青岛市口腔医生对乳牙牙外伤处理的认知调查
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摘要
目的研究青岛地区口腔医生对乳牙牙外伤处理的认知水平。方法利用2018年8月青岛市儿童口腔疾病预防公益项目培训会议期间,向参会医生发放经过验证的调查问卷,进行乳牙牙外伤处理认知调查,使用χ2检验对结果进行统计分析。结果调查相关口腔医生170名,共回收有效调查问卷168份(98.8%)。结果分析:青岛地区口腔医生对乳牙折断性损伤处理方案选择的正确率为53.57%,对乳牙牙脱位性损伤处理方案选择的正确率为72.62%,对乳牙全脱位处理方案选择正确率为58.33%。卡方检验显示,不同医疗机构和不同职称的口腔医生在大多数问题的选择正确率上没有明显差异(P>0.05),第7、9、11、13题中,儿童口腔医生对乳牙外伤处理方案选择正确率分别为88.9%、55.6%、97.2%和91.7%,非儿童口腔医生选择正确率分别为67.2%、13.7%、76.2%和81.1%,差异均具有统计学意义(χ~2_7=6.844,P_7=0.009;χ~2_9=17.3,P_9<0.001;χ~2_(11)=9.056,P_(11)=0.003;χ~2_(13)=2.291,P_(13)=0.130)。结论青岛市口腔医生对乳牙牙外伤处理方案的选择整体正确率较低,不同的医疗机构和不同职称的口腔医生在处理方案的选择上没有明显差异,儿童口腔医生对乳牙外伤处理方案选择的正确率更高。
Objective The purpose of the present study was to assess the knowledge of dentists in Qingdao regarding the management of dental traumatic injuries of primary teeth. Methods During the training meeting of Qingdao children′ s oral disease prevention project in August 2018,a validated questionnaire was distributed to participating doctors to conduct a cognitive survey on the management of primary teeth trauma. The chi-square test was used for statistical analysis of the results. Results 170 dentists were investigated and 168 questionnaires were collected(98.8%). The results showed that the correct selection of the treatment plan for the fracture injury of primary teeth by the dentists in Qingdao was53.37%. The accuracy of the treatment for the luxation injury of primary teeth was 72.62%. while which was 58.33% for the primary teeth avulsion. Chi-square test results showed that,there was no significant difference in the correct rate of most questions between different medical institutions and dental doctors with different professional titles(P>0.05). In questions 7,9,11 and 13,the correct rate of Pediatric dentists in choosing the treatment plan for primary teeth trauma was respectively(88.9%,55.6%,97.2%,91.7%),and those of Non-pediatric dentists were 67.2%,13.7%,76.2%,81.1% respectively. The differences were statistically significant(χ~2_7=6.844,P_7=0.009;χ~2_9=17.3,P_9<0.001;χ~2_(11)=9.056,P_(11)=0.003;χ~2_(13)=2.291,P_(13)=0.130). Conclusions The overall accuracy of the treatment for primary teeth trauma among dentists was low in Qingdao. There was no significant difference between different hospitals and dentists with different professional titles. Pediatric dentists were more likely to have a higher rate of accuracy choice in treatment options for luxation injury and avulsion.
Objective The purpose of the present study was to assess the knowledge of dentists in Qingdao regarding the management of dental traumatic injuries of primary teeth. Methods During the training meeting of Qingdao children′ s oral disease prevention project in August 2018,a validated questionnaire was distributed to participating doctors to conduct a cognitive survey on the management of primary teeth trauma. The chi-square test was used for statistical analysis of the results. Results 170 dentists were investigated and 168 questionnaires were collected(98.8%). The results showed that the correct selection of the treatment plan for the fracture injury of primary teeth by the dentists in Qingdao was53.37%. The accuracy of the treatment for the luxation injury of primary teeth was 72.62%. while which was 58.33% for the primary teeth avulsion. Chi-square test results showed that,there was no significant difference in the correct rate of most questions between different medical institutions and dental doctors with different professional titles(P>0.05). In questions 7,9,11 and 13,the correct rate of Pediatric dentists in choosing the treatment plan for primary teeth trauma was respectively(88.9%,55.6%,97.2%,91.7%),and those of Non-pediatric dentists were 67.2%,13.7%,76.2%,81.1% respectively. The differences were statistically significant(χ~2_7=6.844,P_7=0.009;χ~2_9=17.3,P_9<0.001;χ~2_(11)=9.056,P_(11)=0.003;χ~2_(13)=2.291,P_(13)=0.130). Conclusions The overall accuracy of the treatment for primary teeth trauma among dentists was low in Qingdao. There was no significant difference between different hospitals and dentists with different professional titles. Pediatric dentists were more likely to have a higher rate of accuracy choice in treatment options for luxation injury and avulsion.
引文
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[12]陈洁,葛立宏.乳牙外伤的临床分析[J].现代口腔医学杂志,2001,15(2):142-144.DOI:10.3969/j.issn.1003-7632.2001.02.026.
[13]Costa VP,Oliveira LJ,Rosa DP,et al.Crown-root fractures in primary teeth:A case series study of 28 cases[J].Braz Dent,2016,27(2):23-28.DOI:10.1590/0103-6440201600315.
[14]Assun??o LR,Ferelle A,Iwakura ML,et al.Luxation injuries in primary teeth:a retrospective study in children assisted at an emergency service[J].Braz Oral Res,2011,25(2):150-152.DOI:10.1590/S1806-83242011000200009.
