Langford J W, Ferguson J W
South Birmingham Health Authority, U.K.
Br J Orthod. 1995 Nov;22(4):347-52. doi: 10.1179/bjo.22.4.347.
It has been suggested that the consultant orthodontic service and specialist practitioner service should have different roles, with the former concentrating its treatment input on the management of severe malocclusions. In an attempt to determine whether referring dental practitioners appeared to be aware of these differences, 100 consecutive orthodontic referrals seen at a consultant orthodontist's clinic were compared and contrasted with the same number seen at each of four specialist orthodontic practices located in the same city, and within 4 miles of the consultant unit. Comparisons were made both on the basis of clinical information obtained from study models and from analysis of referral letters. The consultant sample contained a greater proportion of requests for treatment plans, but there were few differences in terms of the range and severity of the actual malocclusions referred to each of these specialist services. The implications of these findings are discussed in relation to possible future developments of orthodontic services in the U.K.
有人提出，正畸顾问服务和专科医生服务应发挥不同作用，前者应将治疗重点放在严重错颌畸形的管理上。为了确定转诊的牙科医生是否似乎意识到了这些差异，对在一位正畸顾问医生诊所连续见到的100例正畸转诊病例与在同一城市且距离顾问单位4英里范围内的四家专科正畸诊所中每家见到的相同数量病例进行了比较和对照。比较是基于从研究模型获得的临床信息以及转诊信的分析进行的。顾问样本中对治疗方案的请求比例更高，但就转诊到这些专科服务机构的实际错颌畸形的范围和严重程度而言，差异不大。结合英国正畸服务未来可能的发展，讨论了这些发现的意义。
