This cross-sectional questionnaire study assessed reported use of selective caries removal when treating deep caries in asymptomatic and symptomatic teeth in response to clinical case scenarios. Statistical methods included the proportion of respondents concordant with ICCC guidelines at various thresholds and logistic regression to model factors associated with concordance.
A total of 500 dentists responded. The study sample was 57% male, mean (SD) age was 50.9 (12.6) years, and 60% worked in private practice settings. Higher levels of concordance for choosing selective caries removal 50% or greater of the time were found for asymptomatic (62.4%; 95% CI, 57.6 to 67.2) than for symptomatic caries (49.3%; 95% CI, 44.4 to 54.2). These differences were significantly associated with type of practice setting.
The National Dental Practice-Based Research Network dentists reported using selective caries removal strategies when managing deep carious lesions more often than in previous US and Japanese practice-based research network studies and from results of a systematic review and meta-analysis. Nonetheless, substantive discordance with the ICCC guidelines was seen by the authors of this study.
More dissemination and continuing education activities, as well as implementation studies, may further encourage use of selective caries removal to soft or firm dentin when indicated.
这项横断面问卷调查研究评估了在无症状和有症状的牙齿中治疗深龋时选择性龋齿去除的使用,以应对临床病例。
共有500名牙医做出了回应。
国家牙科实践为基础的研究网络牙医报告说,与以前的美国和日本实践为基础的研究网络研究相比,在管理深层龋齿病变时,使用选择性龋齿去除策略的频率更高,并且来自系统评价和荟萃分析的结果。
更多的传播和继续教育活动,