Aggarwal Vishal R, Joughin Amy, Zakrzewska Joanna M, Crawford Fiona J, Tickle Martin
National Institute for Health Research (NIHR), Oral Health Unit, School of Dentistry, University of Manchester, Manchester, UK.
Prim Dent Care. 2011 Jan;18(1):41-4. doi: 10.1308/135576111794065838.
To explore the knowledge of chronic orofacial pain within general dental practitioners (GDPs) and dental specialists.
Following a recent national survey of GDPs and specialists on the diagnosis of facial pain, all those who responded were asked to answer four multiple-choice questions on chronic orofacial pain as part of a continuing professional development exercise. The questions were formulated using a review of the literature and consultation with a facial pain expert and were administered by post.
Of the 380 subjects who completed the original survey, 212 (56%) returned completed multiple-choice questionnaires. Specialists correctly answered significantly more questions than GDPs (P<0.001). The majority of specialists-49/83 (59%)-obtained a score of three or more, compared to 39/129 (30%) GDPs. This was due to variation in answering one question. Significantly more specialists--50 (60%)--correctly selected trigeminal neuralgia (TN) as a condition that is not associated with COFP, whereas only 41 (32%) GDPs chose this answer. Both specialists and GDPs grossly underestimated the prevalence of COFP in secondary care clinics.
The results suggest that specialists and GDPs may have sufficient knowledge to make an appropriate diagnosis of COFP, but they also highlight the knowledge gaps and perhaps the need for more extensive inclusion of COFP in the dental undergraduate curriculum.
探讨普通牙科医生（GDPs）和牙科专家对慢性口腔面部疼痛的了解情况。
在近期针对GDPs和专家进行的一项关于面部疼痛诊断的全国性调查之后，所有回复者都被要求回答四个关于慢性口腔面部疼痛的多项选择题，作为继续职业发展活动的一部分。这些问题是通过文献综述和与一位面部疼痛专家协商后制定的，并通过邮寄方式发放。
在完成最初调查的380名受试者中，有212名（56%）返回了完整的多项选择题问卷。专家正确回答的问题明显多于GDPs（P<0.001）。大多数专家——49/83（59%）——得分达到三分或更高，而GDPs中这一比例为39/129（30%）。这是由于对一个问题的回答存在差异。明显更多的专家——50名（60%）——正确地将三叉神经痛（TN）选为与慢性口腔面部疼痛（COFP）无关的病症，而只有41名（32%）GDPs选择了这个答案。专家和GDPs都严重低估了二级护理诊所中COFP的患病率。
结果表明，专家和GDPs可能具备做出COFP适当诊断的足够知识，但也凸显了知识差距，或许还表明牙科本科课程需要更广泛地纳入COFP相关内容。
