Dental Public Service, County Council of Västerbotten, Umeå, Sweden; Department of Odontology, Umeå University, Umeå, Sweden.
Department of Nursing, Umeå University, Umeå, Sweden.
Acta Odontol Scand. 2024 Oct 31;83:603-610. doi: 10.2340/aos.v83.42271.
To explore experiences of caries prevention in adult patients with recurrent cavities among experienced dentists. Method: Five focus group discussions consisting of seven men and nine women, 38-61 years of age, and with working experience as dentists between 5 and 35 years, were conducted. The participants represented Public Dental Health Service clinics and private practitioners. Qualitative content analysis was used to analyze data. Results: The participants emphasized the importance of effective communication and patient engagement in caries prevention. They described their experiences as an endless trail, making fillings. They expressed their inability to take necessary responsibility and being stuck in the dental care system due to various circumstances. The understanding of caries was contradictory, and an inadequate mandate to control time to fulfill their preventive work was evident. They felt responsible to do the best for their patients, but how to share responsibility with colleagues and patients and having enough time for this seemed difficult and unclear. These problems did not motivate to further education in cariology.
The findings underscore the urgent need for improvement in preventive caries treatment and the necessity of allocating sufficient time for dentists to engage in this crucial aspect of their work.
探讨有经验的牙医对复发性龋齿的成年患者的防龋经验。方法：进行了 5 次焦点小组讨论，参与者为 7 名男性和 9 名女性，年龄在 38-61 岁之间，从事牙医工作 5-35 年。参与者代表公共牙科保健服务诊所和私人从业者。采用定性内容分析法对数据进行分析。结果：参与者强调了有效沟通和患者参与防龋的重要性。他们描述了自己的经历是一场无休止的填充治疗之旅。他们表示，由于各种情况，他们无法承担必要的责任，并且陷入了牙科保健系统中。对龋齿的理解存在矛盾，并且在控制时间以完成其预防工作方面的授权不足。他们感到有责任为患者提供最好的治疗，但如何与同事和患者分担责任以及为此分配足够的时间似乎很困难且不明确。这些问题并没有促使他们进一步接受龋病学教育。结论：研究结果强调了迫切需要改进预防性龋齿治疗，并为牙医分配足够的时间从事这一工作的重要方面。
