Management of compromised first permanent molars in children: Cross-Sectional analysis of attitudes of UK general dental practitioners and specialists in paediatric dentistry.
disturbances in dental development
growth and development
oral medicine/oral surgery
restorative dentistry/dental materials
Journal
International journal of paediatric dentistry
ISSN: 1365-263X
Titre abrégé: Int J Paediatr Dent
Pays: England
ID NLM: 9107511
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
23
11
2018
revised:
08
01
2019
accepted:
12
01
2019
pubmed:
19
1
2019
medline:
30
10
2019
entrez:
19
1
2019
Statut:
ppublish
Résumé
It is unclear on how children with compromised first permanent molars (cFPMs) are currently managed in the UK by either general dental practitioners (GDP) or specialists in paediatric dentistry (SPD). Explore the current attitudes to the management of compromised first permanent molars amongst UK general dental practitioners and specialists in paediatric dentistry. Self-completed online questionnaire including three clinical vignettes of 7, 9, and 15 years old with cFPM. All registered SPDs (n = 236), as of May 2017, 500 randomly selected GDPs from England, selected from a national performers list, and 52 Scottish GDPs, part of Scottish dental practice research network, were invited to complete the questionnaire. About 71.6% (n = 53) of SPDs agreed that children with cFPM should be referred to a paediatric specialist for treatment planning, whereas the reverse for GDPs is true, as 86.8% (n = 138) believe they have a responsibility to treat these teeth. Responses to clinical vignettes suggest a slight preference amongst GDPs to restore cFPM, including root canal treatment, whereas SPDs have a slight preference towards extraction. Current pathways for cFPM, amongst UK general dental practitioners and specialists in paediatric dentistry, vary greatly between and within each professional group.
Sections du résumé
BACKGROUND
BACKGROUND
It is unclear on how children with compromised first permanent molars (cFPMs) are currently managed in the UK by either general dental practitioners (GDP) or specialists in paediatric dentistry (SPD).
AIM
OBJECTIVE
Explore the current attitudes to the management of compromised first permanent molars amongst UK general dental practitioners and specialists in paediatric dentistry.
DESIGN
METHODS
Self-completed online questionnaire including three clinical vignettes of 7, 9, and 15 years old with cFPM. All registered SPDs (n = 236), as of May 2017, 500 randomly selected GDPs from England, selected from a national performers list, and 52 Scottish GDPs, part of Scottish dental practice research network, were invited to complete the questionnaire.
RESULTS
RESULTS
About 71.6% (n = 53) of SPDs agreed that children with cFPM should be referred to a paediatric specialist for treatment planning, whereas the reverse for GDPs is true, as 86.8% (n = 138) believe they have a responsibility to treat these teeth. Responses to clinical vignettes suggest a slight preference amongst GDPs to restore cFPM, including root canal treatment, whereas SPDs have a slight preference towards extraction.
CONCLUSION
CONCLUSIONS
Current pathways for cFPM, amongst UK general dental practitioners and specialists in paediatric dentistry, vary greatly between and within each professional group.
Types de publication
Journal Article
Langues
eng
Pagination
267-280Subventions
Organisme : Department of Health
ID : CS-2014-14-011
Pays : United Kingdom
Organisme : Department of Health
ID : NIHR300251
Pays : United Kingdom
Organisme : Centre for Oral Health Research, School of Dental Science, Newcastle University
Informations de copyright
© 2019 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.