Moskovitz M, Elkesslasy T, Shmueli A, Halperson E, Ram D, Fux-Noy A
Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, 9112102, Jerusalem, Israel.
Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Eur Arch Paediatr Dent. 2025 Feb;26(1):119-129. doi: 10.1007/s40368-024-00977-5. Epub 2024 Dec 9.
To assess the attitudes of dentists in Israel to minimal intervention on primary teeth.
For this cross-sectional study, data were accessed from questionnaires that were completed anonymously by members of the Israeli Society of Paediatric Dentistry. For four clinical scenarios, the respondents were asked to describe the stage at which they would intervene, the type of preparation they would utilize, and the restorative materials they would use. The scenarios included proximal and occlusal caries in the primary molar and buccal and proximal caries in the primary maxillary incisor.
Forty-six dentists completed the questionnaire. Forty-one (89%) cited that they would intervene in stages 3 and 4 (of 6) of proximal caries in the primary molar; 34 of these stated that the cavity preparation would be of the proximal box type. For occlusal caries, 37 (80%) stated they would intervene in stages 2 and 3 (of 5); 31 of these would only remove the carious lesion. Thirty-three (72%) of the respondents stated they would intervene in stage 3 (of 4) of buccal caries; 31 (67%) stated they would intervene in stage 2 (of 4) of proximal caries in the primary maxillary incisor.
The study reveals that specialists and non-specialists dentists in Israel use minimally invasive dentistry to treat children, either by intervening at a later stage of tooth decay or by employing conservative techniques to restore teeth. This aligns with the philosophy of minimal intervention.
评估以色列牙医对乳牙微创干预的态度。
在这项横断面研究中，数据来自以色列儿童牙科学会成员匿名填写的问卷。对于四种临床情况，要求受访者描述他们会进行干预的阶段、会采用的预备类型以及会使用的修复材料。这些情况包括乳磨牙的邻面和咬合面龋以及上颌乳切牙的颊面和邻面龋。
46名牙医完成了问卷。41名（89%）表示他们会在乳磨牙邻面龋的第3和第4阶段（共6个阶段）进行干预；其中34名表示洞型预备将采用邻面盒状洞型。对于咬合面龋，37名（80%）表示他们会在第2和第3阶段（共5个阶段）进行干预；其中31名只会去除龋损。33名（72%）受访者表示他们会在上颌乳切牙颊面龋的第3阶段（共4个阶段）进行干预；31名（67%）表示他们会在上颌乳切牙邻面龋的第2阶段（共4个阶段）进行干预。
该研究表明，以色列的专科和非专科牙医通过在龋齿较晚阶段进行干预或采用保守技术修复牙齿，使用微创牙科方法治疗儿童。这与微创干预理念相符。
