Cvijic Andjelka, Kvernenes Monika, Åstrøm Anne Nordrehaug, Tsilingaridis Georgios, Bletsa Athanasia
Oral Health Centre of Expertise in Western Norway, Bergen, Norway.
Center for Medical Education and Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
Dent Traumatol. 2025 Feb;41(1):93-103. doi: 10.1111/edt.12991. Epub 2024 Sep 20.
BACKGROUND/AIM: This study explored perceived challenges in the management of traumatic dental injuries (TDI) among general dentists in the public dental service (PDS) of Vestland County in Western Norway and their needs for improving treatment care for TDI patients.
This qualitative study conducted three focus group discussions. We recruited a purposive sample of seven general dentists employed in the PDS in Vestland County in Western Norway. The three focus groups consisted of two, two, and three participants, respectively. The focus group discussion took place via the Microsoft electronic platform Teams, and it was visual, and audio recorded. Transcripts of the interviews were analyzed using systematic text condensation.
The general dentists in this study experienced the management of TDI as a set of complex procedures that require good theoretical knowledge, clinical experience, skills, and teamwork. We were able to group these challenges into three results categories: (1) proficiency challenges, (2) the challenge of stress and discomfort during dental procedures, and (3) the challenge of the organization of the PDS. The participants also expressed the need for practical courses, calibration, and refresher courses in dental traumatology. Their needs fell into two categories: (1) regular, clinically relevant continuing professional development and (2) collective efforts in TDI management.
Increasing awareness of the challenges in TDI management and addressing the need for improved dental treatment for TDI patients may lead to targeted programs to enhance dentists' knowledge and skills. There is considerable potential for training dentists in dental traumatology.
背景/目的：本研究探讨了挪威西部韦斯特兰郡公共牙科服务（PDS）中的普通牙医在处理牙外伤（TDI）时所面临的挑战，以及他们改善TDI患者治疗护理的需求。
本定性研究进行了三次焦点小组讨论。我们有目的地选取了挪威西部韦斯特兰郡PDS雇佣的七名普通牙医作为样本。三个焦点小组分别由两名、两名和三名参与者组成。焦点小组讨论通过微软电子平台Teams进行，讨论过程进行了视频和音频记录。访谈记录采用系统文本浓缩法进行分析。
本研究中的普通牙医认为处理TDI是一系列复杂的程序，需要良好的理论知识、临床经验、技能和团队合作。我们可以将这些挑战归纳为三个结果类别：（1）专业能力挑战；（2）牙科治疗过程中的压力和不适挑战；（3）PDS的组织挑战。参与者还表示需要牙外伤学方面的实践课程、校准和进修课程。他们的需求分为两类：（1）定期的、与临床相关的持续专业发展；（2）TDI管理方面的集体努力。
提高对TDI管理挑战的认识，并满足改善TDI患者牙科治疗的需求，可能会带来有针对性的项目，以提高牙医的知识和技能。在牙外伤学方面培训牙医有很大的潜力。
