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

这项研究提出了对腐蚀性牙齿的诊断、临床处理和认知的特征。 在牙科专业人员中使用ETW，其次是利用牙科患者对ETW的看法来 更准确地定位对牙科保健的影响。ETW指的是牙齿结构的不可逆转的损失， 以牙齿酸蚀为主要致病因素。 世界各地的牙科专业人员认为ETW的临床重要性与低水平形成鲜明对比 ETW在美国牙医中的突出表现。流行病学数据表明，ETW在美国可能是一种非常 常见的问题，随着年龄的增长而恶化；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的知识稀少，很大程度上仅限于对ETW的实验室评估 机械学和一些流行病学估计。ETW和ITS之间缺乏准确的连接 致病因素/风险因素(S)，以及牙科专业人员和患者对感知的有限知识，是 科学和专业文献中的根本差距。我们假设ETW是一种被低估的疾病，因为美国牙医对其外观、风险因素、 和管理。为了检验这一假设并刻画相关现象，我们提出了一个三阶段模型 接近。UG3阶段的具体目标(SA)是： SA 1.完善调查和临床数据收集方法和工具，并为实施做好准备。 这一目标直接建立在我们可观的试点数据基础上。 SA 2.集合战略、确定目标人群、设计参与者联系方式并制定战略 通过受赠者与NDPBRN区域和协调中心合作伙伴的协作收集数据。 UH3阶段的具体目标将安排实施研究的三个阶段，以： SA 3(阶段1)。建立检测阈值并表征NDPBRN样本中ETW的感知 从业者。调查管理将通过一个网络平台，提供牙齿状况的对比 确定从业者是否检测到ETW，如果检测到，他们将ETW区分为病理性的严重程度。 SA 4(阶段2)。确定牙科患者年龄的ETW的患病率、严重性、危险因素和关键指标 18-35、36-55和56-70通过临床检查，在NDPBRN牙科诊所的样本中。 SA 5(阶段3)。确定在第二阶段检查的患者对ETW的看法。一个类似于 在阶段1中使用的一个将在阶段3中使用，以适应患者的评估和看法。 这项调查建议确定各种ETW风险因素的作用，并衡量人们对 NDPBRN的从业者和患者的ETW。这样的基础将导致制定可行的战略，以 提高认识，支持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.