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Gingivitis Control in Children, Adolescents and Young Adults With Chronic Kidney Disease by a Need-Related Programme: A Randomised Clinical Trial. 通过需求相关计划控制慢性肾病儿童、青少年和年轻人的牙龈炎:随机临床试验
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-17 DOI: 10.1111/idh.12866
Karolin C Höfer, Witte Hanna, Graf Isabelle, Golka Anna, Adams Anne, Anna Greta Barbe, Lutz Thorsten Weber, Michael J Noack

Objectives: Children and young patients with chronic kidney disease (CKD) are at persistent risk of gingivitis despite usual preventive measures. This clinical study aimed to determine the efficacy of an intensive oral preventive programme (OPP) for young patients with CKD in treating plaque-induced gingivitis modified by systemic factors.

Methods: Young patients with CKD (N = 30) were recruited/randomised to a need-related OPP (n = 15) or treatment as usual (TAU) including mainly motivation and instructions (controls, n = 15) followed by a single intensive prophylactic appointment after 3 months. For the OPP group, depending on the baseline degree of inflammation (PBI) professional mechanical plaque removal, local chlorhexidine gel application and mouth rinse were applied at need-related appointments focussing on local plaque control and reduction in inflammation.

Results: After 3 months OPP, lower plaque indices were found (2.62-0.66, p < 0.05) in contrast to TAU (2.32-2.05, p > 0.05) with differences between study groups (p < 0.05). Regarding gingivitis, lower PBI values than baseline were observed in OPP (1.03-0.05, p < 0.05) than TAU (1.15-1.00; p > 0.05); OPP reductions (effect size) were higher than after a single intensive appointment (1.00-0.36; p < 0.05). Degree of immunosuppressive therapy did not differ between groups throughout the study.

Conclusions: Young patients with CKD suffer from generalised gingivitis with increased bleeding sites. This moderate degree of inflammation shows a normal distribution of high and low plaque responders, with no pattern of impact for the degree of immunosuppression. Effectiveness and duration of preventive measures follow a dose-response principle. Therefore, need-related preventive measures should be implemented and maintained in future regular care for CKD patients.

Trial registration: German Clinical Trials Register, registration number: DRKS00010580.

目的:尽管采取了常规预防措施,但慢性肾脏病(CKD)儿童和年轻患者仍有患牙龈炎的持续风险。这项临床研究旨在确定针对慢性肾脏病年轻患者的强化口腔预防计划(OPP)在治疗由全身因素引起的斑块型牙龈炎方面的疗效:招募/随机分配患有慢性肾脏病的年轻患者(30 人)参加与需求相关的口腔预防计划(15 人)或常规治疗(TAU),其中常规治疗主要包括激励和指导(对照组,15 人),3 个月后进行一次强化预防预约。对于OPP组,根据基线炎症程度(PBI),在需要时进行专业的机械清除牙菌斑、局部涂抹洗必泰凝胶和漱口,重点是控制局部牙菌斑和减少炎症:结果:经过 3 个月的 OPP,发现牙菌斑指数降低(2.62-0.66,P 0.05),研究组之间存在差异(P 0.05);OPP 降低(效应大小)高于单次强化预约后(1.00-0.36;P 结论:年轻的慢性肾脏病(CKD)患者在口腔溃疡和牙周病方面面临着巨大的挑战:患有慢性肾脏病的年轻患者患有全身性牙龈炎,出血部位增多。这种中度炎症表现为高斑块反应者和低斑块反应者的正常分布,对免疫抑制程度没有影响。预防措施的效果和持续时间遵循剂量反应原则。因此,在今后为慢性肾脏病患者提供常规护理时,应实施并坚持与需求相关的预防措施:试验注册:德国临床试验注册中心,注册号:DRKS00010580:DRKS00010580.
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引用次数: 0
Dental Hygienists' Readiness to Perform Resin Infiltrations: A Qualitative Study From Finland. 牙科卫生员进行树脂渗透的准备情况:来自芬兰的定性研究。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-17 DOI: 10.1111/idh.12877
Susanna Kerälä, Katriina Laurila, Outi Kajula, Anna-Leena Keinänen

Objectives: Resin infiltration is a micro-invasive treatment method for non-cavitated enamel lesions that aims to arrest the progression of carious lesions and improve the aesthetic qualities of teeth. The aim of this study is to provide a description of dental hygienists' readiness to perform resin infiltration and their experiences of performing it.

