Korduner Eva-Karin, Söderfeldt Björn, Bagewitz Ingrid Collin, Von Steyern Vult, Wolf Eva
Swed Dent J. 2016;40(1):1-11.
The aim was to study the cognizance of and attitudes towards the Shortened Dental Arch (SDA) concept among Swedish General Dental Practitioners (GDPs) and the application of the SDA concept in their treatment planning using Qualitative Content Analysis. Eleven Swedish GDPs were purposively selected and all agreed to participate. In-depth semi-structured interviews were conducted and covered treatment considerations concerning two patient cases and the participants' reflections regarding pre-formulated statements about the SDA concept. Qualitative content analysis was used to analyze this data.The emerging theme was "the SDA concept is irrelevant" in the sense of the GDPs disregarding treatments providing dentitions with loss of posterior teeth. There was a strong reluctance to extract teeth, without consideration of the SDA concept, and a firmly patient-focused attitude towards the needs, age and financial situation of the patients. Within the limitations of this study, Swedish GDPs show little or no cognizance of the SDA concept and it does not seem to be applied in their treatment planning. The results show that the qualitative methodology can be beneficial for further understanding of cognizance and attitudes towards the SDA concept.
目的是采用定性内容分析法，研究瑞典普通牙科医生（GDPs）对简化牙弓（SDA）概念的认知和态度，以及该概念在其治疗计划中的应用。有目的地选取了11名瑞典GDPs，他们均同意参与。进行了深入的半结构化访谈，内容涵盖对两个患者病例的治疗考量，以及参与者对关于SDA概念的预先拟定陈述的看法。采用定性内容分析法对这些数据进行分析。新出现的主题是“GDPs忽视了为牙列缺失后牙提供治疗的情况，认为SDA概念无关紧要”。在不考虑SDA概念的情况下，强烈不愿意拔牙，并且对患者的需求、年龄和经济状况持坚定的以患者为中心的态度。在本研究的局限性范围内，瑞典GDPs对SDA概念的认知很少或几乎没有，而且该概念似乎未应用于他们的治疗计划中。结果表明，定性方法有助于进一步理解对SDA概念的认知和态度。
