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牙周病和种植体周围疾病的新分类系统:一项关于瑞典牙科保健员实施情况的问卷调查研究。

The new system for classification of periodontal and peri-implant disease: A questionnaire study of implementation by Swedish dental hygienists.

作者信息

Malmqvist Sebastian, Strandberg Patrik, Victorin Ida, Boberg Emelie, Johannsen Annsofi

机构信息

Division of Oral Diseases, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.

Danakliniken Specialisttandvård, Praktikertjänst AB, Stockholm, Sweden.

出版信息

Int J Dent Hyg. 2024 May 9. doi: 10.1111/idh.12816.

DOI:10.1111/idh.12816
PMID:38721706
Abstract

OBJECTIVE

To what extent do dental hygienists (DH) employed by the Public Dental Health Service (PDHS) in Sweden use the new classification system, their knowledge of it and their attitudes towards it.

METHODS

A web-based questionnaire was distributed to DHs in the PDHS in different regions of Sweden. A total of 197 registered DHs responded. The questions covered their knowledge, attitudes and possible barriers to implementation of the new classification system of periodontal and peri-implant diseases, and a question about their perceived need for a complementary digital tool to facilitate its implementation.

RESULTS

Seventy per cent of the DHs stated that they used the new classification system. Twenty-nine per cent of the participants were confident in classifying periodontitis under the new system. Furthermore, 36% of the participants considered their knowledge of the new system to be good and 33% to be poor or non-existent. Several DHs stated that the new system was too time-consuming, that it caused stress, that their knowledge was inadequate and that they, therefore, considered it too difficult to use. Eighty per cent of the participants were positive to a digital tool as a complement and support to classify periodontitis and peri-implantitis.

CONCLUSION

The present study showed that most of the DHs used the new classification system and one-third considered their knowledge to be good, although it was difficult and time-consuming. Furthermore, in general, the DHs were positive to a digital tool to facilitate application of the new classification system.

摘要

目的

瑞典公共牙科卫生服务机构(PDHS)雇佣的牙科保健员(DH)在何种程度上使用新的分类系统,他们对该系统的了解程度以及对它的态度。

方法

向瑞典不同地区PDHS的DH发放基于网络的调查问卷。共有197名注册DH做出回应。问题涵盖他们对牙周和种植体周围疾病新分类系统实施的知识、态度和可能存在的障碍,以及一个关于他们认为是否需要辅助数字工具以促进其实施的问题。

结果

70%的DH表示他们使用新的分类系统。29%的参与者对在新系统下对牙周炎进行分类有信心。此外,36%的参与者认为他们对新系统的了解良好,33%认为了解不足或不存在了解。几位DH表示新系统太耗时,会造成压力,他们的知识不足,因此认为使用起来太难。80%的参与者对数字工具作为辅助和支持来分类牙周炎和种植体周围炎持积极态度。

结论

本研究表明,大多数DH使用新的分类系统,三分之一的人认为他们的知识良好,尽管该系统既困难又耗时。此外,总体而言,DH对促进新分类系统应用的数字工具持积极态度。

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Int J Dent Hyg. 2024 Aug;22(3):530-539. doi: 10.1111/idh.12683. Epub 2023 Apr 24.
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Prevalence of periodontitis in dentate people between 2011 and 2020: A systematic review and meta-analysis of epidemiological studies.2011 年至 2020 年间有牙人群牙周炎的流行率:系统评价和流行病学研究的荟萃分析。
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Periodontal staging and grading: An international dental hygiene education survey.
牙周分期与分级:一项国际口腔卫生教育调查。
Int J Dent Hyg. 2023 May;21(2):283-290. doi: 10.1111/idh.12627. Epub 2022 Sep 26.
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Intra- and inter-examiner reliability in classifying periodontitis according to the 2018 classification of periodontal diseases.根据 2018 年牙周病分类,对牙周炎进行分类的组内和组间可靠性。
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Prevalence of periodontitis based on the 2017 classification in a Norwegian population: The HUNT study.基于 2017 年分类的牙周炎患病率:挪威 HUNT 研究。
J Clin Periodontol. 2021 Sep;48(9):1189-1199. doi: 10.1111/jcpe.13507. Epub 2021 Jul 9.
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The staging and grading system in defining periodontitis cases: consistency and accuracy amongst periodontal experts, general dentists and undergraduate students.在确定牙周炎病例时的分期和分级系统:牙周病专家、普通牙医和本科生之间的一致性和准确性。
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Clinical application of the new classification of periodontal diseases: Ground rules, clarifications and "gray zones".牙周病新分类的临床应用:基本原则、澄清和“灰色地带”。
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