[15]Lauridsen E,Blanche P,Yousaf N,et al.The risk of healing complications in primary teeth with intrusive luxation:Aretrospective cohort study[J].Dent Traumatol,2017,33(5):329-336.DOI:10.1111/edt.12341.
[16]Kenwood M,Seow WK.Sequelae of trauma to the primary dentition[J].J Pedod,1989,13(3):230-240.
[17]李斌,石四箴.乳牙外伤后遗症[J].口腔医学,2003,23(4):242-244.DOI:10.3969/j.issn.1003-9872.2003.04.020.
[18]时清,陈玫.儿童牙外伤临床治疗[J].中国实用口腔科杂志,2011,4(1):135-136.DOI:10.3969/j.issn.1674-1595.2011.01.004.
[19]Kapur A,Goyal A,Gauba K.Replantation of an avulsed primary incisor:Report of a case with favorable outcome[J].Postgrad Med Educ Res,2014,48(2):105-108.DOI:10.5005/jp-journals-10028-1112.
[20]Friedlander LT,Chandler NP,Drummond BK.Avulsion and replantation of a primary incisor tooth[J].Dent Traumatol,2013,29(6):494-497.DOI:10.1111/j.1600-9657.2012.01168.x.
[21]Holan G.Replantation of avulsed primary incisors:a critical review of a controversial treatment[J].Dent Traumatol,2013,29(3):178-184.
[2]Fymbo L.The relation of malocclusion of the teeth to defects of speech[J].Arch Speech,1936(1):16-204.
[3]Andreason JO,Andreason FM.Textbook and Color Atlas of Traumatic Injuries to the Teeth[M].3rd ed.Copenhagen:Munksgaard,1994,11(1):383-420.
[4]阙禧韬.儿童牙外伤治疗技术进展[J/CD].全科口腔医学电子杂志,2018,5(11):13-14.
[5]王津惠,张伟,冯永强,等.0~3岁婴幼儿颌面创伤369例临床分析[J].现代口腔医学杂志,2013,22(5):309-310.
[6]葛立宏.儿童口腔病学[M].4版.北京:人民卫生出版社,2013:161-162,420-428.
[7]Ravikumar D,Jeevanandan G,Subramanian EMG.Evaluation of knowledge among general dentists in treatment of traumatic injuries in primary teeth:A cross-sectional questionnaire study[J].Eur J Dent,2017,11(2):232-237.DOI:10.4103/ejd.ejd_357_16.
[8]Malmgren B,Andreasen JO,Flores MT,et al.International Association of Dental Traumatology guidelines for the management of traumatic dental injuries:3.Injuries in the primary dentition[J].Dent Traumatol,2012,28(3):174-182.DOI:10.1111/j.1600-9657.2012.01146.x.
[9]任飞,张兆强.乳牙外伤处理策略[J].中国实用口腔科杂志,2016,9(11):652-656.DOI:10.7504/kq.2016.11.003
[10]Medoza-Mendoza A,Iglesias-Linares A,Ya?ez-Vico RM,et al.Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe[J].Dent Traumatol,2015,31(2):144-149.DOI:10.1111/edt.12147.
[11]Lenzi MM,Alexandria AK,Ferreira DM,et al.Does trauma in the primary dentition cause sequelae in permanent successors?A systematic review[J].Dent Traumatol,2015,31(2):79-88.DOI:10.1111/edt.12149.
[12]陈洁,葛立宏.乳牙外伤的临床分析[J].现代口腔医学杂志,2001,15(2):142-144.DOI:10.3969/j.issn.1003-7632.2001.02.026.
[13]Costa VP,Oliveira LJ,Rosa DP,et al.Crown-root fractures in primary teeth:A case series study of 28 cases[J].Braz Dent,2016,27(2):23-28.DOI:10.1590/0103-6440201600315.
[14]Assun??o LR,Ferelle A,Iwakura ML,et al.Luxation injuries in primary teeth:a retrospective study in children assisted at an emergency service[J].Braz Oral Res,2011,25(2):150-152.DOI:10.1590/S1806-83242011000200009.
[15]Lauridsen E,Blanche P,Yousaf N,et al.The risk of healing complications in primary teeth with intrusive luxation:Aretrospective cohort study[J].Dent Traumatol,2017,33(5):329-336.DOI:10.1111/edt.12341.
[16]Kenwood M,Seow WK.Sequelae of trauma to the primary dentition[J].J Pedod,1989,13(3):230-240.
[17]李斌,石四箴.乳牙外伤后遗症[J].口腔医学,2003,23(4):242-244.DOI:10.3969/j.issn.1003-9872.2003.04.020.
[18]时清,陈玫.儿童牙外伤临床治疗[J].中国实用口腔科杂志,2011,4(1):135-136.DOI:10.3969/j.issn.1674-1595.2011.01.004.
[19]Kapur A,Goyal A,Gauba K.Replantation of an avulsed primary incisor:Report of a case with favorable outcome[J].Postgrad Med Educ Res,2014,48(2):105-108.DOI:10.5005/jp-journals-10028-1112.
[20]Friedlander LT,Chandler NP,Drummond BK.Avulsion and replantation of a primary incisor tooth[J].Dent Traumatol,2013,29(6):494-497.DOI:10.1111/j.1600-9657.2012.01168.x.
[21]Holan G.Replantation of avulsed primary incisors:a critical review of a controversial treatment[J].Dent Traumatol,2013,29(3):178-184.