An investigation of dento-alveolar trauma and its treatment in an adolescent population .2. Dentists' knowledge of management methods and their perceptions of barriers to providing care
An investigation of dento-alveolar trauma and its treatment in an adolescent population .2. Dentists' knowledge of management methods and their perceptions of barriers to providing care
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DOI：
10.1038/sj.bdj.4809323
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发表时间：
1997-02-22
影响因子：
2.6
通讯作者：
Holloway, PJ
中科院分区：
文献类型：
--
作者：
Hamilton, FA;Hill, FJ;Holloway, PJ
目的了解牙科医生对牙科创伤救治的认知和认知障碍，设计横断面邮寄调查问卷和个人访谈法，对153名牙科医生和53名牙科疾控人员进行问卷调查，提供17种假想牙科损伤的急救方案和创伤救治知觉障碍。对21名GDPS和19名CDO进行了有组织的访谈，寻求有关诊断和长期随访和治疗的知识。记录了牙医的年龄和性别、执业类型和参加的研究生课程。主要结果指标平均知识得分。结果在最多14个关于受伤牙齿紧急处理的正确回答中，平均为7.5。只有19%的人知道撕脱的牙齿应该用夹板固定多久。在对治疗的长期随访中，最多有37个正确回答，平均为15.4。只有10%的人能正确治疗创伤牙齿上的急性脓肿。82%的牙医认为应该在初级保健服务中治疗牙科创伤，但86%的GDPS认为这种治疗的费用太低。72%的牙科医生认为治疗占用了太多的临床时间，不是CDS的责任。结论基层医疗机构的牙医对牙科创伤的治疗知识不足。
Aim To assess dentists' knowledge of and perceived barriers; to treatment of dental injuries.Design Cross-sectional postal questionnaire and personal interview.Subjects and methods Questionnaires from 153 GDPs and 53 CDOs were received giving details of emergency options on 17 imaginary dental injuries and perceived barriers to treatment of trauma. Structured interviews with 21 of the GDPs and 19 CDOs seeking knowledge on diagnosis and long-term follow-up and treatment took place. Age and gender of dentist, type of practice and postgraduate courses attended were noted.Main outcome measures Mean knowledge scores.Results Of a maximum of 14 correct responses on emergency treatment of injured teeth the mean was 7.5. Only 19% knew for how long avulsed teeth should be splinted. Of a maximum of 37 correct responses on long-term follow-up of treatment the mean was 15.4. Only 10% would correctly treat acute abscess on a traumatised tooth. 82% of dentists thought dental trauma should be treated:in the primary care service, but 86% of GDPs thought fees for this type of treatment were too low. 72% of CDOs thought the treatment occupied too much clinic time and was not the responsibility of the CDS.Conclusions Dentists in the primary care sector have insufficient knowledge to treat dental trauma.