Erosive Tooth Wear Perception Among Network Dentists and Patients, and Experience Among Network Patients

本研究提出了特征化的诊断，临床管理，以及对糜烂性牙齿的看法 其次，使用牙科患者对ETW的看法， 更准确地解释了对牙齿护理的影响。ETW是指牙齿结构的不可逆转的丧失， 以牙齿腐蚀为主要病因的。 全世界牙科专业人员认为ETW的临床重要性与低水平的 流行病学数据表明，在美国，ETW可能是一个非常重要的因素， 随着年龄的增长而出现的常见问题;然而，牙科专业人员和 患者似乎与ETW的已知流行病学和临床影响不匹配。 关于ETW的知识的稀疏体主要限于ETW的实验室评估 力学和一些流行病学估计。ETW和其之间缺乏准确的联系 病因/风险因素，以及牙科专业人员和患者对感知的有限了解， 科学和专业文献中的根本空白。我们假设ETW是一种被低估的疾病，因为美国牙科医生对其外观，风险因素， 和管理为了检验假设并描述相关现象，我们提出了一个三阶段的 approach. UG 3阶段的具体目标是： SA 1.完善调查和临床数据收集方法和工具，并使其准备实施。 这一目标直接建立在我们大量试点数据的基础上。 SA 2.制定策略，确定目标人群，设计参与者联系方式，并制定策略 通过受赠者与NDPBRN区域和协调中心合作伙伴的合作收集数据。 UH 3阶段的具体目标将对研究的三个阶段的实施进行组织，以： SA 3（阶段1）。在NDPBRN样本中建立检测阈值并描述对ETW的感知 从业者调查管理将通过网络平台进行，提供牙齿状况的对比， 确定从业人员是否检测到ETW，如果是，他们将ETW区分为病理性的严重程度。 SA 4（阶段2）。确定年龄段牙科患者ETW的患病率、严重程度、风险因素和关键指标 18-35、36-55和56-70中所示的方法。 SA 5（阶段3）。确定第2阶段检查患者的ETW感知。一个类似于 第一阶段使用的方法将用于第三阶段，以适应患者的评估和感知。 这项调查建议建立各种ETW风险因素的作用，并衡量对 NDPBRN中从业者和患者的ETW。这样的基础将导致可行的战略， 提高认识，支持对ETW的准确诊断和适当管理。

This research proposes to characterize diagnostics, clinical management, and perceptions about erosive tooth wear (ETW) among dental professionals and, secondarily, to use perceptions of ETW among dental patients to more accurately situate implications for dental care. ETW refers to the irreversible loss of tooth structure, having dental erosion as the primary etiological factor. The clinical importance ascribed to ETW by dental professionals worldwide contrasts sharply with the low salience of ETW among dentists in the U.S. Epidemiological data indicate that ETW in the U.S. may be a very common problem that worsens with older age; however, perceptions of ETW by dental professionals and by patients appear to be mismatched with the known epidemiological and clinical impacts of ETW. The sparse body of knowledge available on ETW has largely been limited to laboratory evaluations of ETW mechanics and some epidemiological estimates. Lack of accurate connections between ETW and its causative/risk factor(s), and limited knowledge about perceptions by dental professionals and patients, are fundamental gaps in the scientific and professional literature. We hypothesize that ETW is an under-appreciated condition due to limited awareness of U.S. dental practitioners about its appearance, risk factors, and management. To test the hypothesis and characterize the relevant phenomena, we propose a three-stage approach. The Specific Aims (SAs) of the UG3 phase are: SA 1. Refine survey and clinical data collection methods and tools, and render them ready for implementation. This aim builds directly on our considerable pilot data. SA 2. Assemble strategies, identify target populations, design means for participant contact, and strategize data collection through collaboration of grantees with NDPBRN regions and Coordinating Center partners. The Specific Aims of the UH3 phase will structure the implementation of the three stages of the research to: SA 3 (Stage 1). Establish detection thresholds and characterize perceptions of ETW in a sample of NDPBRN practitioners. Survey administration will be through a web platform, offering contrasts of dental conditions to ascertain if practitioners detect ETW and, if so, at what level of severity they distinguish ETW as pathological. SA 4 (Stage 2). Determine prevalence, severity, risk factors, and key indicators of ETW in dental patients ages 18-35, 36-55, and 56-70 via clinical examination, in a sample of NDPBRN dental offices. SA 5 (Stage 3). Determine ETW perceptions by patients examined in Stage 2. A web platform similar to the one used in Stage 1 will be employed in Stage 3, adapted to patient evaluations and perceptions. This investigation proposes to establish the role of various ETW risk factors and to measure the perceptions of ETW in both practitioners and patients in the NDPBRN. Such foundation will lead to actionable strategies to raise awareness and support the accurate diagnosis and appropriate management of ETW.