Singh H, Lee K, Ayoub A F
Department of Oral Surgery, Glasgow Dental Hospital and School, University of Glasgow, Scotland, UK.
Br J Oral Maxillofac Surg. 1996 Oct;34(5):389-93. doi: 10.1016/s0266-4356(96)90093-5.
This study was carried out to assess the opinions of clinicians (general practitioners and oral and maxillofacial surgeons) regarding the management of unerupted Mandibular Asymptomatic Impacted Wisdom Teeth (MAIWT) at two centres: Glasgow Dental Hospital and School and its affiliated institutions and Prince Philip Dental Hospital and its affiliated institutions in Hong Kong. Twenty four clinicians, twelve from each centre, of whom six were oral and maxillofacial surgeons (OMS) and six general dental practitioners (GDP) participated in this investigation. The orthopantomographs of 21 cases were used in the study and were examined by each clinician to investigate the management of unerupted MAIWT was recorded using a custom written questionnaire. Hong Kong clinicians showed a greater tendency towards extraction of MAIWT in comparison to Glasgow clinicians. The difference was statistically significant. The data indicates a significant difference between Hong Kong OMS and Glasgow OMS and between Hong Kong OMS and Hong Kong GDP, with Hong Kong OMS showing a greater tendency towards extraction. This study proved the diversity of opinions in one of the most common dento-alveolar procedures. The dilemma to extract or retain MAIWT still exists and controversy is likely to remain. The difference in the rationale of management regimes between the centres are discussed. The medico-legal and financial issues are investigated.
本研究旨在评估两个中心（格拉斯哥牙科医院及学校及其附属机构，以及香港菲腊亲王牙科医院及其附属机构）的临床医生（全科医生和口腔颌面外科医生）对未萌出的下颌无症状阻生智齿（MAIWT）治疗的看法。24名临床医生参与了此次调查，其中12名来自每个中心，包括6名口腔颌面外科医生（OMS）和6名普通牙科医生（GDP）。研究中使用了21例病例的曲面断层片，每位临床医生对其进行检查，并通过一份定制的问卷记录对未萌出的MAIWT的治疗情况。与格拉斯哥的临床医生相比，香港的临床医生更倾向于拔除MAIWT。这种差异具有统计学意义。数据表明，香港的OMS与格拉斯哥的OMS之间，以及香港的OMS与香港的GDP之间存在显著差异，香港的OMS更倾向于拔除。本研究证明了在最常见的牙槽手术之一中存在意见的多样性。拔除或保留MAIWT的两难困境仍然存在，争议可能会持续。讨论了两个中心在治疗方案依据上的差异。还对医疗法律和财务问题进行了调查。
