澳大利亚新南威尔士州牙医对孕期口腔保健的知识、态度和实践：一项横断面调查

Knowledge, attitude and practises of dentists towards oral health care during pregnancy: A cross sectional survey in New South Wales, Australia.

作者信息

George A, Ajwani S, Bhole S, Dahlen H G, Reath J, Korda A, Ng Chok H, Miranda C, Villarosa A, Johnson M

机构信息

Collaboration for Oral Health Outcomes, Research Translation and Evaluation (COHORTE) Research Group, Western Sydney University, South Western Sydney Local Health District, Ingham Institute Applied Medical Research, University of Sydney, Liverpool, New South Wales, Australia.

Sydney Local Health District Oral Health Services, Sydney Dental Hospital, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Aust Dent J. 2017 Sep;62(3):301-310. doi: 10.1111/adj.12505. Epub 2017 May 22.

DOI:10.1111/adj.12505

PMID:28188656

Abstract

BACKGROUND

Studies internationally show a lack of consensus among dentists regarding perinatal oral health yet no study in Australia has explored the perceptions of dentists in this area. This study aims to determine the knowledge, perceptions and practises of dentists in New South Wales (NSW), Australia, about perinatal oral health.

METHODS

An online survey was distributed to 1357 members of the Australian Dental Association (NSW) and 185 (13.4%) completed surveys were returned.

RESULTS

Most dentists (99%) stated that pregnant women should receive a dental check, yet only 20% agreed that there was a good understanding among health professionals on this topic. Dentists were aware of safe dental practises during pregnancy but had limited knowledge about the association between periodontal disease and birth outcomes. Dentists were more likely to advise pregnant women to delay dental visits when there was a perceived lack of knowledge of the risks involved (odds ratio, 2.157) or were concerned about providing treatment without consent from their general practitioner (odds ratio, 2.449). Most dentists (95.7%) stated that they wanted further information about dental care during pregnancy.

CONCLUSIONS

Findings suggest a need for continuing education for dentists and practise guidelines on perinatal oral health. Further research with a national sample is recommended to confirm these findings.

摘要

背景

国际研究表明，牙医们在围产期口腔健康问题上缺乏共识，但澳大利亚尚未有研究探讨牙医在这方面的看法。本研究旨在确定澳大利亚新南威尔士州（NSW）的牙医对围产期口腔健康的知识、看法和做法。

方法

向澳大利亚牙科协会（新南威尔士州）的1357名成员发放了在线调查问卷，共收回185份（13.4%）完成的调查问卷。

结果

大多数牙医（99%）表示孕妇应该接受牙科检查，但只有20%的人认为卫生专业人员对这个话题有充分的了解。牙医们了解孕期安全的牙科诊疗方法，但对牙周疾病与出生结局之间的关联了解有限。当认为对相关风险缺乏了解（比值比，2.157）或担心在未经全科医生同意的情况下进行治疗（比值比，2.449）时，牙医更有可能建议孕妇推迟牙科就诊。大多数牙医（95.7%）表示他们希望获得更多关于孕期口腔护理的信息。