Türkiye’deki Çocuk Diş Hekimlerinin Dental Radyografi Bilgi ve Tutumlarının Değerlendirilmesi

Amaç: Bu çalışmanın amacı, çevrimiçi uygulanan bir anket aracılığıyla çocuk diş hekimlerinin dental radyografi kullanımına ilişkin bilgi düzeylerini ve davranışlarını değerlendirmektir. Gereç ve Yöntem: Çalışmada Avrupa Çocuk Diş Hekimliği Akademisi’nin 2020 yılında radyografi kullanımı ile alakalı yayınlamış olduğu güncel yönergelerine göre hazırlanmış olan, toplam 17 sorudan ve 2 temel bölümden oluşan bir veri toplama formu kullanılmıştır. Formun ilk bölümü (beş soru) katılımcıların sosyodemografik özelliklerini değerlendirmeye yönelik hazırlanmış olup, formun 2. bölümü ise (on iki soru) katılımcıların çocuk diş hekimliğinde radyografi kullanımı ile alakalı bilgi seviyelerinin ve davranışlarının değerlendirilmesine yöneliktir. Verilerin analizinde tanımlayıcı istatistikler, ortalama değerler, frekanslar ve oranlar hesaplanmıştır. Kategorik değişkenler arasındaki ilişkiyi belirlemek için ise ki-kare testi kullanılmıştır. Bulgular: Çalışmaya katılan 131 çocuk diş hekiminden (ortalama yaş 32.2) %71.8’i üniversite hastanesinde, %25.2’si özel klinikte ve %3’ü kamu hastanesinde çalışmakta idi. Yönerge önerisine uygun olarak, diş hekimlerinin %40.5’i diş çürüğü tespiti ve teşhisi için ilk tercih olarak bite-wing radyografi, %77’si ise dental travma için ilk tercih olarak periapikal radyografi tercih ettiklerini belirtti. Sonuç: Türkiye'deki çocuk diş hekimleri çoğu klinik durum için genellikle en uygun radyografik tekniği seçse de; daha kesin tanı ve tedavi planlaması ve radyasyondan korunma için bilgi düzeylerinin artırılması gerekmektedir.

Evaluation of Pediatric Dentists' Dental Radiography Knowledge and Attitudes in Türkiye

Aim: The aim of this study is to evaluate the knowledge levels and attitudes of pediatric dentists regarding the use of dental radiography through an online survey. Materials and Method: A data collection form consisting of a total of 17 questions and 2 basic parts, which was prepared in accordance with the current guidelines of the European Academy of Pediatric Dentistry regarding the use of radiography in 2020, was used. The first part of the form was prepared to evaluate the sociodemographic characteristics of the participants and the second part of the form was for the evaluation of the participants’ level of knowledge about the use of radiography in pediatric dentistry. In the analysis of the data, descriptive statistics, mean values, frequencies and proportions were calculated. The chisquare test was used to determine the association between categorical variables. Results: 131 pediatric dentists participated in the study. In accordance with the Guideline recommendation, 40.5% of dentists stated that they preferred bite-wing radiographs as the first choice for the detection and diagnosis of dental caries and 77% stated that they preferred periapical radiographs as the first choice for dental trauma. Conclusion: Even though pediatric dentists in Türkiye usually choose the most appropriate radiographic technique for most clinical situations; knowledge levels need to be increased for more precise diagnosis and treatment planning and radiation protection.

