正畸治疗外伤性牙齿：正畸医生的调查。
Orthodontic management of traumatized teeth: a survey among orthodontists.
机构信息
Department of Pediatric Dentistry, Orthodontics and Preventive Dentistry, School of Dentistry, The University of Jordan, Amman, Jordan.
出版信息
BMC Oral Health. 2024 Aug 30;24(1):1027. doi: 10.1186/s12903-024-04748-y.
BACKGROUND
Information on previous traumatic dental injuries is important as they can lead to increased complications during orthodontic treatment and impact the treatment planning and outcomes. The aim of this study was to assess the knowledge of Jordanian orthodontists in orthodontic management of traumatized permanent teeth.
METHODS
Cross-sectional survey among active registered orthodontists using a questionnaire distributed by hand.
RESULTS
The study included 139 orthodontists. Nearly half of orthodontists treated between one to three patients with a history of traumatic dental injuries in the past 3 months. Only 43.2% of the participant asked routinely about history of trauma. A vast discrepancy in times waited before orthodontic movement and in the orthodontic management approach of traumatized teeth was noted. A statistically significant negative relationship between age and knowledge level was found (p = 0.002). A significantly higher level of knowledge was found among participants who had fellowship or board certification than those having the high diploma degree (P-0.032) and also who had treated patients with history of dental trauma in the last 3 months than those who did not (p = 0.001).
CONCLUSIONS
The knowledge of the surveyed orthodontists in both the recommended observation period before orthodontic treatment and management approaches of traumatized teeth during orthodontic treatment was insufficient. Years of clinical experience significantly affected knowledge, with older participants having lower levels of knowledge. Orthodontists who treated patients with history of dental trauma in the last 3 months had significantly higher knowledge in orthodontic management of traumatized teeth. Orthodontists needs to be aware of the proper timing and strategies on orthodontic management of traumatized permanent teeth to improve the long term prognosis and to reduce further complications during orthodontic treatment through proper management.
背景
了解先前的创伤性牙损伤信息很重要，因为它们可能导致正畸治疗期间出现更多并发症，并影响治疗计划和结果。本研究旨在评估约旦正畸医生在处理外伤性恒牙方面的知识水平。
方法
通过手发问卷对活跃注册的正畸医生进行横断面调查。
结果
研究包括 139 名正畸医生。近一半的正畸医生在过去 3 个月内治疗了 1 到 3 名有创伤性牙损伤史的患者。只有 43.2%的参与者会常规询问创伤史。在正畸治疗前等待时间和外伤性牙齿的正畸管理方法上存在很大差异。年龄与知识水平呈显著负相关（p=0.002）。与具有高文凭的参与者相比，具有专科培训或委员会认证的参与者具有更高的知识水平（P-0.032），并且在过去 3 个月内治疗过有牙外伤史的患者的参与者也具有更高的知识水平（p=0.001）。
结论
调查的正畸医生在正畸治疗前的推荐观察期以及正畸治疗期间外伤性牙齿的管理方法方面知识不足。临床经验年限显著影响知识水平，年龄较大的参与者知识水平较低。在过去 3 个月内治疗过有牙外伤史的患者的正畸医生在处理外伤性牙齿的正畸管理方面具有更高的知识水平。正畸医生需要了解外伤性恒牙的正确正畸管理时机和策略，以改善长期预后并通过适当管理减少正畸治疗期间的进一步并发症。
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