Glaros A G, Glass E G, McLaughlin L
Department of Behavioral Science, University of Missouri-Kansas City, School of Dentistry.
J Orofac Pain. 1994 Spring;8(2):216-22.
To assess the knowledge and beliefs of practicing dentists regarding temporomandibular disorders and chronic pain, a random sample of dentists in the Kansas City metropolitan area was surveyed. A survey instrument examining knowledge and beliefs in four domains (psychophysiological, psychiatric disorders, chronic pain, and pathophysiology) was used. The responses of the practicing dentists were compared to the responses of panels of experts. Results indicated that dentists generally agreed with experts in the psychophysiological and psychiatric disorders domains but disagreed with the experts in the chronic pain and pathophysiology domains. Specialists and general dentists did not differ from one another in their responses. The findings partially replicate an earlier, similar survey of dentists in the Seattle, Washington, area. The findings suggest that the role of psychiatric disorders and psychophysiologic factors in the etiology of temporomandibular disorders is widely acknowledged by practicing dentists. However, there is considerable discrepancy between practicing dentists and temporomandibular disorder experts on the pathophysiology of temporomandibular disorders and how best to diagnose and treat these chronic conditions.
为评估执业牙医对颞下颌关节紊乱病和慢性疼痛的知识及看法，对堪萨斯城大都市区的牙医进行了随机抽样调查。使用了一份在四个领域（心理生理学、精神疾病、慢性疼痛和病理生理学）考查知识和看法的调查问卷。将执业牙医的回答与专家小组的回答进行了比较。结果表明，牙医在心理生理学和精神疾病领域总体上与专家意见一致，但在慢性疼痛和病理生理学领域与专家意见不同。专科医生和普通牙医的回答没有差异。这些发现部分重复了早些时候在华盛顿州西雅图地区对牙医进行的类似调查。研究结果表明，执业牙医广泛认可精神疾病和心理生理因素在颞下颌关节紊乱病病因中的作用。然而，在颞下颌关节紊乱病的病理生理学以及如何最好地诊断和治疗这些慢性病方面，执业牙医与颞下颌关节紊乱病专家之间存在相当大的差异。
