Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Türkiye'deki Çocuk Diş Hekimlerinin Süt Dişlerine Uygulanan Pulpa Tedavileri Hakkındaki Tutum ve Tedavi Uygulamaları: Çok Merkezli Bir Anket Çalışması
Attitudes and Treatment Practices of Pediatric Dentists in Turkey About Pulp Therapy in Deciduous Teeth: A Multicentric Survey Study
Başak KIZILTAN ELİAÇIKa, Banu Çiçek TEZa, Kürşad Nuri BAYDİLİb, Günseli GÜVEN POLATa
aSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, TÜRKİYE
bSağlık Bilimleri Üniversitesi Hamidiye Sağlık Hizmetleri Meslek Yüksekokulu, Yönetim ve Organizasyon Bölümü, Sağlık Kurumları İşletmeciliği Programı, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2022;28(1):86-96
doi: 10.5336/dentalsci.2021-82967
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, Türkiye'deki çocuk diş hekimlerinin süt dişi pulpa tedavi uygulamalarını ve bu tedaviye yönelik tutumlarını değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu kesitsel anket çalışması, Ocak 2020 ve Ekim 2020 tarihleri arasında gerçekleştirilmiştir. Veriler, yüz yüze görüşme tekniği ile kapalı uçlu, çoktan seçmeli bir anket kullanılarak toplanmıştır. Anketi doldurmayı kabul eden toplam 239 pediatrik diş hekimi çalışma kapsamına alınmıştır. Tanımlayıcı istatistikler yapılmasının ardından deneyim yılı, akademik durum ve anket maddeleri arasındaki ilişkiyi test etmek için ki-kare testi uygulanmıştır. Bulgular: Derin dentin çürüklü süt dişlerinin tedavisi sırasında pulpanın açılma olasılığı olduğunda en çok tercih edilen tedavi yönteminin pulpotomi olduğu saptanmış ve tüm vakalarda, pediatrik diş hekimlerinin sadece %21,8'inin tedavi yaparken 'rubber dam' kullandıkları belirlenmiştir. Katılımcıların %63,2'si, süt dişi pulpası üzerine kullanmayı tercih ettikleri materyalin kalsiyum hidroksit olduğunu belirtmişlerdir. Çocuk diş hekimlerinin %74,9'u enfekte dentini tamamen çıkarmayı tercih ederken, katılımcıların %51,9'u pulpa tedavisi sonrası dişin restorasyonu için kompozit dolgu yapmayı uygun bulmuşlardır. Diş hekimlerinin çoğu, 0-3 ay içinde radyolojik takip talep ettiklerini belirtmişlerdir. Sonuç: Çocuk diş hekimlerinin akademik durumu ve klinik deneyim süreleri, birkaç soruda pulpa tedavilerinin uygulamasını ve bu tedavilere yönelik tutumları etkilese de soruların çoğuna verilen ortak cevaplar, kurumsal farklılıklara rağmen ülke genelinde genel bir yaklaşım olduğunu göstermektedir.

Anahtar Kelimeler: Diş, geçici; diş pulpa kaplaması; pulpektomi; pulpotomi; tutum; uygulama paternleri, çocuk dişhekimleri
ABSTRACT
 Objective: This study aimed to assess the practice of, and attitudes toward, pulp therapy in deciduous dentition among pediatric dentists in Turkey. Material and Methods: This cross-sectional survey study was conducted from October to December 2020. Data was collected using a closed-ended, multiple-choice questionnaire by faceto-face interview technique. A total of 239 pediatric dentists who accepted to fill out the questionnaire were included in the study. Descriptive statistics were done, followed by chi-square test to test the association between years of experience, academic status, and the questionnaire items. Results: Data revealed that pulpotomy is the most preferred method when treating a deep decay in the deciduous tooth with the possibility of pulp exposure and only 21.8% of pediatric dentists performed their treatment using a rubber dam in all cases. Of the respondents, 63.2% preferred calcium hydroxide as the material to be used on primary tooth pulp. 74.9% of the pediatric dentists prefer to remove infected dentine completely and 51.9% of the participants selected composite fillings to place after pulp therapy in the primary tooth. Most dentists stated requested immediate and 3-month follow-up with radiological. Conclusion: Although academic status and years of clinical experience among pediatric dentists affect the practice of and attitudes toward pulp therapies in a few questions, the common answers given to most of the questions show that despite the institutional differences, there is a general approach across the country.

Keywords: Tooth, deciduous; dental pulp capping; pulpectomy; pulpotomy; attitude; practice patterns, pediatric dentists
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