Routine oral examination: clinical performance and management by general dental practitioners in primary care
Routine oral examination: clinical performance and management by general dental practitioners in primary care
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DOI：
10.1111/j.1600-0722.2007.00472.x
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发表时间：
2007-10-01
影响因子：
1.9
通讯作者：
Plasschaert, Alphons J. M.
中科院分区：
文献类型：
--
作者：
Mettes, Theodorus G.;van der Sanden, Wil J. M.;Plasschaert, Alphons J. M.
本临床研究的目的是探讨荷兰普通牙科医生（GDPs）进行的常规口腔检查（ROE）的内容与定期就诊患者的口腔健康状况的关系。根据临床病例记录进行了一项观察性研究。以荷兰牙科协会的数据站项目为研究基础，招募了215名GDP，其中131人参加了这项研究。开发了临床病例记录表以记录临床行为。评估的内容涉及患者特征、ROE访视内容、诊断以及对ROE结果的临床行为。这项研究表明，与特定ROE领域相关的临床行为存在很大差异，包括患者病史和记录保存，而GDP在其他领域的作用一致，如临床检查和回忆长度评估。此外，ROE性能与GDP特征的相关性比患者特征更强。平均ROE时间为10分钟，回忆间隔最常分配在6个月，无论口腔条件。这项研究强调了继续教育的必要性，以促进基于风险的口腔筛查。需要进一步的研究来确定GDP表现变化的因素，就像临床实践指南实施方法的研究一样。
The aim of this clinical study was to explore the contents of routine oral examinations (ROE), carried out by Dutch general dental practitioners (GDPs), in relation to the oral health status of regularly attending patients. An observational study was performed, based on clinical case recording. Using The Data Station Project of the Dutch Dental Association as the study base, 215 GDPs were recruited, of whom 131 participated in the study. A clinical case-recording form was developed to document clinical behavior. The contents assessed concerned patient characteristics, contents of the ROE visit, diagnoses made, and clinical behavior in response to ROE findings. This study showed substantial variation in clinical behavior related to specific ROE domains, including patient history and record keeping, whereas GDPs acted consistently on other domains, such as clinical examination and recall length assessment. Furthermore, the ROE performance was more strongly associated with GDP characteristics than with patient characteristics. The mean ROE time was 10 min, and recall intervals were most frequently assigned at 6 months, irrespective of the oral condition. This study highlights a need for continuing education to promote risk-based oral screening. Further research is needed to identify factors responsible for the variation in GDP performance, just as research on clinical practice guideline implementation methods is warranted.