Arroyo-Bote Sebastiana, Ribas-Perez David, Bennasar Verges Catalina, Rodriguez Menacho Diego, Villalva Hernandez-Franch Paloma, Barbero Navarro Ignacio, Castaño Séiquer Antonio
University of the Balearic Islands, 07006 Palma de Mallorca, Spain.
Department of Stomatology, University of Seville, 41001 Seville, Spain.
Healthcare (Basel). 2024 Sep 24;12(19):1907. doi: 10.3390/healthcare12191907.
BACKGROUND/OBJECTIVES: Managing caries lesions that affect the inner third of the dentin is crucial to ensuring pulp vitality; the clinician must make decisions that will affect the vitality of the tooth. Our purpose is to understand the behavior of Spanish dentists in treating deep cavities and to examine whether variations exist based on their academic training and/or years of professional experience.
This study was approved by the ethics committee of the Balearic Islands CEI-IB. A survey was conducted using the SurveyMonkey platform with 11 questions, the first 4 of which focused on defining the characteristics of the respondents. The following six concerned a clinical case of deep caries in tooth number 4.7, and the last regarded the opinion of the actual treatment of the case. The survey was sent by email in April 2022. The results were analyzed with the SPSS 29.0 program using the chi-square test.
A total of 347 responses were obtained (93.95%), and those surveyed stated that they apply minimal intervention concepts in their treatments, with 90.49% performing conservative dentistry treatments daily. A total of 56.48% of the respondents had bachelor's degrees, 12.39% had graduated, 33.14% had a postgraduate degree, 38.90% had a master's degree, and 17% had a doctorate. Most (40.63%) had been in professional practice for 16-30 years.
Significant differences were identified regarding years of professional experience in terms of decision-making in methods of treatment and the choice of materials used for pulp protection. Likewise, significant differences were found regarding the academic training of the respondents, the cavity cleaning method selected, and the use of chemical substances for removing carious dentin. We can conclude that academic training and years of professional practice influence decision-making at some points in treating deep caries lesions.
背景/目的：处理影响牙本质内三分之一的龋损对于确保牙髓活力至关重要；临床医生必须做出会影响牙齿活力的决策。我们的目的是了解西班牙牙医在治疗深龋时的行为，并研究基于他们的学术培训和/或专业经验年限是否存在差异。
本研究经巴利阿里群岛CEI - IB伦理委员会批准。使用SurveyMonkey平台进行了一项调查，共11个问题，前4个问题聚焦于界定受访者的特征。接下来的6个问题涉及4.7号牙深龋的临床病例，最后一个问题是关于该病例实际治疗的意见。该调查于2022年4月通过电子邮件发送。使用SPSS 29.0程序通过卡方检验对结果进行分析。
共获得347份回复（93.95%），受访者表示他们在治疗中应用最小干预概念，90.49%的人每天进行保守牙科治疗。共有56.48%的受访者拥有学士学位，12.39%已毕业，33.14%拥有研究生学位，38.90%拥有硕士学位，17%拥有博士学位。大多数（40.63%）已从业16 - 30年。
在治疗方法的决策和用于牙髓保护的材料选择方面，就专业经验年限而言存在显著差异。同样，在受访者的学术培训、所选的窝洞清洁方法以及用于去除龋坏牙本质的化学物质的使用方面也发现了显著差异。我们可以得出结论，学术培训和专业实践年限在治疗深龋损的某些方面会影响决策。
