根据专业教育对土耳其牙医在龋病管理方面的知识、态度和实践进行比较评估。
Comparative evaluation of Turkish dentists' knowledge, attitudes, and practices in caries management according to specialty education.
作者信息
Ozdemir Busra, Ozdemir Seyit Bilal, Kaplan Fatma
机构信息
Faculty of Dentistry, Department of Restorative Dentistry, Giresun University, Giresun, Turkey.
Faculty of Dentistry, Department of Endodontics, Bezmialem Vakif University, Istanbul, Turkey.
出版信息
BMC Med Educ. 2025 Jun 5;25(1):839. doi: 10.1186/s12909-025-07447-6.
BACKGROUND
The professional knowledge, attitudes, and practices of dentists in managing dental caries in high-risk adult individuals can significantly impact the prevention of caries. This study aims to compare the oral hygiene recommendations and preventive treatment practices of general dentists and dental specialists in Turkey for patients at high caries risk.
METHODS
A study was conducted using a questionnaire consisting of 16 questions, both open and closed-ended, directed at dentists in Turkey. The questionnaire presented a scenario of an adult patient with high caries risk. Dentists were asked questions about the oral hygiene recommendations and preventive treatments they would provide to the patient. The responses regarding preventive treatments were structured according to an evidence-based guideline. The responses of general and specialist dentists were compared. Descriptive statistics were provided in terms of numbers and percentages. Cross-tabulations were created, and chi-square analyses were performed on the data.
RESULTS
A total of 354 dentists responded to the survey, including 205 general dentists and 149 dental specialists. Dental specialists (82.6%) were more likely than general dentists (68.8%) to recommend fluoride-containing toothpaste (p < 0.05). Dental specialists (36.9%) applied fluoride varnish more frequently than general dentists (23.9%) (p < 0.05). On the other hand, general dentists (13.7%) recommended chlorhexidine more frequently than dental specialists (4.7%) (p < 0.05). Additionally, 15.5% of the dentists agreed that preventing caries in adults is not as effective as in children.
CONCLUSIONS
This study highlights the significant role of specialty education training in shaping dentists' preventive practices. It is suggested that the role of fluoride in general dentistry education in Turkey should be reconsidered. Additionally, caries management should be more strongly emphasized in specialty education.
背景
牙医在管理高危成年个体龋齿方面的专业知识、态度和做法会对龋齿预防产生重大影响。本研究旨在比较土耳其普通牙医和牙科专家针对高龋齿风险患者的口腔卫生建议和预防性治疗做法。
方法
采用一份由16个开放式和封闭式问题组成的问卷对土耳其的牙医进行研究。问卷呈现了一名高龋齿风险成年患者的情景。询问牙医关于他们会向该患者提供的口腔卫生建议和预防性治疗的问题。关于预防性治疗的回答按照循证指南进行结构化。比较普通牙医和专科牙医的回答。以数字和百分比形式提供描述性统计数据。创建交叉表，并对数据进行卡方分析。
结果
共有354名牙医回复了调查，其中包括205名普通牙医和149名牙科专家。牙科专家（82.6%）比普通牙医（68.8%）更有可能推荐含氟牙膏（p < 0.05）。牙科专家（36.9%）比普通牙医（23.9%）更频繁地应用氟化物 varnish（p < 0.05）。另一方面，普通牙医（13.7%）比牙科专家（4.7%）更频繁地推荐洗必泰（p < 0.05）。此外，15.5%的牙医同意预防成年人龋齿不如预防儿童龋齿有效。
结论
本研究强调了专科教育培训在塑造牙医预防做法方面的重要作用。建议重新考虑氟化物在土耳其普通牙科教育中的作用。此外，应在专科教育中更加强调龋齿管理。
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