Beyene Madeleine Misje Roman, Bårdsen Asgeir, Klock Kristin Solveig, Sulo Gerhard, Thelen Dorina Sula
Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Dent Traumatol. 2023 Oct;39(5):469-477. doi: 10.1111/edt.12854. Epub 2023 May 30.
BACKGROUND/AIM: Orthodontic treatment of patients with traumatic dental injuries is challenging, with limited evidence of routines and outcomes. The aims of this study were: (i) to describe how orthodontists perceive the information on traumatic dental injuries received by referral from the Public Dental Health Service before orthodontic treatment and (ii) to assess orthodontists' knowledge and working routines in managing traumatic dental injuries.
Data were obtained through a survey of all practicing orthodontists registered as members of the Norwegian Association of Orthodontists (n = 203).
Eighty-three orthodontists were enrolled, most of whom had received their dental degree (73.0%) and specialist orthodontic training (88.5%) in Norway. They reported examining patients with a history of traumatic dental injury at weekly (34.2%) or monthly (38.0%) basis. In 85.5% of cases, they obtained a history of traumatic dental injury from patients. Half of the respondents (51.3%) favoured two-phase early orthodontic treatment for patients with an overjet ≥6 mm. The observation time and treatment strategy showed considerable discrepancies across traumatic dental injury diagnoses. Most (59.1%) orthodontists considered the information on previous traumatic dental injuries provided by the Public Dental Health Services referral 'inadequate', more commonly in cases of mild (83.5%) than severe (57.5%) traumatic dental injuries.
Orthodontic management of patients with traumatic dental injuries was characterised by lack of uniformity in both recommended observation time before orthodontic treatment and management strategy. The referral routines by the Public Dental Health Services for patients with traumatic dental injuries were perceived as 'inadequate' in terms of frequency and quality. The results indicate the requirement of standardisation of routines related to orthodontic management of traumatic dental injuries and referral routines by the Public Dental Health Services.
背景/目的：对牙外伤患者进行正畸治疗具有挑战性，关于治疗流程和结果的证据有限。本研究的目的是：（i）描述正畸医生如何看待在正畸治疗前从公共牙科保健服务机构转诊获得的牙外伤信息；（ii）评估正畸医生在处理牙外伤方面的知识和工作流程。
通过对所有注册为挪威正畸医生协会会员的执业正畸医生（n = 203）进行调查获取数据。
83名正畸医生参与研究，其中大多数（73.0%）在挪威获得牙科学位，88.5%接受过正畸专科培训。他们报告说，每周（34.2%）或每月（38.0%）检查有牙外伤史的患者。在85.5%的病例中，他们从患者那里了解到牙外伤史。一半的受访者（51.3%）赞成对覆盖≥6mm的患者进行两期早期正畸治疗。观察时间和治疗策略在不同牙外伤诊断中存在显著差异。大多数（59.1%）正畸医生认为公共牙科保健服务机构转诊提供的既往牙外伤信息“不足”，在轻度牙外伤（83.5%）病例中比重度牙外伤（57.5%）病例中更常见。
牙外伤患者的正畸治疗管理特点是正畸治疗前推荐的观察时间和管理策略缺乏一致性。公共牙科保健服务机构对牙外伤患者的转诊流程在频率和质量方面被认为“不足”。结果表明，需要规范与牙外伤正畸治疗管理相关的流程以及公共牙科保健服务机构的转诊流程。
