Simmons H Clifton, Kilpatrick Steven R
Department of Dentistry, Vanderbilt University School of Medicine, USA.
Cranio. 2004 Jan;22(1):72-6. doi: 10.1179/crn.2004.009.
In an effort to explore whether a specialty for craniofacial pain is warranted, the American Academy of Craniofacial Pain (AACP) commissioned an opinion survey of dentists. The survey population (N=4000) was stratified by specialty, so that dentists in affected areas would be adequately represented: 500 orthodontists and dentofacial orthopedists, 500 oral and maxillofacial surgeons, 500 periodontists, 500 prosthodontists, and 2,000 general practitioners. A total of 930 dentists responded for a 23.2% response rate. The survey had multiple purposes: 1. to measure the percentage of craniofacial pain patients perceived in dental patient populations; 2. to determine whether each dentist prefers to treat the disorder or; 3. prefers to refer craniofacial pain patients to clinicians specializing in the disorder; and 4. whether dentists favor/oppose the formation of a craniofacial pain specialty. The respondents' perception of the prevalence of craniofacial pain among their patients was 13.9%. A majority of the responding dentists, 54.7%, are in favor of a craniofacial pain specialty. Overall, 65% of dentists treat craniofacial pain patients, although more than half, 55%, of all dentists also refer such patients. Even 43.6% of dentists who regularly treat craniofacial pain favor a specialty, while 76% of those who do not treat such patients favor the specialty. The data presented here advocate development of a dental specialty in craniofacial pain.
为了探究颅面疼痛专科是否有必要设立,美国颅面疼痛学会(AACP)委托开展了一项针对牙医的意见调查。调查对象(N = 4000)按专业进行了分层,以便受影响领域的牙医能得到充分代表:500名正畸医生和牙颌面正畸医生、500名口腔颌面外科医生、500名牙周病医生、500名修复医生以及2000名全科医生。共有930名牙医回复,回复率为23.2%。该调查有多个目的:1. 测量牙科患者群体中颅面疼痛患者的比例;2. 确定每位牙医是更倾向于治疗该疾病,还是更倾向于将颅面疼痛患者转诊给该疾病的专科临床医生;4. 牙医是否支持/反对设立颅面疼痛专科。回复者认为其患者中颅面疼痛的患病率为13.9%。大多数回复的牙医(54.7%)支持设立颅面疼痛专科。总体而言,65%的牙医治疗颅面疼痛患者,不过所有牙医中超过一半(55%)也会转诊此类患者。甚至在经常治疗颅面疼痛的牙医中,也有43.6%支持设立专科,而在不治疗此类患者的牙医中,这一比例为76%。此处呈现的数据支持发展颅面疼痛牙科专科。