Berndt Jeff, Leone Paola, King Gregory
Yakima Valley Farm Workers Clinic, Toppenish, Washington, USA.
Am J Orthod Dentofacial Orthop. 2008 Nov;134(5):700-6. doi: 10.1016/j.ajodo.2007.12.023.
Socially disadvantaged children have limited access to orthodontic services. We examined the feasibility of a general dental practitioner providing interceptive orthodontic services to disadvantaged children with real-time supervision from an orthodontist using teledentistry.
Pretreatment and posttreatment orthodontic study models of 30 children treated by a general dentist using teledentistry and 96 children treated by orthodontic residents directly supervised by orthodontic faculty were scored with the peer assessment rating (PAR) index.
Both groups had significant improvements in PAR scores: 35.6% in the teledentistry group and 44.1% in the direct supervision group (P <0.001). There were no significant differences between the groups before treatment or after interceptive orthodontic treatment.
The results of this study suggest that interceptive orthodontic treatments provided by sufficiently prepared general dentists and supervised remotely by orthodontic specialists through teledentistry are a viable approach to reducing the severity of malocclusions in disadvantaged children when referral to an orthodontist is not feasible.
社会经济地位不利的儿童获得正畸服务的机会有限。我们研究了在正畸医生通过远程牙科进行实时监督的情况下，普通牙科医生为处境不利的儿童提供阻断性正畸服务的可行性。
使用同伴评估等级（PAR）指数对30名由普通牙医通过远程牙科治疗的儿童以及96名由正畸科教员直接监督的正畸住院医师治疗的儿童的治疗前和治疗后的正畸研究模型进行评分。
两组的PAR评分均有显著改善：远程牙科组为35.6%，直接监督组为44.1%（P<0.001）。治疗前或阻断性正畸治疗后两组之间无显著差异。
本研究结果表明，当转诊至正畸医生不可行时，由准备充分的普通牙医提供并由正畸专家通过远程牙科进行远程监督的阻断性正畸治疗是降低处境不利儿童错牙合畸形严重程度的一种可行方法。
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