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一组立陶宛正畸医生对牙外伤和创伤牙正畸管理的认识。

Knowledge of Dental Trauma and Orthodontic Management of Traumatized Teeth by a Group of Lithuanian Orthodontists.

机构信息

Department of Orthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Lukšos-Daumanto 6, LT-50161 Kaunas, Lithuania.

Department of Dental and Oral Pathology, Lithuanian University of Health Sciences, Eiveniu 2, LT-50161 Kaunas, Lithuania.

出版信息

Medicina (Kaunas). 2023 Jul 13;59(7):1289. doi: 10.3390/medicina59071289.

DOI:10.3390/medicina59071289
PMID:37512100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10386023/
Abstract

. There is a deficiency of research on orthodontic movements and management strategies for traumatized teeth to avoid further treatment complications. The aim of the study was to evaluate the knowledge of Lithuanian orthodontists about dental trauma and the orthodontic management of traumatized teeth. . Lithuanian orthodontists and orthodontic residents were introduced to the purpose, objectives and questionnaire of the study. The questionnaire was developed based on demographics, the participants' personal experience, specific questions about dental traumas and orthodontic treatment tactics for patients with a history of dental trauma. . A total of 54 participants (42 orthodontists and 12 orthodontic residents) completed the survey. The overall response rate was 42.9%. The results of the survey revealed that the largest share of the study participants-61%-stated that they had treated traumatized teeth just a few times during the whole practice. Briefly, 53.7% of respondents inquired about the dental trauma history only if they saw signs of complications. The results of the survey revealed that the frequency of correct answers to questions about dental trauma was 63.7%, and that about the orthodontic treatment of traumatized teeth was 54.9%. It is worth noting that one-third of physicians pointed out the lack of information about the orthodontic management of traumatized teeth. The knowledge of Lithuanian orthodontists and orthodontic residents about dental injuries and the orthodontic treatment of traumatized teeth is insufficient. Further educational training is recommended.

摘要

目前,针对外伤性牙齿的正畸移动和管理策略的研究还存在不足,以避免进一步的治疗并发症。本研究旨在评估立陶宛正畸医生对牙外伤的认识以及外伤性牙齿的正畸处理。

向立陶宛正畸医生和正畸住院医师介绍了研究的目的、目标和问卷。该问卷是基于人口统计学、参与者的个人经验、有关牙齿外伤和有牙齿外伤史的患者正畸治疗策略的具体问题制定的。

共有 54 名参与者(42 名正畸医生和 12 名正畸住院医师)完成了调查。总的回复率为 42.9%。调查结果显示,研究参与者中有 61%的人表示,在整个实践过程中,他们只治疗过几次外伤性牙齿。简而言之,53.7%的受访者只有在看到并发症迹象时才会询问牙齿外伤史。调查结果显示,关于牙外伤的问题,正确答案的频率为 63.7%,关于外伤性牙齿的正畸治疗的正确答案频率为 54.9%。值得注意的是,三分之一的医生指出缺乏关于外伤性牙齿正畸管理的信息。

立陶宛正畸医生和正畸住院医师对牙外伤和外伤性牙齿的正畸治疗的了解不足。建议进行进一步的教育培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/10386023/af0d2f16f804/medicina-59-01289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/10386023/fcdbf5cd8fb6/medicina-59-01289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/10386023/af0d2f16f804/medicina-59-01289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/10386023/fcdbf5cd8fb6/medicina-59-01289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552e/10386023/af0d2f16f804/medicina-59-01289-g002.jpg

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本文引用的文献

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Management of acute traumatic dental injuries in the orthodontic patient.正畸患者急性创伤性牙损伤的处理。
Br Dent J. 2022 May;232(10):695-700. doi: 10.1038/s41415-022-4244-4. Epub 2022 May 27.
2
Long-term Complications of Previously Successful Regenerative Endodontic Procedures after Orthodontic Movement: A Report of 3 Different Complications after 4, 8, and 11 Years.正畸移动后先前成功的再生牙髓治疗的长期并发症:4 年、8 年和 11 年后报告的 3 种不同并发症。
J Endod. 2022 Jul;48(7):951-960. doi: 10.1016/j.joen.2022.04.002. Epub 2022 Apr 8.
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Guidelines for the orthodontic management of the traumatised tooth.
外伤牙正畸管理指南。
J Orthod. 2021 Mar;48(1):74-81. doi: 10.1177/1465312520977498. Epub 2020 Dec 16.
4
Regenerative endodontic therapy: a follow-up of 47 anterior traumatised teeth.再生性牙内治疗:47 例前牙创伤的随访研究。
Eur Arch Paediatr Dent. 2021 Jun;22(3):469-477. doi: 10.1007/s40368-020-00584-0. Epub 2020 Nov 27.
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Associations and risk factors for dental trauma: A systematic review of systematic reviews.牙外伤的关联因素和风险因素:系统评价的系统综述。
Community Dent Oral Epidemiol. 2020 Dec;48(6):447-463. doi: 10.1111/cdoe.12574. Epub 2020 Sep 6.
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International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations.国际牙外伤学会牙外伤处理指南:1. 骨折与牙脱位。
Dent Traumatol. 2020 Aug;36(4):314-330. doi: 10.1111/edt.12578. Epub 2020 Jul 17.
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International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth.国际牙外伤学会恒牙脱位处理指南:2. 恒牙脱出
Dent Traumatol. 2020 Aug;36(4):331-342. doi: 10.1111/edt.12573. Epub 2020 Jun 13.
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The Incidence of Complications of Dental Trauma and Associated Factors: A Retrospective Study.牙外伤并发症的发生率及相关因素:一项回顾性研究。
Int J Dent. 2020 Mar 11;2020:2968174. doi: 10.1155/2020/2968174. eCollection 2020.
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Orthodontic management of traumatized teeth: A national survey of UK orthodontists.正畸治疗外伤牙:英国正畸医生的全国性调查。
Dent Traumatol. 2019 Oct;35(4-5):241-250. doi: 10.1111/edt.12476. Epub 2019 Jun 28.
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Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists.一组比利时普通牙医、儿科牙医和正畸医生对创伤牙正畸治疗方法的认知。
Dent Traumatol. 2019 Oct;35(4-5):233-240. doi: 10.1111/edt.12474. Epub 2019 Jul 2.