CHU Rennes, Pole Odontologie, Univ Rennes, 2 Av. du Professeur Léon Bernard, Bât.15, 35043, Rennes Cedex, France.
Arènes, CNRS - UMR 6051, 35000, Rennes Cedex, France.
BMC Oral Health. 2022 Apr 26;22(1):142. doi: 10.1186/s12903-022-02177-3.
Due to increasing numbers of adult patients, orthodontists are being confronted more and more with periodontal problems. Coordination amongst orthodontists, periodontists and general dentists is useful in preventing and stopping periodontal disease. The main objectives of this survey were to evaluate the technical knowledge, techniques and attitudes employed by French orthodontists, periodontists and general dentists in adult dental care.
A cross-sectional online survey was distributed to French dentists. The questionnaire, consisting of 30 questions, was divided into six sections covering treatment programs and the forensic environment.
One thousand one hundred twenty-two complete answers were recorded. Adults undergoing orthodontic treatment represented 19.9% of the orthodontists' patients, but only 2.67% of the general dentists' patients. Communication between clinicians was rated as good, greater than 3 out of 5. Before treatment, orthodontists were less alarmed than generalists regarding bleeding, recessions, increased probing depths, halitosis and hyperplasia. During treatment, orthodontists never or only occasionally performed palpation or probing in 54.2% and 84.6% of cases. Gingivitis and recessions were the main reasons for consultations for 22.0% and 20.1% of general dentists and periodontists after orthodontic treatment. Of the practitioners surveyed, 43% felt that they experienced a setback in the ortho-periodontal treatment.
This study revealed discrepancies in the knowledge and attitudes of practitioners. Therapeutic management remains one of the major challenges of multidisciplinary treatments. Continuing education needs to be further developed in this field.
由于成年患者数量的增加，正畸医生越来越多地面临牙周问题。正畸医生、牙周医生和普通牙医之间的协调对于预防和停止牙周病是有用的。本次调查的主要目的是评估法国正畸医生、牙周医生和普通牙医在成人牙科护理中使用的技术知识、技术和态度。
我们对法国牙医进行了横断面在线调查。问卷由 30 个问题组成，分为六个部分，涵盖治疗方案和法医环境。
共记录了 1122 份完整的答案。接受正畸治疗的成年人占正畸医生患者的 19.9%，但仅占普通牙医患者的 2.67%。临床医生之间的沟通被评为良好，超过 3 分（满分 5 分）。在治疗前，正畸医生比普通科医生对出血、退缩、探诊深度增加、口臭和增生的警惕性较低。在治疗过程中，正畸医生在 54.2%和 84.6%的情况下从未或仅偶尔进行触诊或探诊。牙龈炎和退缩是普通科医生和牙周医生在正畸治疗后咨询的主要原因，占 22.0%和 20.1%。在接受调查的从业者中，43%的人认为他们在正畸牙周治疗中遇到了挫折。
本研究揭示了从业者知识和态度的差异。治疗管理仍然是多学科治疗的主要挑战之一。该领域需要进一步开展继续教育。
