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在治疗决策中存在证据实践差距,关于巴西牙医中缺陷的复合材料和藻修复

Elaine Pereira da Silva Tagliaferro¹, Joseph L Riley², Gregg H Gilbert³

¹Department of Community Dentistry, São Paulo State University (Unesp), School of Dentistry, Araraquara, Rua Humaitá, 1680, Centro - 14801-903 - Araraquara, SP, Brazil.

Brazilian journal of oral sciences

|December 11, 2023

概括

牙医经常替代有缺陷的修复,而不是使用基于证据的保守治疗,揭示了显著的证据实践差距 (EPG). 这一差距在复合修复中尤为明显,需要全球改进策略.

科学领域:

牙科材料科学牙科材料科学
临床牙科临床牙科
基于证据的牙科.

背景情况:

科学证据和临床实践之间存在一个显著的差距,关于有缺陷的牙修复的管理.
了解牙医的决策过程对于弥合这一证据与实践差距 (EPG) 至关重要.

研究的目的:

量化牙医对缺陷修复的治疗决策中的证据与实践差距 (EPG).
确定与这种证据与实践差距相关的牙医特定因素.

主要方法:

巴西圣保罗州的216名牙医填写了一份问卷,介绍了有缺陷复合材料和合金修复的三个临床情景.
评估了治疗建议 (预防,抛光,重新表面,修复或完全更换).
替代被定义为证据不一致,构成EPG;进行了双变量分析.

主要成果:

几乎一半的牙医选择替换有缺陷的复合修复 (49%和55%不同的边缘类型).
29%的牙医选择更换有缺陷的合金复原.
合金替换比复合材料替换更频繁;女性牙医和那些以牙损伤预防为重点的患者显示出更保守的选择.

结论:

在管理有缺陷的修复,特别是复合的修复方面,存在很大的证据实践差距.
这项研究证实了在修复牙科领域的国际EPG.
需要全球战略来解决和缩小这一证据与实践的差距.

关键词:

牙损牙损是指牙损的发生.牙科修复修复修复修复牙医牙医牙医牙医实践模式实践模式

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