Cvijic Andjelka, Jensen Knut Helge Midtbø, Åstrøm Anne, Kvernenes Monika, Tsilingaridis Georgios, Bletsa Athanasia
Oral Health Centre of Expertise in Western Norway, Bergen, Norway.
Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway.
Dent Traumatol. 2025 Oct;41(5):548-558. doi: 10.1111/edt.13061. Epub 2025 Mar 27.
To assess the effect of a dental traumatology educational intervention on general dentists' knowledge. The study was conducted at Vestland County's Public Dental Service (PDS) in Western Norway.
All PDS dental clinics of Vestland County (n = 52) were purposively assigned to a control group receiving no intervention (CC, n = 19), a webinar group (IC1, n = 17), and a combined webinar and in-person physical course group (IC2, n = 16). To examine the effect of the intervention, participants received a post-intervention online questionnaire (Q2) with clinical cases. A generalized linear mixed-effects model (GLMM) was used to compare the individual proportion of correct answers in Q2 between the three groups of educational intervention, where the clinic was set as a random effect factor. Additionally, a GLMM with a binary response variable was used to analyze the answers to individual cases. p < 0.05 was considered statistically significant.
The response rate was 57% (n = 94). The overall proportion of correct answers was 67.7%, 71.0%, and 75.0% for the CC, IC1, and IC2 groups, respectively. There was no statistically significant difference in the overall proportion of correct answers between the groups when accounting for the dependency structure caused by clinics. However, for the individual cases, the IC2 group had a statistically significantly higher proportion of correct answers in complicated crown fracture of the immature tooth (p = 0.02) and first aid after avulsion (p = 0.02) compared to the CC group. Furthermore, the IC2 group had a trend of difference in complicated crown fracture of the mature tooth (p = 0.09) compared to the CC group and in emergency treatment of root fracture (p = 0.08) compared with IC1.
This study demonstrates that an educational intervention combining webinars with in-person interactive courses has a positive effect on general dentists' knowledge of dental trauma.
评估牙科创伤学教育干预对普通牙医知识水平的影响。该研究在挪威西部的韦斯特兰郡公共牙科服务机构(PDS)开展。
韦斯特兰郡所有的PDS牙科诊所(n = 52)被有意分为三组,一组为未接受干预的对照组(CC组,n = 19),一组为参加网络研讨会的组(IC1组,n = 17),还有一组为参加网络研讨会及线下实体课程相结合的组(IC2组,n = 16)。为检验干预效果,参与者在干预后收到一份包含临床病例的在线问卷(Q2)。采用广义线性混合效应模型(GLMM)比较三组教育干预后Q2中正确答案的个体比例,其中将诊所设为随机效应因素。此外,使用具有二元响应变量的GLMM分析各个病例的答案。p < 0.05被视为具有统计学意义。
回复率为57%(n = 94)。CC组、IC1组和IC2组正确答案的总体比例分别为67.7%、71.0%和75.0%。考虑到诊所造成的依存结构时,各组之间正确答案的总体比例无统计学显著差异。然而,对于各个病例,与CC组相比,IC2组在年轻恒牙复杂冠折(p = 0.02)和牙脱位后急救(p = 0.02)方面正确答案的比例具有统计学显著更高。此外,与CC组相比,IC2组在成熟恒牙复杂冠折方面有差异趋势(p = 0.09),与IC1组相比,在牙根折应急处理方面有差异趋势(p = 0.08)。
本研究表明,将网络研讨会与线下互动课程相结合的教育干预对普通牙医的牙科创伤知识有积极影响。