Department of Orofacial Pain and Jaw Function, Riyadh Specialized Dental Center, Riyadh, Saudi Arabia.
Scandinavian Center for Orofacial Neurosciences (SCON), Malmö/Huddinge, Sweden.
BMC Oral Health. 2020 Oct 7;20(1):272. doi: 10.1186/s12903-020-01259-4.
General dentists are often the first healthcare professionals to see patients with orofacial pain (OFP). OFP conditions associated with the temporomandibular joint are often confused with dentoalveolar disorders, which leads to mismanagement. The objective of this study was to evaluate the level of knowledge of temporomandibular disorders (TMD) among newly graduated dentists compared to OFP specialists in Saudi Arabia.
This was a descriptive cross-sectional study utilizing an anonymous validated questionnaire assessing professional knowledge regarding TMDs in newly qualified dentists and OFP specialists. The questionnaire interrogated four domains including chronic pain/pain behavior, etiology, diagnosis/classification, and treatment/prognosis. OFP specialists were used as the reference group.
A total of 393 dentists participated, a response rate of 67.6% in newly graduated dentists and 77.3% in OFP specialists. The degree of agreement between newly graduated general dentists and OFP specialists was highest for the "chronic pain and pain behavior" domain. The consensus among specialists was highest for the "treatment and prognosis" domain and the least for the "chronic pain and pain behavior" domain.
Newly graduated general dentists have limited knowledge of TMD in almost all domains compared to specialists. Given that a lack of knowledge of TMD can lead to clinical mismanagement, dental school curricula must address this important knowledge gap.
全科牙医通常是最先接诊口颌疼痛(OFP)患者的医疗保健专业人员。与颞下颌关节相关的 OFP 状况常与齿槽疾病混淆,导致治疗管理不当。本研究的目的是评估沙特阿拉伯新毕业牙医与 OFP 专家相比,对颞下颌关节紊乱(TMD)的了解程度。
这是一项描述性的横断面研究,采用匿名的经过验证的问卷,评估新合格牙医和 OFP 专家在 TMD 方面的专业知识。该问卷询问了四个领域,包括慢性疼痛/疼痛行为、病因、诊断/分类和治疗/预后。OFP 专家被用作参考组。
共有 393 名牙医参与,新毕业牙医的回复率为 67.6%,OFP 专家的回复率为 77.3%。新毕业的全科牙医与 OFP 专家之间的一致性在“慢性疼痛和疼痛行为”领域最高。专家之间的共识在“治疗和预后”领域最高,在“慢性疼痛和疼痛行为”领域最低。
与专家相比,新毕业的全科牙医在几乎所有领域对 TMD 的了解都有限。由于缺乏 TMD 知识可能导致临床管理不当,因此牙科学校课程必须解决这一重要的知识差距。