___

  • 1. Ramakrishnan M, Sarbeen I. Recent Advances in Dental Radiography for Pediatric Patients: An Unstructured Review. Drug Invent 2018;10:3502-7.
  • 2. Aps J. Radiography In Pediatric Dental Practice Clin Dent Rev 2020;4:1-16.
  • 3. Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best Clinical Practice Guidance for Prescribing Dental Radiographs in Children and Adolescents: An EAPD Policy Document. Eur Arch Paediatr Dent 2020;21:375-86.
  • 4. Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B. Cone-Beam CT in Paediatric Dentistry: Dimitra Project Position Statement. Pediatr Radiol 2018;48:308-16.
  • 5. White SC, Scarfe WC, Schulze RK, Lurie AG, Douglass JM, Farman AG, et al. The Image Gently in Dentistry Campaign: Promotion of Responsible Use of Maxillofacial Radiology in Dentistry for Children. Oral Surg Oral Med Oral Pathol Oral Radiol 2014;118:257-61.
  • 6. Dentistry AAOP. Prescribing Dental Radiographs for Infants, Children, Adolescents, and Individuals with Special Health Care Needs. The Reference Manual of Pediatric Dentistry. Chicago, III.: AAPD 2021;258:261.
  • 7. Giray FE, Peker S, Yalcinkaya SE, Kargul B, Aps J. Attitudes and Knowledge of Paediatric Dentists' on Digital Radiography and Cone Beam Computed Tomography. J Pak Med Assoc 2019;69:205-10.
  • 8. Mandinić Z, Prokić A, Mandić J, Blagojević D, Kanjevac T, Stojković B, et al. Evaluation of Dentists' Knowledge About the Use of Radiology in Pediatric Dentistry in Serbia. Vojnosanitetski Pregled 2021;78:851-7.
  • 9. Clark H, Curzon M. A Prospective Comparison Between Findings from a Clinical Examination and Results of Bitewing and Panoramic Radiographs for Dental Caries Diagnosis in Children. Eur J Paediatr Dent 2004;5:203-9.
  • 10. Pontes LR, Novaes TF, Lara JS, Gimenez T, Moro BLP, Camargo LB, et al. Impact of Visual Inspection and Radiographs for Caries Detection in Children Through A 2-Year Randomized Clinical Trial: The Caries Detection In Children–1 Study. JADA 2020;151:407-15.
  • 11. White SC, Heslop EW, Hollender LG, Mosier KM, Ruprecht A, Shrout MK. Parameters of Radiologic Care: An Official Report of The American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:498-511.
  • 12. İsmail AI, Pitts NB, Tellez M. The International Caries Classification and Management System (Iccms™) An Example of a Caries Management Pathway. Paper Presented At: BMC Oral Health 2015;15:1-13.
  • 13. Martignon S, Pitts NB, Goffin G, Mazevet M, Douglas GVA, Newton JT, et al. Cariescare Practice Guide: Consensus on Evidence Into Practice. Br Dent J 2019;227:353-62.
  • 14. Horner K, Rushton V, Tsiklakis K, et al. European Guidelines on Radiation Protection in Dental Radiology; The Safe Use of Radiographs in Dental Practice. European Commission, Directorate-General for Energy and Transport. Radiation Protection 2015:1-120.
  • 15. Van Gorp G, Lambrechts M, Jacobs R, Declerck D. Does Clinical Experience with Dental Traumatology Impact 2d And 3d Radiodiagnostic Performance in Paediatric Dentists? An Exploratory Study BMC Oral Health 2022;22:1-10.
  • 16. Diangelis AJ, Andreasen JO, Ebeleseder KA, Et al. International Association of Dental Traumatology Guidelines for The Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth. Dent Traumatol 2012;28:2-12.
  • 17. Van Gorp G, Lambrechts M, Jacobs R, Declerck D. Paediatric Dentist’s Ability To Detect And Diagnose Dental Trauma Using 2d Versus 3d Imaging. Eur Arch Pediatr Dent 2021;22:699-705.
  • 18. Capar ID, Ertas H, Arslan H, Ertas ET. A Retrospective Comparative Study of Cone-Beam Computed Tomography Versus Rendered Panoramic Images in Identifying The Presence, Types, and Characteristics of Dens Invaginatus in A Turkish Population. J Endod 2015;41:473-8.
  • 19. Pallikaraki G, Sifakakis I, Gizani S, Makou M, Mitsea A. Developmental Dental Anomalies Assessed by Panoramic Radiographs in A Greek Orthodontic Population Sample. Eur Arch Paediatr Dent 2020;21:223-8.
  • 20. Sharma H, Dahiya P, Gupta R, Kumar M, Melwani Sr, Kachroo L. Comparison of Conventional and Digital Radiographic Techniques for The Assessment of Alveolar Bone in Periodontal Disease. Indian J Dent Sci 2019;11:138-42.
  • 21. Clerehugh V, Tugnait A. Diagnosis and Management of Periodontal Diseases in Children and Adolescents. Periodontol 2000 2001;26:146-68.
  • 22. Tugnait A, Carmichael F. Use of Radiographs in The Diagnosis of Periodontal Disease. Dent Update 2005;32:536-42.
  • 23. Collin M, Hagelberg S, Ernberg M, Hedenberg‐Magnusson B, Christidis N. Temporomandibular Joint Involvement in Children with Juvenile Idiopathic Arthritis—Symptoms, Clinical Signs And Radiographic Findings. J Oral Rehabil 2022;49:37-46.
  • 24. Orhan AI, Cesur E, Bezgin T, Orhan K. Knowledge and Attitudes of Paediatric Dentists in Turkey Regarding Cone Beam Computed Tomography (CBCT). Cumhuriyet Dental Journal 2021;24:206-15.
  • 25. Temur KT, Soğukpınar A, Hatipoğlu Ö. The Approaches of Turkish Pediatric Dentists to The Use of Cone Beam Computed Tomography. J Dent Fac Ataturk Univ 2020;30:406-11.
  • 26. Mizban L, El-Belihy M, Vaidyanathan M, Brown J. An Audit And Service Evaluation of The Use of Cone Beam Computed Tomography (CBCT) In A Paediatric Dentistry Department. Dentomaxillofac Radiol 2019;48:20180393.
ADO Klinik Bilimler Dergisi-Cover
  • ISSN: 1307-3540
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2006
  • Yayıncı: Ankara Diş Hekimleri Odası