Power S M, Hodgkins J F, Stephens C D, Webb W G
Department of Orthodontics, Royal Bournemouth Hospital.
Br Dent J. 1996 Feb 10;180(3):91-7. doi: 10.1038/sj.bdj.4808987.
A sample of 172 orthodontic patients treated by 10 general dental practitioners in their practices was assessed in terms of treatment need and standard of treatment provided. The practitioners had been clinical assistants, for a minimum of 2 years, at a District General Hospital before starting any of the cases. Prior to treatment 70% of the cases had a 'clear need' for treatment on dental health grounds and 73% of the cases had a 'moderate' or 'great need' for treatment on aesthetic grounds. Using the Peer Assessment Rating nomogram to assess the treatment standard, 83% of patients could be classed as 'improved' or 'greatly improved' with treatment but 17% were 'worse or no different'. The standard of treatment produced by fixed appliances was found to be superior to that produced by removable appliances alone. When removable appliances were used the best results were obtained when consultant advice was given. The results for the clinical assistant sample are compared with the results for the GDS sample published in 1993. Ways of further improving the treatment standards produced by the general dental practitioners are considered.
对10位普通牙科医生在其诊所治疗的172名正畸患者样本，从治疗需求和所提供的治疗标准方面进行了评估。这些医生在开始治疗任何病例之前，曾在一家地区综合医院担任临床助理至少2年。治疗前，70%的病例基于牙齿健康理由有“明确的治疗需求”，73%的病例基于美观理由有“中度”或“高度治疗需求”。使用同行评估评分列线图来评估治疗标准，83%的患者经治疗后可归类为“改善”或“大幅改善”，但17%的患者“更差或无变化”。发现固定矫治器产生的治疗标准优于仅使用活动矫治器产生的治疗标准。当使用活动矫治器时，若能得到顾问的建议，则能取得最佳效果。将临床助理样本的结果与1993年公布的GDS样本结果进行了比较。还考虑了进一步提高普通牙科医生治疗标准的方法。
