Skaare A B, Hovden E S, Herlofson B B, Søland T M
Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Blindern, 1109, 0317, Oslo, Norway.
Oral Health Centre of Expertise in Eastern Norway, Oslo, Norway.
Eur Arch Paediatr Dent. 2020 Oct;21(5):557-564. doi: 10.1007/s40368-020-00511-3. Epub 2020 Feb 4.
To evaluate awareness on orofacial granulomatosis (OFG) and oral Crohn disease (oral CD) among Norwegian dental clinicians.
A precoded questionnaire (QuestBack) was sent electronically to dentists and dental hygienists treating children and adolescents in the public dental service (PDS) in Norway. Data on the clinicians' knowledge of OFG and oral CD related to working experience were analysed by Chi square tests and bivariate logistic regression analyses.
A total of 1097 clinicians were invited to participate, 778 dentists and 319 dental hygienists; 48.2% returned the completed form. Fifty-four percent of the participants had ≥ 10 year experience of clinical practice. Two-thirds (68.4%) of the dentists and all but one of the dental hygienists graduated in Norway. Approximately half of the respondents were aware of OFG (41.2%) and oral CD (57.8%). One-quarter (24.6%) reported that they most likely had seen a patient with OFG and 20.6% with oral CD. Recently graduated dentists (≤ 10 years ago) were more aware of OFG and oral CD than those who graduated > 10 years ago (p ≤ 0.001). Regarding dental hygienists, this difference was observed for OFG only (p < 0.05). Country of education did not affect the clinicians' reported knowledge. Approximately 90% would refer a patient suspected of having OFG or oral CD either to a dental specialist or to a physician.
The high prevalence of clinicians observing OFG and oral CD in this study may indicate that OFG and/or oral CD are under-reported and that OFG in particular is more common than hitherto believed. The high frequency of awareness was promising for the benefit of the patients.
评估挪威牙科临床医生对面部肉芽肿病（OFG）和口腔克罗恩病（口腔CD）的认知情况。
通过电子邮件向挪威公共牙科服务机构（PDS）中治疗儿童和青少年的牙医及口腔保健员发送一份预编码问卷（QuestBack）。采用卡方检验和双变量逻辑回归分析，对临床医生关于OFG和口腔CD的知识与工作经验相关的数据进行分析。
共邀请了1097名临床医生参与，其中778名牙医和319名口腔保健员；48.2%的人返回了完整表格。54%的参与者有≥10年的临床实践经验。三分之二（68.4%）的牙医以及除一名之外的所有口腔保健员在挪威毕业。约一半的受访者知晓OFG（41.2%）和口腔CD（57.8%）。四分之一（24.6%）的人报告称他们很可能见过患有OFG的患者，20.6%的人见过患有口腔CD的患者。刚毕业的牙医（≤10年前毕业）比毕业超过10年的牙医对OFG和口腔CD的知晓度更高（p≤0.001）。对于口腔保健员而言，仅在OFG方面观察到了这种差异（p<0.05）。教育背景国家并未影响临床医生报告的知识水平。约90%的人会将疑似患有OFG或口腔CD的患者转诊给牙科专家或医生。
本研究中临床医生观察到OFG和口腔CD的高比例可能表明OFG和/或口腔CD的报告不足，特别是OFG比迄今认为的更为常见。高知晓率对患者有益很有前景。
