儿童牙科的牙科决策:在德国的牙医中采用基于病例的横截面问卷
Bakr A Rashid1, Ahmad Al Masri1,2, Christian H Splieth1
1Department of Pediatric Dentistry, University Medicine Greifswald, Walther-Rathenau Str. 42a, 17475 Greifswald, Germany.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
儿科牙医是儿童的牙医.
科学领域:
- 儿科牙科 儿科牙科
- 基于证据的牙科.
- 牙科公共卫生 牙科公共卫生
背景情况:
- 最近的指导方针提倡对儿科牙损伤进行最小或非侵入性治疗.
- 目标是保持牙活力,减少对牙科全身麻醉的需要.
研究的目的:
- 为了调查德国儿科牙医对初级牙损的治疗建议.
- 分析患者的疼痛和合作等因素如何影响治疗选择.
主要方法:
- 一份包含5个临床病例和20个场景 (不同疼痛和合作) 的问卷分发给儿科牙医.
- 治疗选择范围从观察到通过镇静提取.
- 根据指导方针和证据,响应被分类为推,可接受或不推.
主要成果:
- 222名牙医回答了;55.2%的选择是"推的",16.4%是"可接受的"和28.4%是"不推的".
- 疼痛和低合作率导致了更具侵入性的选择,而不那么严重的场景有更高的"不推"选择率.
- 牙医的年龄,经验和教育与"不推"的选择没有相关性.
结论:
- 儿童的疼痛和合作显著影响治疗决策,可能导致在不那么严重的情况下过度治疗.
- 在儿童牙损伤的治疗建议中,从业者之间仍然存在显著的差异.
- 目前的做法可能与基于证据的最小干预策略不完全一致.
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