Franchi Lorenzo, Nieri Michele, Marti Patrizia, Recupero Annamaria, Volpe Alessandra, Vichi Alessandro, Goracci Cecilia
Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Santa Chiara Fab Lab, Department of Social Political and Cognitive Sciences, University of Siena, 53100 Siena, Italy.
Dent J (Basel). 2024 Jul 5;12(7):207. doi: 10.3390/dj12070207.
To evaluate whether there are differences among orthodontists in the clinical management of facemask treatment for early treatment of Class III malocclusion, a survey consisting of 16 questions was conducted among members of the Italian Society of Orthodontics (SIDO). Sixty percent of the respondents were Specialists in Orthodontics (S) whereas 40% were General Dentists practicing Orthodontics (GD). Descriptive statistics were calculated to summarize the collected data. Differences in answers between S and GD were assessed with the Fisher's exact test for dichotomous variables, chi-square test for qualitative variables, and Mann-Whitney test for ordinal variables. A total of 151 clinicians participated in this survey. As for treatment timing, about 80% of the participants reported treating Class III patients with RPE and facemask between 5 and 8 years of age. Most of the participants requested the patients to wear the facemask in the afternoon and at night for a period of 9 or 12 months with recommended forces of 500 g per side. Comparisons between S and GD showed that S preferred the Petit facemask whereas GD favored the Delaire's type facemask (Fisher's Exact test, = 0.0005). S and GD also differed significantly in their judgment of the most critical time of treatment, which for the majority of GD was the initial period but for the S was the final period (Chi-square test = 0.0188). This survey showed that the facemask is not well received by the patients who, along with their parents, express concerns regarding its tolerability.
为评估正畸医生在Ⅲ类错颌早期治疗中使用面罩治疗的临床管理方面是否存在差异，对意大利正畸学会（SIDO）成员进行了一项包含16个问题的调查。60%的受访者是正畸专科医生（S），而40%是从事正畸工作的普通牙医（GD）。计算描述性统计量以总结收集到的数据。对于二分变量，使用Fisher精确检验评估S和GD答案的差异；对于定性变量，使用卡方检验；对于有序变量，使用Mann-Whitney检验。共有151名临床医生参与了这项调查。关于治疗时机，约80%的参与者报告在5至8岁之间使用扩弓器和面罩治疗Ⅲ类患者。大多数参与者要求患者在下午和晚上佩戴面罩，持续9或12个月，每侧推荐力为500克。S和GD之间的比较表明，S更喜欢Petit面罩，而GD更喜欢Delaire型面罩（Fisher精确检验，P = 0.0005）。S和GD在对治疗最关键时期的判断上也存在显著差异，对于大多数GD来说是初始阶段，而对于S来说是最后阶段（卡方检验，P = 0.0188）。这项调查表明，面罩不太受患者欢迎，患者及其父母对其耐受性表示担忧。
