Dave M, Horner K
University of Manchester, School of Dentistry, Manchester, UK.
Br Dent J. 2017 Mar 24;222(6):431-437. doi: 10.1038/sj.bdj.2017.264.
The aim of this study was to determine the common reasons why a dental professional might request a second opinion on a dental radiograph from a Dental and Maxillofacial (DMF) radiologist. The study was a retrospective analysis of consecutive referrals for an opinion received by post or email by one DMF radiologist based in a UK dental hospital. The study period was from March 2009 to November 2015. Referrals came from a mixture of sources: mainly from general dental practitioners and specialists working in primary care, but with some referrals from hospital-based practitioners. An enormous range in diagnoses were made by the DMF radiologist, but the ten most frequent diagnostic categories contributed 57.5% of the total. Normal anatomy and anatomical variations in normal anatomy made up the largest category. Common dental disease was often diagnosed, but idiopathic osteosclerosis and maxillary antrum pathosis were both frequent reasons for seeking a second opinion. This service evaluation may assist in developing curricula for undergraduates and in designing continuing education courses. It also highlights a service that may avoid unnecessary referrals to hospital specialists but which currently is not commissioned by the NHS.
本研究的目的是确定牙科专业人员可能会向口腔颌面（DMF）放射科医生寻求牙科X光片二次诊断意见的常见原因。该研究是对英国一家牙科医院的一名DMF放射科医生通过邮寄或电子邮件收到的连续转诊病例进行的回顾性分析。研究期间为2009年3月至2015年11月。转诊来源多种多样：主要来自普通牙科医生和从事初级保健工作的专科医生，但也有一些来自医院从业者的转诊。DMF放射科医生做出了各种各样的诊断，但最常见的十个诊断类别占总数的57.5%。正常解剖结构及正常解剖结构中的解剖变异构成了最大的类别。常见的牙科疾病经常被诊断出来，但特发性骨硬化症和上颌窦病变都是寻求二次诊断意见的常见原因。这项服务评估可能有助于制定本科生课程和设计继续教育课程。它还凸显了一项可能避免不必要地转诊至医院专科医生的服务，但目前国民保健服务体系（NHS）并未委托开展此项服务。
