Attitudes toward the shortened dental arch concept among Swedish general dental practitioners.

Attitudes toward the shortened dental arch concept among Swedish general dental practitioners.
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瑞典全科医生对缩短牙弓概念的态度。

DOI:
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发表时间:
2006
期刊:
The International journal of prosthodontics
影响因子:
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通讯作者:
K. Nilner
K. Nilner
中科院分区:
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文献类型:
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作者:
Eva;B. Söderfeldt;M. Kronström;K. Nilner

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目的 这项调查的目的是获得意见和评估瑞典普通牙科医生在私人执业与公共卫生保健设置的态度,对患者的管理与缩短牙弓(SDA)。 材料和方法 随机抽取189名临床医生进行问卷调查,其中包含关于SDA概念的不同陈述。男性和女性从业者之间的差异和私人执业医生(PPs)和公共牙科健康服务(PDHS)雇用的学生t检验的统计学意义进行了测试。 结果 应答率为54%(102名临床医生)。在受访者中,62%为男性,38%为女性。五十六%是PP,44%受雇于PDHS。结果显示,不同群体的从业者之间的态度差异很小,但个体差异很大。一般而言,瑞典全科医生对SDA概念的口腔功能和口腔舒适度持积极态度。他们认识到缺乏磨牙支持的牙列几乎没有风险,尽管女性临床医生更有风险意识。在减少过度治疗的风险、更好的患者经济性和老年患者保持牙齿的能力方面,PP在使用SDA概念方面比PDHS从业者表现出较少的优势。 结论 这项问卷研究的结果表明,总体而言,瑞典全科医生对SDA概念持肯定态度。
PURPOSE The purpose of this investigation was to obtain the opinions and assess the attitudes of Swedish general dental practitioners in private practice versus a public health care setting regarding management of patients with a shortened dental arch (SDA). MATERIALS AND METHODS A questionnaire containing different statements regarding the SDA concept was sent to a random sample of 189 clinicians. Differences between male and female practitioners and between private practitioners (PPs) and those employed by the Public Dental Health Service (PDHS) were tested for statistical significance by the Student t test. RESULTS The response rate was 54% (102 clinicians). Among the respondents, 62% were men and 38% were women. Fifty-six percent were PPs and 44% were employed by the PDHS. The results showed small differences in attitudes between various groups of practitioners but large individual variations. In general, Swedish general practitioners had a positive attitude toward the SDA concept with respect to oral function and oral comfort. They recognized few risks with a dentition lacking molar support, although female clinicians were more risk conscious. PPs expressed fewer advantages in using the SDA concept than PDHS practitioners with respect to the reduced risk for overtreatment, better patient economy, and the ability for older patients to keep their teeth. CONCLUSION The results from this questionnaire study indicate that, overall, Swedish general practitioners have an affirmative opinion toward the SDA concept.