Universidade Estadual de Campinas - Unicamp, Faculdade de Odontologia de Piracicaba, Departamento de Ciências da Saúde e Odontologia Infantil, Piracicaba, SP, Brazil.
Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Braz Oral Res. 2024 Aug 5;38:e068. doi: 10.1590/1807-3107bor-2024.vol38.0068. eCollection 2024.
The study aimed to compare the adherence of Brazilian and Italian pediatric dentists to the biosafety measures and operative protocols recommended by the health authorities during COVID-19 pandemic and to classify the participants according to their risk of infection. An online questionnaire with 34 questions about sociodemographic and occupational data, dental practice organization, biological risk management, and clinical operative protocols was sent to Brazilian and Italian pediatric dentists using a convenience sampling strategy. Chi-square test and multivariate analysis (two-step cluster) were performed (α = 5%). Of 641 respondents (377 Brazilians and 264 Italians), most were female (94% and 70%, respectively), aged 20-39 years (63%), with over 10 years of professional experience (58% and 49%, respectively). Based on adherence to recommended biosafety measures, participants were classified as "safer" (n = 219) or "less safe" (n = 422). Adherence to recommended protocols by the majority of participants resulted in low contagion rates (Brazilians = 5%; Italians = 12.5%). Participants with extensive professional experience in the dental setting exhibited a greater tendency to implement multiple adaptations (three or more) in their practice. Most participants (Brazilians = 92%; Italians = 80.7%) adopted the recommended minimal intervention dentistry approaches, with the use of fissure sealants and the use of non-rotary instruments for caries removal the most frequently techniques used among Brazilians (36%) and Italians (66%), respectively. Two different profiles of pediatric dentists were identified based on the biosafety protocols adopted during the pandemic. In addition, changes were implemented in the dental care provided to children, with focus on the minimal intervention dentistry.
本研究旨在比较巴西和意大利儿童牙医在 COVID-19 大流行期间对卫生当局推荐的生物安全措施和操作方案的依从性，并根据感染风险对参与者进行分类。采用便利抽样策略，向巴西和意大利儿童牙医发送了一份包含 34 个问题的在线问卷，内容涉及社会人口学和职业数据、牙科实践组织、生物风险管理和临床操作方案。采用卡方检验和多变量分析（两步聚类）（α=5%）。在 641 名受访者中（377 名巴西人和 264 名意大利人），大多数为女性（分别为 94%和 70%），年龄在 20-39 岁（分别为 63%和 49%），具有 10 年以上专业经验（分别为 58%和 49%）。根据对推荐的生物安全措施的依从性，将参与者分为“更安全”（n=219）或“不太安全”（n=422）。大多数参与者（巴西人=5%；意大利人=12.5%）遵循推荐的方案，导致感染率较低。在牙科环境中具有广泛专业经验的参与者表现出更大的倾向，即对其实践进行多次调整（三次或更多）。大多数参与者（巴西人=92%；意大利人=80.7%）采用了推荐的最小干预牙科方法，其中巴西人（36%）和意大利人（66%）最常使用的技术分别为窝沟封闭剂和非旋转器械去除龋齿。根据大流行期间采用的生物安全方案，确定了两种不同的儿童牙医特征。此外，还对儿童牙科护理进行了改变，重点是最小干预牙科。
