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中国乳牙龋病中Hall技术预成金属冠临床应用的问卷调查

Questionnaire survey on the clinical application of Hall technique preformed metal crowns in caries of primary molars in China.

作者信息

Wang Junhui, Zhang Baize, Chen Yujiang, Wang Lulu, Du Yang, Ge Xin, Liu Fen, Gong Jing, Wang Xiaojing

机构信息

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Pediatric Dentistry, School of Stomatology, The Fourth Military Medical University, Xi'an, China.

Department of Stomatology, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.

出版信息

Front Oral Health. 2025 Jan 13;5:1513840. doi: 10.3389/froh.2024.1513840. eCollection 2024.

DOI:10.3389/froh.2024.1513840
PMID:39872280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11770039/
Abstract

OBJECTIVE

To analyze the clinical application and limiting factors of the Hall technique (HT) preformed metal crowns in caries of primary molars and to provide reference for its clinical application based on a questionnaire survey.

MATERIALS AND METHODS

From June to December 2022, a questionnaire was distributed to pediatric dentists through the WeChat platform using "Questionnaire Star" to analyze the clinical application and influencing factors of the HT preformed metal crowns in caries of primary molars.

RESULTS

A total of 700 survey questionnaires were distributed, and 650 valid questionnaires were recovered, with a effectiveness rate of 92.86%. In terms of the awareness level of the HT, only 11.08% of pediatric dentists fully understood, while 19.85% of those were completely unaware; In terms of the understanding methods, classes study accounted for 47.60%, and 28.79% of pediatric dentists understood through literature; In terms of the application of the HT, 46.15% of pediatric dentists had applied it, only 11.23% had frequently applied it, and 53.85% had never applied it; In terms of the usage time, the highest proportion was between 1 and 3 years, accounting for 40.33%, and only 9.67% were over 5 years; In terms of the choosing of indications, only 26.62% of pediatric dentists could select indications correctly; Regarding the choice of treatment methods for children who do not cooperate, only 19.54% of pediatric dentists chose the HT. The education background and nature of the workplace had a statistically significant difference in the application of the HT, the number of years of application, the selection of indications, and the choice of treatment methods for children who do not cooperate.

CONCLUSIONS

The survey showed that the awareness level and application frequency of the HT were relatively low in China. The understanding methods mainly learned through classes study.

CLINICAL RELEVANCE

It is necessary to further promote the development of continuing education projects with the theme of clinical application of the HT and the guidance of clinical operation standards, in order to promote the clinical popularization of it in China.

摘要

目的

通过问卷调查分析霍尔技术(HT)预成金属冠在乳牙龋病中的临床应用及限制因素,为其临床应用提供参考。

材料与方法

2022年6月至12月,通过微信平台使用“问卷星”向儿童牙医发放问卷,分析HT预成金属冠在乳牙龋病中的临床应用及影响因素。

结果

共发放调查问卷700份,回收有效问卷650份,有效率为92.86%。在HT的认知水平方面,仅有11.08%的儿童牙医完全了解,而19.85%的儿童牙医完全不了解;在了解途径方面,课堂学习占47.60%,28.79%的儿童牙医通过文献了解;在HT的应用方面,46.15%的儿童牙医曾应用过,仅有11.23%的儿童牙医经常应用,53.85%的儿童牙医从未应用过;在使用年限方面,占比最高的是1至3年,为40.33%,超过5年的仅占9.67%;在适应证选择方面,仅有26.62%的儿童牙医能正确选择适应证;对于不配合患儿治疗方法的选择,仅有19.54%的儿童牙医选择HT。学历背景和工作单位性质在HT的应用、应用年限、适应证选择以及不配合患儿治疗方法的选择上存在统计学差异。

结论

调查显示,HT在我国的认知水平和应用频率相对较低。了解途径主要是通过课堂学习。

临床意义

有必要以HT临床应用为主题、以临床操作规范为指导,进一步推动继续教育项目的开展,以促进其在我国的临床普及。

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本文引用的文献

1
Use of the Hall Technique by dentists in East China: A questionnaire-based cross-sectional survey.华东地区牙医对 Hall 技术的使用情况:一项基于问卷调查的横断面研究。
Int J Paediatr Dent. 2024 Jul;34(4):464-473. doi: 10.1111/ipd.13147. Epub 2023 Dec 7.
2
The effectiveness of Carie-Care™, chemomechanical caries removal technique in primary teeth: randomized controlled clinical trial.Carie-Care™ 在乳牙龋齿治疗中的效果:一项随机对照临床试验。
BMC Oral Health. 2023 Nov 18;23(1):882. doi: 10.1186/s12903-023-03594-8.
3
Outcomes of preformed metal crowns placed with the conventional and Hall techniques: A systematic review and meta-analysis.采用传统技术和霍尔技术放置预成金属冠的效果:一项系统评价和荟萃分析。
Int J Paediatr Dent. 2023 Mar;33(2):141-157. doi: 10.1111/ipd.13029. Epub 2022 Oct 17.
4
A Study to assess the awareness and use of Silver Diammine Fluoride and Hall Technique among dental professionals and dental students in the Eastern Province.一项评估东部省份牙科专业人员和牙科学生对氟化氨银和霍尔技术的认知及使用情况的研究。
Saudi Dent J. 2021 Dec;33(8):1166-1173. doi: 10.1016/j.sdentj.2021.01.005. Epub 2021 Feb 11.
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Teaching and utilization of silver diamine fluoride and Hall-style crowns in US pediatric dentistry residency programs.美国儿童牙科学住院医师培训项目中氟银水门汀和 Hall 式冠的教学与应用。
J Am Dent Assoc. 2020 Oct;151(10):755-763. doi: 10.1016/j.adaj.2020.06.022.
6
A Primary Care Randomized Controlled Trial of Hall and Conventional Restorative Techniques.初级保健中 Hall 技术与常规修复技术的随机对照试验。
JDR Clin Trans Res. 2021 Apr;6(2):205-212. doi: 10.1177/2380084420933154. Epub 2020 Jun 19.
7
A 24-month retrospective study of preformed metal crowns: the Hall technique versus the conventional preparation method.一项为期 24 个月的回顾性研究:预成金属冠的 Hall 技术与传统制备方法的比较。
Eur Arch Paediatr Dent. 2021 Feb;22(1):67-75. doi: 10.1007/s40368-020-00528-8. Epub 2020 Apr 27.
8
Use of the Hall technique by specialist paediatric dentists: a global perspective.专科儿童牙医使用 Hall 技术:全球视角。
Br Dent J. 2020 Jan;228(1):33-38. doi: 10.1038/s41415-019-1100-2.
9
Hall technique crowns and children's masseter muscle activity: A surface electromyography pilot study.霍尔技术牙冠与儿童咬肌活动:表面肌电图初步研究。
Int J Paediatr Dent. 2020 May;30(3):303-313. doi: 10.1111/ipd.12611. Epub 2020 Jan 24.
10
Success rates of preformed metal crowns placed with the modified and standard hall technique in a paediatric dentistry setting.改良 Hall 技术和标准 Hall 技术在儿童牙科环境下制作预成金属冠的成功率。
Int J Paediatr Dent. 2019 Sep;29(5):550-556. doi: 10.1111/ipd.12495. Epub 2019 Apr 14.