Abu-Awwad Motasum, Amarin Rula, Khouli Farah, Shaban Sirin, AlTarawneh Sandra
University of Jordan, School of Dentistry, Amman, Jordan.
University of Maryland, School of Dentistry, Baltimore, MD, USA.
Int J Dent. 2019 Dec 4;2019:4163851. doi: 10.1155/2019/4163851. eCollection 2019.
To assess the awareness, knowledge, attitudes, and application of the shortened dental arch (SDA) concept by dentists in Jordan.
In this cross-sectional survey, a questionnaire was disseminated to a random sample of 150 dentists working in private practices, university hospitals, or governmental institutes. The chi-square ( ) test was used to examine associations.
One hundred and six dentists responded (70.7% response rate). Fifty-five were females. 82.1% were aware of the SDA concept. The fewer the years of experience, the more likely the dentists were aware of the SDA concept ( , =0.024) and the more likely they learned about it through undergraduate education ( , < 0.001). In a hypothetical clinical situation of a patient >50 years of age with missing molar teeth, 45.3% agreed that the molars should be replaced, while 54.7% did not agree. Improving mastication was the main reason for agreeing (81.6%), while having reduced functional benefit was the main reason for disagreeing (64.9%). The treatment modality most commonly recommended was implants fixed partial dentures (84.9%). Of those aware of SDA, 67.8% agreed it could have a useful place in treatment planning within Jordan. Cost reduction for patients was the main reason for this answer, as reported by 51% of those who agreed. 26.4% did not apply SDA for any of their patients, while 50.6% applied it for <10% of their patients.
The majority of the dentists was aware of the SDA concept and had a positive attitude towards it; however, few of them applied it in their practice.
评估约旦牙医对短牙弓(SDA)概念的认知、知识、态度及应用情况。
在本次横断面调查中,向150名在私人诊所、大学医院或政府机构工作的牙医随机发放问卷。采用卡方(χ²)检验来分析相关性。
106名牙医做出回应(回应率为70.7%)。其中55名是女性。82.1%的牙医知晓SDA概念。从业年限越少,牙医知晓SDA概念的可能性越大(χ²,P = 0.024),且他们通过本科教育了解该概念的可能性也越大(χ²,P < 0.001)。在一个假设的临床情景中,对于一名年龄大于50岁且磨牙缺失的患者,45.3%的牙医同意应替换磨牙,而54.7%的牙医不同意。同意的主要原因是改善咀嚼功能(81.6%),而不同意的主要原因是功能益处降低(64.9%)。最常推荐的治疗方式是种植固定局部义齿(84.9%)。在知晓SDA的牙医中,67.8%的人认为它在约旦的治疗计划中可能会有实用价值。51%同意的人表示,成本降低是给出这一答案的主要原因。26.4%的牙医从未将SDA应用于任何患者,而50.6%的牙医将其应用于不到10%的患者。
大多数牙医知晓SDA概念并对其持积极态度;然而,他们中很少有人在实践中应用该概念。