诊断和记录根 кариес:瑞士牙医之间的调查
Richard Johannes Wierichs1, Isabelle Kaspari1, Sabrina Maniewicz2
1Department of Restorative, Preventive and Pediatric Dentistry, zmk bern, University of Bern, Freiburgstrasse 7, Bern CH-3010, Switzerland.
Journal of dentistry
|February 4, 2024
概括
牙医在诊断和记录根病变 (RCL) 方面表现出显著的多样性. 这种变化影响了管理,突出了需要更好地教育和实施根的指导方针.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 皮肤病学 皮肤病学 皮肤病学
- 临床牙科 临床牙科
背景情况:
- 根病变 (RCL) 越来越普遍,但牙医对其临床治疗的理解仍然有限.
- 目前牙科专业人员对RCL的诊断和记录实践没有得到充分的记录.
研究的目的:
- 评估牙医在根病变 (RCL) 的诊断,记录和管理方面的知识和实践.
- 确定影响牙医对RCL管理方法的因素.
主要方法:
- 在瑞士25个州的383名牙医中进行了一项调查,评估有关RCL诊断,记录,管理,临床程序和人口统计的知识.
- 数据分析包括质量检查,构造有效性,内部可靠性和类内相关性 (ICC).
主要成果:
- 在牙医中观察到诊断,记录和评估RCL风险因素的显著多样性.
- 40%的牙医在患者病历中无法区分RCL和冠状;触觉是主要的诊断标准.
- 糟糕的口腔卫生和生物膜存在被确定为关键风险因素,受教育程度,年龄和工作区域的影响.
结论:
- 该研究揭示了牙医如何诊断,记录和评估RCL风险因素的实质性差异,这可能会影响患者的护理.
- 在牙科教育中,有必要强调适当的RCL诊断,记录和风险因素管理的重要性.
- 弥合指南建议和RCL管理的私人实践实施之间的差距至关重要.
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