*Pınar Demir, DDS, PhD, Assistant Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey.
**Hatice Aydoğdu, DDS, Research Assistant, Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey.
J Clin Pediatr Dent. 2022 Jan 1;46(1):12-19. doi: 10.17796/1053-4625-46.1.3.
The extraction of permanent first molar (PFM) teeth with poor prognosis allows the build of a new-and-ideal occlusion with the spontaneous movement of the healthy second and third molars by taking advantage of the patient's development. This study aimed to evaluate dentists' knowledge level about controlled tooth extractions and determine their information needs.
The survey, consisting of 9 questions about balance and compensation extractions, was prepared on Google Forms and sent via email to dentists.
The questionnaire was sent to 3137 dentists and 472 (15.04%) of them answered. While deciding on PFM extraction, the rate of those who checked the presence of permanent 3rd molar tooth was found to be 64.4%. Although 79% of pedodontists stated that they knew about balance extractions, only 60.9% of them apply it in the clinic. After maxillary PFM extraction, the rate of oral and maxillofacial surgeons who think that "mandibular PFM over-erupt" was 92.8%, and the rate of orthodontists was 68.7%. 87.1% of the participants stated that they needed more information about controlled extractions.
It is possible to raise awareness, encourage the common and follow-up of correct clinical practices, and avoid complications; by adding controlled extractions to the undergraduate education program.
通过利用患者的生长发育优势,拔除预后不佳的第一恒磨牙(PFM),让健康的第二、第三磨牙自然萌出,从而建立全新的理想咬合关系。本研究旨在评估牙医对预防性拔牙的知识水平,并确定他们的信息需求。
该调查由 9 个关于平衡拔牙和补偿拔牙的问题组成,采用 Google Forms 制作,并通过电子邮件发送给牙医。
该问卷共发送给 3137 名牙医,其中 472 名(15.04%)做出了回应。在决定是否拔除 PFM 时,有 64.4%的牙医会检查第三磨牙是否存在。尽管 79%的儿童牙医表示了解平衡拔牙,但只有 60.9%的人在临床实践中应用。在上颌 PFM 拔除后,认为“下颌 PFM 过度萌出”的口腔颌面外科医生比例为 92.8%,正畸医生比例为 68.7%。87.1%的参与者表示他们需要更多关于控制性拔牙的信息。
通过在本科教育计划中加入控制性拔牙,可以提高认识、鼓励常规应用并跟踪正确的临床实践,从而避免并发症。