Taibah Salwa, Abubakr Neamat H, Ziada Hassan
Department of Orthodontics, Vision Colleges, Jeddah, Kingdom of Saudi Arabia.
Department of Biomedical Sciences, School of Dental Medicine, University of Nevada, Las Vegas, Las Vegas, Nevada, USA.
J Int Soc Prev Community Dent. 2022 Jan 29;12(1):117-125. doi: 10.4103/jispcd.JISPCD_236_21. eCollection 2022 Jan-Feb.
Several factors influence the development of white spot lesions (WSLs), and one of these is fixed orthodontic appliances. This study aims to evaluate the awareness, preventive strategies, and management of WSLs among a group of Orthodontists.
A qualitative methodology was applied; four focus groups made up a purposive sample from Orthodontists with various training backgrounds while working within the same healthcare services.
Three main themes emerged: awareness and ability to diagnose WSLs, perceived influences on the development of WSLs, and prevention and management strategies and barriers to care delivery. All focus groups agreed that there is a need for continuous prevention and preventive strategies of WSLs, particularly among orthodontic patients. There was also a consensus that orthodontic treatment should be delayed until WSLs are managed appropriately.
Within the limitation of this study, WSLs were collectively agreed to be a significant issue during fixed orthodontic therapy, and continuous professional development for Orthodontists should include risk factors evaluation, diagnosis, prevention, and management of WSLs.
多种因素会影响白斑病变（WSLs）的发生发展，其中之一是固定正畸矫治器。本研究旨在评估一组正畸医生对WSLs的认知、预防策略及处理方法。
采用定性研究方法；四个焦点小组由来自同一医疗服务机构、具有不同培训背景的正畸医生组成，作为目的抽样。
出现了三个主要主题：对WSLs的认知及诊断能力、对WSLs发生发展的感知影响、预防及处理策略以及护理提供的障碍。所有焦点小组都认为有必要持续预防WSLs，尤其是在正畸患者中。还达成了一项共识，即在WSLs得到妥善处理之前，正畸治疗应推迟。
在本研究的局限性范围内，大家一致认为WSLs在固定正畸治疗期间是一个重要问题，正畸医生的持续专业发展应包括WSLs的风险因素评估、诊断、预防和处理。
