Meade Maurice J, Millett Declan T
Cork University Dental School and Hospital Wilton Cork.
J Ir Dent Assoc. 2013 Oct-Nov;59(5):246-51.
The aim of this audit was to evaluate orthodontic treatment eligibility among new patients referred for assessment from primary dental care clinics in the Health Service Executive (HSE) South region to a HSE orthodontic referral centre.
A data collection form was designed and applied prospectively to consecutive new patient referrals who attended diagnostic clinics at the Orthodontic Unit, Cork University Dental School and Hospital, between October 2011 and February 2012. Orthodontic treatment eligibility was based on guidelines introduced by the HSE in 2007.
Data on 291 patients (147 males and 144 females) with a mean age of 11.6 years (SD +/- 2.4 years; range 8-19 years) were evaluated. Of the 83 (29%) patients eligible for orthodontic treatment under the guidelines, the most commonly diagnosed malocclusion traits were a crossbite with greater than 2 mm discrepancy between retruded contact position and intercuspal position (24 patients), followed by an overjet greater than 9 mm (21 patients).
A total of 29% of new patient referrals were deemed eligible for orthodontic treatment under HSE eligibility guidelines introduced in 2007. Reduction of new patient referrals not eligible for treatment, under these guidelines, is required to enable more efficient use of resources.
本次审核的目的是评估从卫生服务局（HSE）南区的初级牙科保健诊所转诊至HSE正畸转诊中心进行评估的新患者的正畸治疗适宜性。
设计了一份数据收集表，并前瞻性地应用于2011年10月至2012年2月期间在科克大学牙科学院和医院正畸科诊断诊所就诊的连续新患者转诊病例。正畸治疗适宜性依据HSE在2007年引入的指南确定。
对291例患者（147例男性和144例女性）的数据进行了评估，这些患者的平均年龄为11.6岁（标准差±2.4岁；范围8 - 19岁）。在符合指南正畸治疗条件的83例（29%）患者中，最常见的错颌特征是后退接触位与牙尖交错位之间差异大于2mm的反牙合（24例患者），其次是覆盖大于9mm（21例患者）。
根据2007年引入的HSE适宜性指南，共有29%的新患者转诊病例被认为适合正畸治疗。为了更有效地利用资源，需要减少在这些指南下不符合治疗条件的新患者转诊病例。
