Rotundu Gabriel, Virvescu Dragos Ioan, Surlari Zinovia, Budala Dana Gabriela, Curca Florin Razvan, Balcos Carina, Cojocaru Cristian, Constantin Vlad, Gradinariu Razvan, Luchian Ionut
Department of Periodontology, Faculty of Dental Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department of Dental Materials, Faculty of Dental Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Clin Pract. 2025 Aug 7;15(8):149. doi: 10.3390/clinpract15080149.
The interaction between prosthetic restorations and periodontal health is a critical factor for the long-term success of dental treatments. A biologically compatible prosthetic design supports periodontal stability, whereas neglecting periodontal principles can compromise treatment outcomes. This study aimed to validate a questionnaire designed to assess dentists' perceptions regarding the influence of prosthetic restorations on the periodontium. An observational cross-sectional study was conducted using a self-administered questionnaire distributed to licensed dentists across Romania. The questionnaire underwent expert review, pilot testing ( = 50), and statistical validation, including the Content Validity Index (CVI), Cronbach's alpha for internal consistency, and Exploratory Factor Analysis (EFA) using Principal Component Analysis (PCA) with Varimax rotation. The final sample included 39 respondents. Data was analyzed using SPSS v26.0. The questionnaire demonstrated excellent internal consistency (Cronbach's alpha = 0.900; standardized alpha = 0.917). Most items had corrected item-total correlations > 0.40. EFA revealed eight coherent factors explaining 81.68% of total variance, with high communalities (0.549-0.966), strong Kaiser-Meyer-Olkin test (KMO) values, and significant Bartlett's test values, confirming construct validity. Descriptive statistics showed predominantly positive attitudes among dentists regarding the periodontal considerations in prosthetic treatment. The highest-rated items emphasized oral hygiene, periodontal stability, and biological adaptation of restorations. Lower scores were associated with routine use of periodontal indices and recognition of failures due to insufficient evaluation. The validated instrument proved reliable and demonstrated strong psychometric properties in this exploratory validation, supporting its use in research and education. Romanian dentists demonstrated a favorable perception of the role of periodontal health in prosthetic success. This tool can inform curriculum development and interdisciplinary clinical protocols in prosthodontics and periodontology.
修复体与牙周健康之间的相互作用是牙科治疗长期成功的关键因素。生物相容性良好的修复体设计有助于维持牙周稳定性,而忽视牙周原则则可能影响治疗效果。本研究旨在验证一份旨在评估牙医对修复体对牙周组织影响的认知的问卷。采用自行填写的问卷对罗马尼亚各地的执业牙医进行了一项观察性横断面研究。该问卷经过了专家评审、预测试(n = 50)和统计验证,包括内容效度指数(CVI)、用于内部一致性的Cronbach's alpha以及使用主成分分析(PCA)和方差最大化旋转的探索性因子分析(EFA)。最终样本包括39名受访者。使用SPSS v26.0对数据进行分析。该问卷显示出出色的内部一致性(Cronbach's alpha = 0.900;标准化alpha = 0.917)。大多数项目的校正项目总分相关性> 0.40。EFA揭示了八个连贯的因子,解释了总方差的81.68%,具有较高的共同度(0.549 - 0.966)、较强的Kaiser - Meyer - Olkin检验(KMO)值和显著的Bartlett检验值,证实了结构效度。描述性统计显示,牙医对修复治疗中的牙周考虑因素主要持积极态度。评分最高的项目强调口腔卫生、牙周稳定性和修复体的生物适应性。得分较低的项目与牙周指数的常规使用以及对评估不足导致的失败的认识有关。在这项探索性验证中,经过验证的工具被证明是可靠的,并具有强大的心理测量特性,支持其在研究和教育中的应用。罗马尼亚牙医对牙周健康在修复成功中的作用持积极看法。该工具可为口腔修复学和牙周病学的课程开发和跨学科临床方案提供参考。