目的:正确识别和处理牙釉质发育缺陷(DDE)对于提供最佳治疗至关重要。本调查旨在调查意大利牙医对DDE的了解,他们识别不同临床图片的能力,并选择最合适的临床方法。
方法:根据包括27个封闭式问题的问卷计划进行横断面调查,并提出了4张临床图片,磨牙切牙入矿不足(MIH),釉质发育不全(AI),氟斑牙(DF),和初始龋齿病变(ICL)。通过意大利医生和牙医联合会通过电子邮件分发给所有意大利牙医(N=63,883)。离散变量表示为绝对和相对频率(%)。多变量分析评估了社会人口统计学变量是否与答案的真实性相关。
结果:纳入并分析了大约5017份问卷。尽管90.19%的样本表示他们收到了关于DDE的信息,相当比例的人没有识别MIH(36.36%),人工智能(48.34%),DF(71.50%),和ICL(46.62%)。只有57.07%正确地将牙釉质矿化不足归类为定性缺陷,甚至更少,54.45%,将釉质发育不全归类为定量缺陷。根据Logistic回归,女性牙医,主要治疗儿童并获得有关DDE信息的牙医,更有可能识别4张临床图片(P<0.01)。
结论:意大利牙医在DDE方面表现出许多需要填补的知识空白;那些接受过正规培训的人更有能力正确识别缺陷,并且更有可能为缺陷制定适当的管理方法。
结论:增加关于诊断和管理DDE的大学课程和继续教育似乎可以填补DDE的知识空白。
OBJECTIVE: Correct identification and management of Developmental Defects of Enamel (DDEs) are essential to provide the best possible treatment. The present survey aims to investigate Italian dentists\' knowledge of DDEs, their ability to recognise the different clinical pictures, and to choose the most appropriate clinical approach.
METHODS: A cross-sectional survey was planned based on a questionnaire including 27 closed-ended questions, and that proposed 4 clinical pictures, molar incisor hypomineralisation (MIH), amelogenesis imperfecta (AI), dental fluorosis (DF), and an initial caries lesion (ICL). It was distributed by e-mail to all Italian dentists (N = 63,883) through the Italian Federation of Doctors and Dentists. Discrete variables were expressed as absolute and relative frequencies (%). A multivariate analysis assessed whether socio-demographic variables correlated with the answers\' truthfulness.
RESULTS: About 5017 questionnaires were included and analysed. Although 90.19% of the sample stated that they had received information on DDEs, a significant percentage did not recognise MIH (36.36%), AI (48.34%), DF (71.50%), and ICL (46.62%). Only 57.07% correctly classified enamel hypomineralisation as a qualitative defect, and even fewer, 54.45%, classified enamel hypoplasia as a quantitative defect. According to the logistic regressions, female dentists, dentists who treat mainly children and received information about DDEs, were more likely to recognise the 4 clinical pictures (P < .01).
CONCLUSIONS: Italian dentists showed many knowledge gaps on DDEs that need to be filled; those who received formal training were more capable of correctly identifying the defects and were more likely to prescribe an appropriate management approach for the defects.
CONCLUSIONS: Increasing university courses and continuing education on diagnosing and managing DDEs seems reasonable to fill the knowledge gap on DDEs.