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关于恒牙列创伤性牙损伤的知识:立陶宛牙医的一项调查。

Knowledge about traumatic dental injuries in the permanent dentition: A survey of Lithuanian dentists.

作者信息

Zaleckienė Vaida, Pečiulienė Vytautė, Brukienė Vilma, Jakaitienė Audronė, Aleksejūnienė Jolanta, Zaleckas Linas

机构信息

Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Department of Human and Medical Genetics, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

出版信息

Dent Traumatol. 2018 Apr;34(2):100-106. doi: 10.1111/edt.12388. Epub 2018 Mar 13.

Abstract

BACKGROUND/AIMS: In Lithuania, dental trauma cases are often treated by general dentists, but it is unknown whether their age, self-evaluation of trauma knowledge and practice location can predict their actual knowledge and management of trauma cases. The aim of this study was to evaluate whether these factors can be used to predict the actual knowledge and management of trauma cases.

METHODS

A 2-part questionnaire included 17 multiple-choice questions about practitioners' demographics, their self-evaluated knowledge and how frequently they treated traumatized permanent teeth as well as 13 clinical scenarios reflecting a variety of clinical trauma cases and their complications. A total of 980 randomly selected general dentists, representing 5 Lithuanian counties, participated in the study.

RESULTS

The response rate was 59.4% (n = 582). Overall, 82.3% of general dentists reported that they treated only a few dental trauma cases and 14.4% chose to refer their patients; 55.1% of dentists considered their dental traumatology knowledge to be sufficient but incomplete and 34.0% self-evaluated their knowledge as insufficient. The most knowledge (based on self-evaluation) was reported by the younger dentists (≤50 years; P = .004). The mean correct knowledge score was 7.6 ± 2.2 of the 13 clinical scenarios. Both bivariate and multivariate analyses showed that greater trauma-related knowledge was associated with a younger age. Better knowledge was observed amongst the dentists who self-evaluated their own knowledge as sufficient or as comprehensive.

CONCLUSION

Lithuanian general dentists have insufficient dental traumatology knowledge. Better knowledge was observed amongst younger dentists (≤50 years).

摘要

背景/目的:在立陶宛,牙科创伤病例通常由普通牙医治疗,但尚不清楚他们的年龄、对创伤知识的自我评估以及执业地点是否能够预测他们对创伤病例的实际知识掌握情况和处理能力。本研究的目的是评估这些因素是否可用于预测对创伤病例的实际知识掌握情况和处理能力。

方法

一份包含两部分的问卷包括17个关于从业者人口统计学、自我评估的知识以及他们治疗恒牙创伤频率的多项选择题,以及13个反映各种临床创伤病例及其并发症的临床场景。总共980名随机抽取的代表立陶宛5个县的普通牙医参与了该研究。

结果

回复率为59.4%(n = 582)。总体而言,82.3%的普通牙医报告称他们仅治疗少数牙科创伤病例,14.4%选择将患者转诊;55.1%的牙医认为他们的牙外伤学知识足够但不完整,34.0%自我评估他们的知识不足。较年轻的牙医(≤50岁)报告的知识(基于自我评估)最多(P = 0.004)。在13个临床场景中,平均正确知识得分为7.6 ± 2.2。双变量和多变量分析均显示,与创伤相关的知识更多与年龄较轻有关。在自我评估自己的知识足够或全面的牙医中观察到更好的知识水平。

结论

立陶宛普通牙医的牙外伤学知识不足。在较年轻的牙医(≤50岁)中观察到更好的知识水平。

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