Bohay R N, Stephens R G, Kogon S L
Division of Oral Medicine and Radiology, University of Western Ontario, Faculty of Dentistry, London, Canada.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995 May;79(5):641-5. doi: 10.1016/s1079-2104(05)80108-8.
The purpose of this article was to assess the radiographic prescribing practices of a sample of general practitioners for the pediatric dental patients in relation to current guidelines.
Questionnaires were mailed to a sample of 963 dentists. The adjusted response was 80%.
For the new patient under age 6, slightly more than two thirds of respondents reported the use of selective radiography. For ages 6 to 14 years, a slight majority chose a protocol of survey radiography. Of those who used a predetermined protocol, 69% chose "bite-wings only" for the child under 6 years, whereas for the child 6 to 14 years, the protocol of choice was a complete radiographic survey, predominantly the panoramic/bite-wing. For recall patients in both age groups, less than 1% of dentists used survey radiography.
From our results, we concluded that the majority of dentists followed the guideline for children under 6 years. However, for children in the transitional dentition years, our respondents choices were divided between selective or survey radiography. The ambiguity in the wording or interpretation of the guideline for this age group may have contributed to this result.
本文旨在评估全科医生针对儿科牙科患者的放射检查开单做法与现行指南的符合情况。
向963名牙医样本邮寄了调查问卷。调整后的回复率为80%。
对于6岁以下的新患者，略多于三分之二的受访者报告使用选择性放射检查。对于6至14岁的患者，略多数选择全景放射检查方案。在那些使用预定方案的人中，69%为6岁以下儿童选择“仅咬翼片”，而对于6至14岁的儿童，首选方案是完整的放射检查，主要是全景/咬翼片。对于两个年龄组的复诊患者，不到1%的牙医使用全景放射检查。
从我们的结果来看，我们得出结论，大多数牙医遵循了针对6岁以下儿童的指南。然而，对于处于混合牙列期的儿童，我们的受访者在选择性或全景放射检查之间存在分歧。该年龄组指南措辞或解释的模糊性可能导致了这一结果。
