Ashraf Nuha, Sangalli Linda, Seagroves Jackson, Sawicki Caroline M
Department of Pediatric Dentistry and Dental Public Health, Adams School of Dentistry, Chapel Hill, NC 27517, USA.
College of Dental Medicine-Illinois, Midwestern University, Downers Grove, IL 60515, USA.
Dent J (Basel). 2025 Apr 26;13(5):191. doi: 10.3390/dj13050191.
: The objective of this study was to evaluate practice patterns among pediatric dentists for the management of permanent teeth needing endodontic treatment. : An electronic nationwide survey was sent to all members of the American Academy of Pediatric Dentistry (AAPD). The survey assessed provider training on and confidence (0-100, with 100 = "most confident") in treating pediatric patients needing endodontic treatment on permanent teeth, referral patterns, and preferred educational resources. A logistic regression identified significant predictors of confidence levels. The final sample included 259 respondents, with 71% having over 10 years of experience in practice. A total of 47% of respondents reported performing endodontic treatments on permanent teeth in pediatric patients, with direct pulp capping (70%) and partial or full pulpotomy (62%) being the most common procedures. Although the respondents moderately agreed (53 ± 32) that they received sufficient training during their residency to perform endodontic treatment on permanent teeth, their reported comfort levels with performing these procedures were low (0.001 ± 33). The adequacy of the training received during their residency was identified as a significant predictor of a higher level of confidence ( < 0.001, 95% CI 0.437, 0.667). The respondents highlighted additional continuing education courses and training, dedicated lectures at the AAPD Annual Session, and annual joint symposia or meetings between the AAPD and the American Association of Endodontists as the most valuable educational resources for the endodontic management of permanent teeth in pediatric patients. : The findings suggest that enhancing residency training and expanding access to targeted continuing education opportunities are critical for improving pediatric dentists' confidence and competence in the endodontic management of permanent teeth in pediatric patients.
本研究的目的是评估儿科牙医对需要进行牙髓治疗的恒牙的治疗模式。向美国儿科学会（AAPD）的所有成员发送了一项全国性电子调查。该调查评估了提供者在治疗需要对恒牙进行牙髓治疗的儿科患者方面的培训情况和信心（0至100，100表示“最有信心”）、转诊模式以及首选的教育资源。逻辑回归确定了信心水平的显著预测因素。最终样本包括259名受访者，其中71%有超过10年的临床实践经验。共有47%的受访者报告对儿科患者的恒牙进行牙髓治疗，直接盖髓术（70%）和部分或全部牙髓切断术（62%）是最常见的操作。尽管受访者中度认同（53±32）他们在住院医师培训期间接受了足够的培训以对恒牙进行牙髓治疗，但他们报告的进行这些操作的舒适度较低（0.001±33）。住院医师培训期间所接受培训的充分性被确定为较高信心水平的显著预测因素（<0.001，95%CI 0.437，0.667）。受访者强调额外的继续教育课程和培训、AAPD年会的专题讲座以及AAPD与美国牙髓病学家协会之间的年度联合研讨会或会议是儿科患者恒牙牙髓管理最有价值的教育资源。研究结果表明，加强住院医师培训并扩大获得有针对性的继续教育机会对于提高儿科牙医对儿科患者恒牙牙髓管理的信心和能力至关重要。
