Decision Making on Caries Management in Children and Adolescents Among Thai Dentists

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2025-01-31 DOI:10.1111/ipd.13297

Kanyanan Ramayasinpong, Siriruk Nakornchai, Varangkanar Jirarattanasopha

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Abstract

Background

The International Caries Classification and Management System (ICCMS) advocates for nonsurgical approaches in early carious lesions and minimally invasive restorations in advanced cases.

Aim

This study investigated Thai dentists' adherence to ICCMS guidelines for managing caries in children and adolescents and explored factors influencing their decisions.

Design

A web-based questionnaire collected demographic information and routine treatment preferences for various stages of carious lesions from participants. Descriptive statistics and regression analyses were employed to examine relationships between management strategies and demographics.

Results

A total of 442 dentists participated. Their agreement with ICCMS guidelines for occlusal caries ICDAS 2, 3, and 4 in primary dentition was 39.6%, 53.9%, and 42.5%, respectively, and in permanent dentition was 34.4%, 46.8%, and 39.6%, respectively. The agreement rate with ICCMS guidelines for approximal caries RA1, RA2, RA3, and RB4 in primary dentition was 69.6%, 78.0%, 12.4%, and 99.5%, respectively, and in permanent dentition was 70.8%, 68.3%, 19.0%, and 97.7%, respectively. Factors associated with restorative treatment decisions included years since graduation, postgraduate education, and practice type.

Conclusions

Participants did not comply well with ICCMS recommendations for occlusal caries, some employed destructive techniques instead of noninvasive approaches. However, most participants followed ICCMS guidelines for approximal caries, except for RA3 stage.

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泰国牙医对儿童和青少年龋齿管理的决策。

背景：国际龋齿分类与管理系统（ICCMS）提倡对早期龋齿病变进行非手术治疗，对晚期病例进行微创修复。目的：本研究调查了泰国牙医对ICCMS儿童和青少年龋齿管理指南的遵守情况，并探讨了影响他们决策的因素。设计：一份基于网络的调查问卷收集了参与者的人口统计信息和不同阶段龋齿病变的常规治疗偏好。采用描述性统计和回归分析来检验管理策略与人口统计学之间的关系。结果：共有442名牙医参与。与ICCMS牙合龋指南ICDAS 2、3、4的符合率分别为39.6%、53.9%和42.5%，与恒牙合龋指南ICCMS的符合率分别为34.4%、46.8%和39.6%。初生牙列RA1、RA2、RA3和RB4近似龋的符合率分别为69.6%、78.0%、12.4%和99.5%，恒牙列RA1、RA2、RA3和RB4近似龋的符合率分别为70.8%、68.3%、19.0%和97.7%。与恢复性治疗决定相关的因素包括毕业年限、研究生教育和实践类型。结论：参与者没有很好地遵守ICCMS对牙合龋的建议，一些人采用破坏性技术而不是非侵入性方法。然而，除了RA3期外，大多数参与者都遵循ICCMS关于近似龋病的指南。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.