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探索牙医对患有全身性健康问题患者的牙髓治疗的看法:一项基于问卷调查的研究。

Exploring dentists' perspectives on endodontic treatment for patients with systemic health conditions: A questionnaire-based study.

作者信息

Vaishnavi Abinia, Bharti Ramesh, Pandey Pragya, Verma Promila

机构信息

Department of Conservative Dentistry and Endodontics, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Conserv Dent Endod. 2025 Jun;28(6):565-572. doi: 10.4103/JCDE.JCDE_212_25. Epub 2025 Jun 2.

Abstract

INTRODUCTION

This study explores dentists' practices and approaches in the Indian subpopulation for endodontic management of patients with systemic conditions. It also evaluates dentists' knowledge and awareness regarding the impact of systemic conditions on endodontic treatment outcomes.

MATERIALS AND METHODS

We mailed the Google Forms containing pre-validated questionnaires to 600 participants, which included endodontists ( = 200), general dentists ( = 200), and other specialty dentists ( = 200) in the Indian subpopulation. A total of 458 participants responded; among them, the response rate was 33.5% from the endodontist, 38% from the General Dentist, and 28.5% from other specialty dentists. We analysed the data using Chi-square analysis and logistic regression, with a significance level of 0.05.

RESULTS

The study analysed the responses from 458 dental professionals, including 153 endodontists (33.5%), 174 general dentists (38%), and 131 specialists (28.5%). The key findings revealed that most participants (96.8%) agreed that systemic conditions influence endodontic therapy, with 94.9% identifying the risk of postoperative infection as a primary concern for immune-compromised patients. While 54.4% supported antibiotic prophylaxis for systemic conditions, 45.6% disagreed. Endodontists exhibited excellent knowledge of antibiotic prophylaxis requirements (98.1%) compared to general dentists (71.1%) and other specialists (95.0%) ( = 0.001).

CONCLUSION

The study's findings have significant implications for dental practice, highlighting the need for a comprehensive understanding of the impact of systemic conditions on endodontic therapy. Variations in knowledge and confidence, particularly in areas such as antibiotic prophylaxis and managing systemic conditions, highlight the importance of ongoing education and awareness.

摘要

引言

本研究探讨了印度亚人群体中牙医对患有全身性疾病患者进行牙髓病管理的实践和方法。它还评估了牙医对全身性疾病对牙髓治疗结果影响的知识和认识。

材料与方法

我们将包含预先验证问卷的谷歌表单邮寄给了600名参与者,其中包括印度亚人群体中的牙髓病医生(n = 200)、普通牙医(n = 200)和其他专科牙医(n = 200)。共有458名参与者做出了回应;其中,牙髓病医生的回应率为33.5%,普通牙医为38%,其他专科牙医为28.5%。我们使用卡方分析和逻辑回归分析数据,显著性水平为0.05。

结果

该研究分析了458名牙科专业人员的回复,其中包括153名牙髓病医生(33.5%)、174名普通牙医(38%)和131名专科医生(28.5%)。主要研究结果显示,大多数参与者(96.8%)同意全身性疾病会影响牙髓治疗,94.9%的人认为术后感染风险是免疫功能低下患者的主要担忧。虽然54.4%的人支持针对全身性疾病进行抗生素预防,但45.6%的人不同意。与普通牙医(71.1%)和其他专科医生(95.0%)相比,牙髓病医生对抗生素预防要求的了解程度极高(98.1%)(P = 0.001)。

结论

该研究结果对牙科实践具有重要意义,突出了全面了解全身性疾病对牙髓治疗影响的必要性。知识和信心方面的差异,特别是在抗生素预防和全身性疾病管理等领域,凸显了持续教育和提高认识的重要性。

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