为什么牙医在根管填充的牙中持续无症状的尾牙周炎的情况下不进行干预? 一项针对普通牙医的采访研究
Maria Granevik Lindström1,2, Helena Fransson1, Victoria S Dawson1
1Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
International endodontic journal
|October 23, 2024
概括
由于复杂的临床因素,一般牙医经常避免在无症状的牙周炎中进行根管再处理或提取. 决策平衡患者的需求,风险,成本和从业者的信心,受到个人和情感考虑的影响.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 临床决策 - 临床决策
背景情况:
- 根管填充牙的持久无症状上牙周炎 (PAAP) 是一个临床挑战.
- 一般牙医 (GDPs) 面临着关于进一步治疗的决定,包括重新处理或提取.
研究的目的:
- 探索GDPs避免使用PAAP进一步治疗根管填充牙的决策背景.
- 了解影响再处理或提取之间的选择因素.
主要方法:
- 对15个战略性选择的国内生产总值进行深入访谈的定性内容分析.
- 对最近三个患者病例的分析,其中GDPs决定不继续治疗PAAP.
主要成果:
- 信心和不确定性的范围影响了避免接受治疗的决定.
- 克制的动机包括患者的自主权,风险,成本效益,情感方面以及从业者的便利性.
- 确定的主题是"在复杂的临床环境中,怀疑与确定之间".
结论:
- 避免进一步治疗的决定涉及一定程度的信心和补偿策略.
- 考虑的因素包括患者的好处,资源限制,个人偏好,方便,担忧,野心和情绪.
- 在管理PAAP时,GDP整合了各种临床,个人和情感因素.
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