Jones M L, Armstrong R, Kostopoulou O, Brickley M R
Division of Dental Health & Development, Dental Hospital and School, University of Wales College of Medicine, Heath Park, Cardiff, U.K.
Br J Orthod. 1997 Nov;24(4):319-24. doi: 10.1093/ortho/24.4.319.
To examine the extent to which orthodontists consider it appropriate to refer post-orthodontic patients for lower third molar treatment. The subjects were 10 orthodontists from hospital, specialist practice and community setting. Participants were presented with 15 case histories of orthodontic patients (including full records) and asked to state whether they would have referred the case to an oral surgeon for management of their third molars. Data were analysed using multi-kappa measure. Two-hundred-and-sixty-two decisions of 300 (88%) were not to refer cases for third molar management. Little consensus was seen between orthodontists on which post-orthodontic cases referral (kappa = 0.14). Some clinicians referred cases much more frequently than others (Kruskall-Wallis = 46.84, P < 0.001) and some clinicians referred much more frequently (Kruskall-Wallis = 85.57, P < 0.001). This group of orthodontists did not refer post-orthodontic cases for third molar management and little consensus was observed regarding which cases did warrant removal.
为了研究正畸医生认为将正畸治疗后的患者转诊至下颌第三磨牙治疗的适宜程度。研究对象为10名来自医院、专科诊所和社区机构的正畸医生。研究人员向参与者展示了15例正畸患者的病例史（包括完整记录），并询问他们是否会将该病例转诊给口腔外科医生来处理其第三磨牙。数据采用多kappa测量法进行分析。300个决策中有262个（88%）决定不将病例转诊至第三磨牙处理。正畸医生对于哪些正畸后病例应转诊（kappa = 0.14）几乎没有达成共识。一些临床医生转诊病例的频率比其他医生高得多（Kruskal-Wallis检验 = 46.84，P < 0.001），而且一些临床医生转诊频率更高（Kruskal-Wallis检验 = 85.57，P < 0.001）。这组正畸医生没有将正畸后病例转诊至第三磨牙处理，并且对于哪些病例确实需要拔除几乎没有达成共识。
