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我们是否充分满足了儿童的口腔健康需求:对普通牙医的经验和对儿童牙科的自我评估信心的调查。

Are we adequately managing the oral health needs of children: a survey of the experience of general dentists and self-assessed confidence in pediatric dentistry.

机构信息

Division of Pediatric Dentistry, Department of Preventive Dentistry, Jordan University of Science and Technology, 22110 Irbid, Jordan.

Department of Prosthodontics, Jordan University of Science and Technology, 22110 Irbid, Jordan.

出版信息

J Clin Pediatr Dent. 2024 Jul;48(4):176-184. doi: 10.22514/jocpd.2024.091. Epub 2024 Jul 3.

Abstract

Childhood caries is a public health problem with a significant burden on the community. The specialist dental workforce cannot adequately manage all treatment needs in children. Therefore, the general dental community remains critical in delivering care to children. The purpose of this study was to investigate the self-rated confidence of general practitioners in treating children. A cross-sectional survey was designed that involved general dentists in various primary care centers in Jordan. Participants were asked to complete a questionnaire about their experience and self-perceived level of confidence in performing various procedures in children using the Likert scale. Descriptive statistics, -tests and one-way analysis of variance (ANOVA) were used for data analysis. A total of 150 general dentists completed the questionnaire. The overall confidence score was high (3/4). Most respondents (86.7%) reported high confidence in providing prophylaxis and preventive treatment. The lowest level of confidence was reported for dental trauma and interceptive orthodontics. No statistically significant gender disparity was found except for the management of dental trauma in which males were significantly more confident than females. Regarding years of experience, confidence levels in dental trauma management were significantly higher among dentists with 5-10 years of experience compared to the recently graduated and the longest qualified dentists ( = 0.008). Similarly, for interceptive orthodontics, participants with 5-10 years of practice were significantly more confident compared to dentists in the other groups ( = 0.021). One-third of participants (30.1%) were not willing to treat children and considered them disruptive to their practice. Overall, This study revealed low levels of confidence in dental trauma management and interceptive orthodontics in children. Modification of dental curricula to increase clinical exposure should positively reflect on future levels of confidence. Strategies should be implemented to encourage general dentists to treat children to ensure equitable access for all.

摘要

儿童龋病是一个具有重大社区负担的公共卫生问题。专业牙科劳动力无法充分满足儿童所有治疗需求。因此,普通牙科社区在为儿童提供护理方面仍然至关重要。本研究旨在调查普通执业医师治疗儿童的自我评估信心。设计了一项横断面调查,涉及约旦各种初级保健中心的普通牙医。参与者被要求使用李克特量表完成一份关于他们在儿童中进行各种操作的经验和自我感知信心水平的问卷。使用描述性统计、t 检验和单因素方差分析(ANOVA)进行数据分析。共有 150 名普通牙医完成了问卷。总体信心评分较高(3/4)。大多数受访者(86.7%)报告在提供预防和预防性治疗方面具有高度信心。报告的信心最低的是牙科创伤和预防性正畸。除了男性在处理牙科创伤方面明显比女性更有信心外,没有发现统计学上的性别差异。关于工作年限,有 5-10 年工作经验的牙医在处理牙科创伤方面的信心水平明显高于刚毕业和最有资格的牙医(=0.008)。同样,对于预防性正畸,有 5-10 年实践经验的参与者明显比其他组的牙医更有信心(=0.021)。三分之一的参与者(30.1%)不愿意治疗儿童,并认为他们会扰乱他们的实践。总体而言,本研究表明,儿童牙科创伤管理和预防性正畸的信心水平较低。修改牙科课程以增加临床经验应会对未来的信心水平产生积极影响。应实施策略鼓励普通牙医治疗儿童,以确保所有人都能公平获得治疗。

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