印度牙医对颞下颌关节紊乱的认知和了解：问卷调查研究与综述。
Knowledge and awareness about temporomandibular disorder among dentists in India: Questionnaire study and review.
机构信息
Department of Dental Sciences, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India.
Department of Orthodontics and Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
出版信息
J Indian Prosthodont Soc. 2024 Jul 1;24(3):284-291. doi: 10.4103/jips.jips_573_23.
AIM
Temporomandibular disorders (TMD) comprise ailments involving the jaw joint (temporomandibular joint) and its associated anatomical structures. The complexity involved in TMD is primarily due to its broad spectrum of conditions, clinical signs and symptoms variability, and multifactorial etiology. Considering the above, the present study was performed to help understand the prevailing knowledge and awareness of TMD among Indian dentists in the context of the new specialty "orofacial pain".
SETTINGS AND DESIGN
Questinnaire study and review.
MATERIALS AND METHODS
The questionnaire was distributed using a web-based portal nationwide among Indian dentists. Dentists were invited to participate, clearly stating that the intent and purpose of the questionnaire was to record the existing knowledge and awareness concerning temporomandibular disorders among Indian dentists. The questionnaire was segregated into three sections: pathogenesis, diagnosis, and management of TMDs. The questions were recorded using a Likert three-point scale (1=agree; 2=disagree; 3=not aware). 310 dentists participated in the survey, among which 105 were general dentists (BDS [Bachelor of Dental Surgery] graduates), and 205 were dentists with specialist training (MDS [Masters of Dental Surgery] graduates).
STATISTICAL ANALYSIS USED
The results obtained from the study participants was used to calculate the percentage and frequency, following which tabulations were made based on graduate type and clinical experience. The values obtained from all three sections were recorded, and the responses were analysed using Pearson's Chi-Square test with statistical significance kept at P < 0.05.
RESULTS
Results of the study disclosed that only 58.1% of general dentists and 46.8% of specialists were confident in handling temporomandibular disorder patients. Splint therapy was the preferred treatment modality for general dentists, whereas dentists with specialist training preferred occlusal rehabilitation.
CONCLUSION
The results of the current survey indicate that Indian dentists lack sufficient training in dental schools on all three sections and face difficulty diagnosing and treating TMDs.
目的
颞下颌关节紊乱病（TMD）包括涉及颌关节（颞下颌关节）及其相关解剖结构的疾病。TMD 的复杂性主要归因于其广泛的病症、临床体征和症状的可变性以及多因素病因。考虑到这一点，本研究旨在帮助了解印度牙医在新专业“口腔颌面部疼痛”背景下对 TMD 的普遍认知和意识。
设置和设计
问卷调查研究和综述。
材料和方法
通过全国性的网络门户向印度牙医分发问卷。邀请牙医参与，明确表示问卷的目的是记录印度牙医对颞下颌关节紊乱的现有知识和意识。问卷分为三个部分：发病机制、诊断和 TMD 管理。问题使用李克特三点量表（1=同意；2=不同意；3=不知道）记录。共有 310 名牙医参与了调查，其中 105 名是普通牙医（BDS [牙科学学士] 毕业生），205 名是接受过专科培训的牙医（MDS [牙科学硕士] 毕业生）。
使用的统计分析
根据毕业类型和临床经验对研究参与者的结果进行了百分比和频率计算，然后进行制表。记录了来自所有三个部分的值，并使用 Pearson 的卡方检验分析了结果，统计学意义的显著性水平设为 P < 0.05。
结果
研究结果表明，只有 58.1%的普通牙医和 46.8%的专科牙医对处理颞下颌关节紊乱患者有信心。夹板治疗是普通牙医的首选治疗方法，而接受专科培训的牙医则更喜欢咬合重建。
结论
目前调查的结果表明，印度牙医在牙科学院缺乏对这三个方面的充分培训，在诊断和治疗 TMD 方面存在困难。
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