Previous resident at the Orthodontic department Université de Lorraine, Nancy, France.
Academic Lecturer & Researcher at the Orthodontic department Université de Lorraine, Nancy, France.
J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6 Suppl 2):101669. doi: 10.1016/j.jormas.2023.101669. Epub 2023 Oct 28.
The aim of this study was to analyze the popularity of surgery first among orthodontists as well as the protocols used for its implementation and to collect the opinions (favorable or unfavorable) of practitioners and patients regarding it.
A questionnaire was sent to a population of dental surgeons qualified in Dentofacial Orthopedics or in the process of specialization (residents) practicing in France. The questionnaire consisted of a total of 27 questions. There were 10 open-ended questions and 17 closed-ended questions (8 binary and 9 multiple choices). The conditional pathway allows the respondent's path through the form to be modified based on their answers. This survey was conducted using Google Forms online survey software.
On average, the responding practitioners had 15.9 years of experience, and most of them (78.2%) work in private practice. Most treated between 200 and 400 cases per year, of which 7% were surgical cases. Orthodontists who are familiar with and practice the surgery first protocol use it on average for 7 cases per year. The most frequent indication for the surgery first protocol was: transverse maxillary defects.
Surgery first protocol is a preferred option in cases of high severity since it prevents respiratory worsening during the pre-surgical orthodontic phase. The lack of a standardized protocol for this approach, at the pre-surgical and post-surgical levels, requires an increase in the number of high-level evidence publications to clarify the methods of application of this protocol.
本研究旨在分析正畸医生对正颌手术的接受程度，以及实施正颌手术的方案，并收集从业者和患者对正颌手术的（赞成或反对）意见。
我们向在法国执业的正畸学或正畸专科医师（住院医师）发放了一份调查问卷。问卷共包含 27 个问题，其中 10 个为开放式问题，17 个为封闭式问题（8 个二项选择题，9 个多项选择题）。条件路径允许根据受访者的答案来修改其在问卷中的回答路径。该调查使用了 Google Forms 在线调查软件进行。
平均而言，受访者的从业经验为 15.9 年，其中大多数（78.2%）在私人诊所工作。他们每年治疗的患者人数在 200 到 400 人之间，其中 7%为手术患者。熟悉并采用正颌手术先行方案的正畸医生平均每年使用该方案治疗 7 例患者。采用该方案的最常见适应证为：上颌横向缺损。
对于严重程度高的病例，正颌手术先行方案是首选方案，因为它可以防止术前正畸阶段呼吸恶化。由于术前和术后阶段缺乏针对该方法的标准化方案，需要增加高质量证据出版物的数量，以阐明该方案的应用方法。
