Academic Centre for Dentistry Amsterdam, Amsterdam, University of Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.
Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
PLoS One. 2023 Jan 17;18(1):e0280288. doi: 10.1371/journal.pone.0280288. eCollection 2023.
This study pertains to a secondary data analysis aimed at determining differences between oral and maxillofacial surgeons (OMFSs) and dentists handling dental extractions without an evident clinical indication.
A survey of 18 questions was conducted among 256 OMFSs in the Netherlands and a random sample of 800 dentists Respondents could answer the questions in writing or online. The data was collected in the period from November 2019 to January 2020, during which two reminders were sent. Analysis of the data took place via descriptive statistics and Chi Square test.
The response rate was 28.1% (n = 72) for OMFSs and 30.3% (n = 242) for dentists. In the past three years, 81.9% (n = 59) of the OMFSs and 68.0% (n = 164) of the dentists received a request for extraction without a clinical indication. The most common reasons were financial and severe dental fear (OMFSs: 64.9 and 50.9% vs dentists: 77.4 and 36.5%). Dentists were significantly more likely (75.6%, n = 114) than OMFS (60.7%, n = 34) to comply with their last extraction request without a clinical indication. Almost none of them regretted the extraction afterwards. As for the request itself, it was found that 17.5% (n = 10) of the OMFSs and 12.5% (n = 20) of the dentists did not check for patients' mental competency (p = 0.352).
Given that most of the interviewed dental professionals complied with non-dental extraction requests when such extractions are ethically and legally precarious, recommendations for handling such requests are greatly needed.
本研究属于二次数据分析，旨在确定有或无明显临床指征行拔牙术的口腔颌面外科医生（OMFS）和牙医之间的差异。
在荷兰对 256 名 OMFS 进行了一项包含 18 个问题的调查，并对 800 名牙医进行了随机抽样。受访者可以书面或在线回答这些问题。数据收集于 2019 年 11 月至 2020 年 1 月期间，期间发送了两次提醒。通过描述性统计和卡方检验对数据进行分析。
OMFS 的回复率为 28.1%（n=72），牙医的回复率为 30.3%（n=242）。在过去三年中，81.9%（n=59）的 OMFS 和 68.0%（n=164）的牙医收到了无临床指征的拔牙请求。最常见的原因是经济原因和严重的牙科恐惧（OMFS：64.9%和 50.9%；牙医：77.4%和 36.5%）。牙医比 OMFS 更有可能（75.6%，n=114）遵守他们最后一次无临床指征的拔牙请求（60.7%，n=34）。他们中几乎没有人对此后拔牙感到后悔。至于请求本身，发现 17.5%（n=10）的 OMFS 和 12.5%（n=20）的牙医没有检查患者的精神能力（p=0.352）。
鉴于大多数接受采访的牙科专业人员在道德和法律上存在风险的情况下，都遵守了非牙科拔牙请求，因此迫切需要提出处理此类请求的建议。
