Eslamipour Faezeh, Shahmoradi Majid, Farhadi Vashnad
Department of Oral Public Health, Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dental Students' Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2017 May 5;6:42. doi: 10.4103/jehp.jehp_125_16. eCollection 2017.
White spot lesions (WSLs) are common adverse effect of orthodontic treatment, which can be prevented and treated by orthodontists. This study was conducted to assess Iranian orthodontists' practice regarding the prevention and treatment of WSLs in their patients.
In this cross-sectional study, 109 Iranian orthodontists were selected from the Iranian Association of Orthodontists' directory by cluster sampling. For data collection, a questionnaire was designed and its validity and reliability was confirmed (Cronbach's α =0.85). The questionnaire included eight general questions and eight questions about practice with regard to the prevention and treatment of WSL. Data were analyzed by descriptive tests, ANOVA test, and -test in SPSS 20 software. < 0.05 was considered statistically significant.
The mean score of orthodontists' practice was 7.62 (range: 0-8), and 94.4% of the participants were rated as good, while 3.7% and 1.9% were rated as moderate and weak, respectively. Women's score was significantly higher than that of men ( = 0.001). With increasing participants' age, their practice has been improved ( = 0.001), but there was no significant relation between years of experience and their practice ( = 0.230). Nearly 94.4% of the orthodontists prescribed fluoride products. Toothpastes and fluoride mouth rinses were the most common prescribed products (34%).
With regard to Iranian orthodontists' practice, it was fortunate to note that majority of the respondents were taking care of their patients with regarding to the prevention and treatment of WSLs. For enhancing their competencies, it is recommended to plan educational courses which are useful for promoting their knowledge and practice about new products and procedures used for the prevention and treatment of WSLs.
白斑病变（WSLs）是正畸治疗常见的不良反应，正畸医生可以对其进行预防和治疗。本研究旨在评估伊朗正畸医生对患者WSLs的预防和治疗实践。
在这项横断面研究中，通过整群抽样从伊朗正畸医生协会名录中选取了109名伊朗正畸医生。为收集数据，设计了一份问卷，并确认了其有效性和可靠性（Cronbach's α = 0.85）。问卷包括八个一般性问题和八个关于WSLs预防和治疗实践的问题。数据在SPSS 20软件中通过描述性检验、方差分析和t检验进行分析。P < 0.05被认为具有统计学意义。
正畸医生实践的平均得分为7.62（范围：0 - 8），94.4%的参与者被评为良好，而分别有3.7%和1.9%被评为中等和较差。女性得分显著高于男性（P = 0.001）。随着参与者年龄的增加，他们的实践有所改善（P = 0.001），但经验年限与他们的实践之间没有显著关系（P = 0.230）。近94.4%的正畸医生开了氟化物产品。牙膏和含氟漱口水是最常开具的产品（34%）。
关于伊朗正畸医生的实践，值得庆幸的是，大多数受访者在WSLs的预防和治疗方面照顾到了他们的患者。为提高他们的能力，建议规划教育课程，这有助于促进他们对用于预防和治疗WSLs的新产品和程序的知识和实践。
