Sealants and dental caries Dentists' perspectives on evidence-based recommendations
Sealants and dental caries Dentists' perspectives on evidence-based recommendations
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DOI：
10.14219/jada.archive.2011.0324
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发表时间：
2011-09-01
影响因子：
3.9
通讯作者：
Ismail, Amid I.
中科院分区：
文献类型：
--
作者：
Tellez, Marisol;Gray, S. Lauren;Ismail, Amid I.
背景作者进行了一项研究，调查牙医对2010年美国牙科协会（ADA）建议封闭儿童和年轻人的非空洞性龋损（NCCL）的看法。作者向美国随机选择的2，400名普通牙医（GD）和儿科牙医（PD）邮寄了一份调查问卷。样本由ADA调查中心选择。调查问卷包括两张12岁儿童的NCCL（永久第一磨牙和前磨牙）照片。受访者获得了放射学检查结果，并被要求从几种管理方案中进行选择。结果。在没有龋齿的放射学证据的情况下，分别有37.4%和42.3%的GD和PD表示他们会将NCCL封闭在磨牙中。对于前磨牙，GD的百分比显著低于PD的百分比，表明它们会封闭NCCL。根据牙本质龋齿的放射学证据，不到4%的受访牙医表示他们会封闭NCCL，超过90%的人表示他们会去除龋齿并放置修复物。不到40%的牙医表示他们在实践中密封了NCCL。接受调查的美国牙医尚未采用关于NCCL密封的循证临床建议。实践意义。新的教育和传播计划，应制定有关这些循证龋齿管理方法。
Background. The authors conducted a study to survey the perspectives of dentists regarding the 2010 American Dental Association (ADA) recommendation to seal noncavitated carious lesions (NCCLs) in children and young adults.Methods. The authors mailed a questionnaire to a randomly selected sample of 2,400 general dentists (GDs) and pediatric dentists (PDs) in the United States. The sample was chosen by the ADA's Survey Center. The questionnaire included two photographs of NCCLs (permanent first molar and premolar) in a 12-year-old child. Respondents were provided with radiographic findings and asked to choose from several management options.Results. In the absence of radiographic evidence of caries, 37.4 percent and 42.3 percent of GDs and PDs, respectively, indicated that they would seal the NCCL in the molar. For the premolar, a significantly lower percentage of GDs than of PDs indicated that they would seal the NCCL. With radiographic evidence of caries in dentin, less than 4 percent of all dentists surveyed indicated that they would seal the NCCLs, and more than 90 percent indicated that they would remove the caries and place restorations. Less than 40 percent of dentists indicated that they sealed NCCLs in their practice.Conclusions. The U.S. dentists surveyed have not adopted evidence-based clinical recommendations regarding the sealing of NCCLs.Practice Implications. New educational and dissemination programs should be developed regarding these evidence-based caries management approaches.