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耳鼻喉科医生对正畸医生在治疗阻塞性睡眠呼吸暂停和口呼吸方面作用的认识。

Awareness about Orthodontists' Role in Treating Osa and Mouth Breathing among Otolaryngologists.

作者信息

Patel Anuj D, Kubavat Ajay K, Patel Khyati V, Sejani Vishwa, Bhavsar Priyal, Patel Riddhi

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Narsinhbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2012-S2014. doi: 10.4103/jpbs.jpbs_1281_23. Epub 2024 Apr 24.

Abstract

BACKGROUND

Orthodontic correction of dentofacial abnormalities is a crucial component of oral health because it enhances overall oral health-related quality of life, optimal function, periodontal health, and aesthetics. This study sought to determine whether otolaryngologists recommend patients to orthodontists, whether they are adequately knowledgeable about the fundamentals of orthodontics, and whether they check for orthodontic problems in their patients.

MATERIALS AND METHOD

We conducted a survey study of otolaryngologists in Gujarat, India. Questionnaires were completed by 47 out of 60 otolaryngologists (response rate 78%).

RESULTS

In the assessment of the mouth breathers, a very low frequency of "always" examining the extra-oral features (18%) was found. Reasons otolaryngologists referred patients to orthodontists varied from mouth breathing 48% (23/47) to face or teeth asymmetry 87% (41/47). In the multivariable analyses for the effect of gender, work sector, or years of experience in the decision for orthodontic referral, we could not identify any significant predictors. A low frequency of awareness of orthodontists' role in obstructive sleep apnoea, 48% (23/47) was found.

CONCLUSION

In conclusion, the survey of otolaryngologists in Gujarat, India, revealed areas for improvement in awareness and practices related to orthodontic issues, particularly in cases of mouth breathing. The study highlighted a low frequency of examination of extraoral features and variability in referral patterns, emphasizing potential gaps in knowledge. Additionally, a low awareness of orthodontists' role in treating obstructive sleep apnea was identified. Targeted educational interventions are recommended to enhance interdisciplinary communication and collaboration between otolaryngologists and orthodontists, ultimately fostering a more comprehensive approach to patient care for individuals with dentofacial deformities in Gujarat and potentially influencing practices on a broader scale.

摘要

背景

牙颌面畸形的正畸矫治是口腔健康的重要组成部分,因为它能提高与口腔健康相关的总体生活质量、优化功能、促进牙周健康并提升美观度。本研究旨在确定耳鼻喉科医生是否会将患者推荐给正畸医生,他们对正畸学基础知识的了解是否充分,以及他们是否会检查患者的正畸问题。

材料与方法

我们对印度古吉拉特邦的耳鼻喉科医生进行了一项调查研究。60名耳鼻喉科医生中有47名完成了问卷调查(回复率78%)。

结果

在对口呼吸患者的评估中,发现“总是”检查口外特征的频率非常低(18%)。耳鼻喉科医生将患者转介给正畸医生的原因各不相同,从口呼吸占48%(23/47)到面部或牙齿不对称占87%(41/47)。在多变量分析性别、工作部门或正畸转诊决策中的工作经验的影响时,我们未能确定任何显著的预测因素。发现对正畸医生在阻塞性睡眠呼吸暂停中作用的知晓率较低,为48%(23/47)。

结论

总之,对印度古吉拉特邦耳鼻喉科医生的调查揭示了在正畸问题的认识和实践方面有待改进的领域,特别是在口呼吸病例中。该研究强调了口外特征检查频率较低以及转诊模式的差异,凸显了知识方面的潜在差距。此外,还发现对正畸医生在治疗阻塞性睡眠呼吸暂停中作用的认识不足。建议进行有针对性的教育干预,以加强耳鼻喉科医生和正畸医生之间的跨学科沟通与合作,最终为古吉拉特邦牙颌面畸形患者提供更全面的患者护理方法,并可能在更广泛范围内影响实践。

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本文引用的文献

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Prevalence of mouth breathing among children.儿童口呼吸的患病率。
J Pediatr (Rio J). 2008 Sep-Oct;84(5):467-70. doi: 10.2223/JPED.1806. Epub 2008 Sep 29.
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Nasal obstruction in sleep-disordered breathing.睡眠呼吸障碍中的鼻阻塞
Otolaryngol Clin North Am. 2003 Jun;36(3):437-60. doi: 10.1016/s0030-6665(02)00175-5.

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