Professional attitudes toward denture adhesives: A Delphi Technique survey of academic prosthodontists
Professional attitudes toward denture adhesives: A Delphi Technique survey of academic prosthodontists
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DOI：
10.1016/s0022-3913(99)70131-9
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发表时间：
1999-07-01
影响因子：
4.6
通讯作者：
Grasso, JE
中科院分区：
文献类型：
--
作者：
Slaughter, A;Katz, RV;Grasso, JE
问题陈述。义齿粘接剂的使用及其在口腔修复中的作用，在临床实践和口腔教育中一直是一个有趣而又有争议的话题。这项研究引起了讨论，如果可能的话，在一组领先的学术修复专家中就假牙粘接剂相关的一系列问题达成了共识。材料和方法。采用德尔菲法调查。它由一系列调查问卷组成，由一组专家组成，要么形成共识（70%同意），要么澄清在一个主题上存在多种思想流派的原因。一份24项德尔菲问卷被发送给一个专家小组，该小组由33%的地区分层随机样本组成，该小组由美国牙科学校本科生全口义齿课程的项目主任组成。问卷调查项目涉及的5个主要主题领域是：(1)一般看法，(2)特定的临床使用/滥用，(3)患者教育，(4)纳入牙科课程，以及(5)效用结果的总体意见。在随机选择的18位小组成员中，94% （n = 17）同意参加，其中16位或17位完全参与了3轮调查。专家组达成共识并明确得出结论，义齿粘接剂：(1)在义齿修复服务中是一种有用的辅助材料，在制造和插入后阶段都具有特定的作用；(2)有可能被牙医和病人滥用；(3)应成为所有义齿患者的患者教育和本科牙科课程的组成部分。然而，专家组无法就义齿粘接剂是否应该在直接义齿患者的插入后阶段使用，以及总体而言，它们在义齿患者管理中是否是有益的辅助材料达成共识（59%的人同意）。小组成员也明确表达了他们的担忧，即牙医和患者都不应该使用假牙粘接剂来替代良好的临床实践或正确的假牙维护程序。这个由领先的学术义齿专家组成的小组得出结论，义齿粘接剂是义齿修复服务中有用的辅助材料，在制造和插入后阶段都具有特定的作用。他们还指出，只有通过对牙医和患者的教育，才能最大限度地提高义齿粘接剂使用的有益方面，同时最大限度地减少义齿粘接剂的误用。
Statement of problem. The use of denture adhesives and their role in prosthodontics has been an intriguing and conflicted topic, both in clinical practice and dental education.Purpose. This study generated discussion, and if possible, obtained a consensus on a series of issues related to denture adhesives among a group of leading academic prosthodontists.Material and methods. The Delphi Technique survey method was used. It consists of a series of survey questionnaire rounds to a panel of experts to either develop a consensus (>70% agreement) or to clarify the reasons for multiple schools of thought on a topic. A 24-item Delphi questionnaire was sent to an expert panel that consisted of a 33% regionally stratified random sample, of program directors of undergraduate complete denture courses in US dental schools. The 5 major topic areas on denture adhesives addressed by the questionnaire items were (1) general perceptions, (2) specific clinical uses/misuses, (3) patient education, (4) inclusion in dental curriculums, and (5) overall opinions of utility.Results. Of the 18 randomly selected panelists, 94% (n = 17) agreed to participate, with either 16 or 17 fully participating in each of the 3 survey rounds. The panel achieved consensus and clearly concluded that denture adhesives: (1) are a useful adjunct in denture prosthesis services, having specific roles in both the fabrication and postinsertion phases; (2) had the potential for misuse, both by dentists and by patients; and (3) should be an integral part of patient education for all denture patients and of the undergraduate dental curriculum. However, the panel was unable to achieve consensus on whether denture adhesives should be used at the postinsertion phase for immediate denture patients and whether, on the whole, they were a beneficial adjunct in denture patient management (59% agreed they were). The panelists also clearly expressed their concerns that neither dentists nor patients should use denture adhesives as a substitute for either good clinical practices or proper denture maintenance routines.Conclusions. This panel of leading academic prosthodontists concluded that denture adhesives are a useful adjunct in denture prosthesis services, with specific roles in both fabrication and postinsertion phases. They also indicated that only through education, for dentists and patients, would the dual goals of maximizing the beneficial aspects of denture adhesive use while minimizing the misuse of denture adhesives be achieved.