Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Jul;130(1):43-51.e5. doi: 10.1016/j.oooo.2020.03.050. Epub 2020 May 22.
The aim of this study was to examine the awareness level among general dental practitioners and medical practitioners with regard to common oral mucosal diseases and orofacial pain, investigate their orofacial screening and oral medicine referral practices, assess the information to be included in the referral, and evaluate the perceived need for supplementary resources and guidelines for referral.
In total, 51 general dental practitioners and medical practitioners were recruited to investigate their orofacial screening and oral medicine referral practices. Three oral medicine specialists were interviewed to understand the referrals received from dentists and physicians.
Of the participants, 87.5% dentists and 52.6% physicians considered orofacial screening as treatment priority. However, 71.9% dentists performed orofacial screening routinely, whereas none of the physicians did. Of the dentists, 50% referred relevant patients to oral medicine specialists every time they encountered such cases, and 31.6% of the physicians did so. Referrals should include the patient's background and medical history, full descriptions of the lesions, and results and photos from special tests. Of the participants, 65.6% of the dentists and 78.9% of the physicians believed that continuing professional development courses in oral medicine would be beneficial, and 93.8% of the dentists and 89.5% of the physicians agreed that standardized national referral guidelines would be useful.
Standardized national referral guidelines, as well as continuing professional development courses in oral medicine, would be helpful to dental practitioners in the management of patients.
本研究旨在调查普通牙科医生和内科医生对常见口腔黏膜疾病和口腔颌面部疼痛的认知水平，调查他们的口腔筛查和口腔医学转诊实践，评估转诊中应包含的信息，并评估对补充资源和转诊指南的需求。
共招募了 51 名普通牙科医生和内科医生，以调查他们的口腔筛查和口腔医学转诊实践。采访了 3 名口腔医学专家，以了解从牙医和内科医生那里收到的转诊。
87.5%的牙医和 52.6%的内科医生认为口腔筛查是治疗的优先事项。然而，71.9%的牙医常规进行口腔筛查，而没有内科医生这样做。在牙医中，每次遇到这种情况，50%的人都会将相关患者转介给口腔医学专家，而只有 31.6%的内科医生这样做。转诊应包括患者的背景和病史、病变的完整描述以及特殊检查的结果和照片。65.6%的牙医和 78.9%的内科医生认为口腔医学继续教育课程会有帮助，93.8%的牙医和 89.5%的内科医生认为制定国家统一转诊指南会很有用。
标准化的国家转诊指南以及口腔医学继续教育课程将有助于牙医管理患者。
