舍尔精确检验用于呈现结果和自变量。

结果

共有57名儿科牙医完成了调查。分别有70.2%、68.4%和56.1%的参与者的儿科牙医经常使用氧化亚氮(NO)镇静、全身麻醉(GA)和保护性固定。少数参与者报告经常使用口服(14.0%)或静脉(IV)镇静(10.5%)。使用这些技术最常见的障碍是牙医的不适感或设备/药物不可用。

结论

儿科牙医最常用的方法是NO吸入镇静,其次是GA和保护性固定。参与者对包括IV和口服镇静在内的药理学BMTs的使用相对较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849f/10980307/dc848ad61a5a/JISPCD-14-35-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849f/10980307/0c7478fa7f36/JISPCD-14-35-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849f/10980307/dc848ad61a5a/JISPCD-14-35-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849f/10980307/0c7478fa7f36/JISPCD-14-35-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849f/10980307/dc848ad61a5a/JISPCD-14-35-g002.jpg

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本文引用的文献

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Prevalence and Parental Attitude Toward Nitrous-Oxide and Papoose-Board Use in Two Dental Referral Centers in Saudi Arabia: A Cross-Sectional Study.沙特阿拉伯两个牙科转诊中心一氧化二氮和约束板使用情况的患病率及家长态度:一项横断面研究
Clin Cosmet Investig Dent. 2021 Dec 24;13:531-539. doi: 10.2147/CCIDE.S340158. eCollection 2021.
2
The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study.在阿拉伯地区工作的儿科牙医中使用行为管理技术:一项横断面调查研究。
Eur Arch Paediatr Dent. 2021 Jun;22(3):375-385. doi: 10.1007/s40368-020-00560-8. Epub 2020 Sep 9.
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Need for dental care drives utilisation of dental services among children in Saudi Arabia.
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Int Dent J. 2020 Jun;70(3):183-192. doi: 10.1111/idj.12539. Epub 2020 Jan 8.
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Pediatr Dent. 2013;35(7):539-45.
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A systematic review of population-based dental caries studies among children in Saudi Arabia.沙特阿拉伯儿童基于人群的龋齿研究的系统评价。
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Parental attitude toward behavioral management techniques in dental practice with schoolchildren in Kuwait.科威特学龄儿童口腔临床中家长对行为管理技术的态度。
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