Methods: The study was conducted during the years 2020 and 2021 using qualitative research methods. The data was collected through semi-structured single interviews and analysed using inductive content analysis. The informants were dental hygienists (n = 10) from Finland. The criterion for participation was experience of performing resin infiltration. The average number of procedures performed was seven. Five out of 10 informants had received training in the technique prior to their first procedure.

Results: Dental hygienists had varied experiences of resin infiltrations. The readiness required to perform resin infiltrations was seen to be equivalent to their basic professional skills. Assessing the treatability and extent of lesions caused uncertainty, though readiness was felt to improve with experience. Resin infiltration training and inclusion in the curriculum of a dental hygienist was perceived to be important. The treatment was felt to be well suited to the job description of dental hygienists.

Conclusions: The results indicate that dental hygienists in Finland have adequate readiness to perform resin infiltration. However, the results are based on 10 informants' experiences and therefore cannot be generalised. Including resin infiltration in a dental hygienist's training programme could enhance dental hygienists' readiness to perform resin infiltrations.

目的:树脂渗透是一种针对非凹陷性釉质病变的微创治疗方法,旨在阻止龋坏的发展并改善牙齿的美观。本研究的目的是描述牙科保健师进行树脂渗透的准备情况及其经验:研究在 2020 年和 2021 年期间进行,采用定性研究方法。数据通过半结构化的单一访谈收集,并使用归纳内容分析法进行分析。受访者是来自芬兰的牙科保健师(n = 10)。参与的标准是具有树脂浸润的经验。平均操作次数为 7 次。在 10 名信息提供者中,有 5 人在首次操作前接受过该技术的培训:结果:牙科卫生员在树脂浸润方面的经验各不相同。结果:牙科保健师的树脂浸润经验各不相同,他们认为进行树脂浸润所需的准备程度与他们的基本专业技能相当。评估病变的可治疗性和程度造成了不确定性,但随着经验的积累,他们的准备程度会有所提高。他们认为树脂渗透培训以及将其纳入牙科保健师的课程非常重要。人们认为这种治疗方法非常适合牙科卫生员的工作描述:结论:研究结果表明,芬兰的牙科保健师已经做好了进行树脂渗透的充分准备。然而,这些结果是基于 10 位信息提供者的经验得出的,因此不能一概而论。在牙科保健师的培训课程中加入树脂浸润的内容可以提高牙科保健师进行树脂浸润的准备程度。
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引用次数: 0
Construct Validity of the Orientation to Life Questionnaire in a General Adult Population in Norway and Its Association with Self-Reported General and Oral Health. 挪威普通成年人生活取向问卷的结构有效性及其与自我报告的一般健康和口腔健康的关联。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-17 DOI: 10.1111/idh.12869
Kine Margrethe Mathisen, Jan-Are Kolset Johnsen, Gro Eirin Holde, Birgitta Jönsson

Objective: Individuals' Sense of Coherence (SOC) is measured with the Orientation to Life Questionnaire (OLQ-13). SOC reflects a person's orientation to life and ability to manage stress, which can impact health. The aim of the study was to test the reliability and construct validity of the OLQ-13, with self-reported general and oral health as criterion measures, in a Norwegian general adult population.

Methods: Data were collected using the OLQ-13 in addition to items measuring sociodemographic information, self-reported general health and self-reported oral health. This study was based on data from a population-based cross-sectional oral health study in Troms County, conducted from October 2013 to November 2014 (n = 1875, mean age 47.4 years, 50.5% women). Internal consistency was examined with Cronbach's alpha (α). Confirmatory factor analysis (CFA) was used to test the construct validity (one- and three-factor structure of the OLQ-13). The associations between SOC and self-reported general and oral health were tested using one-way ANOVA.

Results: The internal consistency of the OLQ-13 was good (α = 0.84). The CFA showed that while the OLQ-13 demonstrated an unacceptable fit, a shortened 11-item version with a three-factor structure revealed an acceptable fit and good internal consistency (α = 0.86). The highest mean SOC scores were found among individuals reporting good or very good general and oral health.

Conclusion: A three-factor structure with an 11-item version of the OLQ to assess SOC showed better validity than OLQ-13 in a general population in Northern Norway. Self-reported general and oral health can be considered appropriate criterion measures when validating SOC. To achieve a valid measurement scale for assessing SOC, a revision of the OLQ-13 appears necessary, and further studies are needed.

目标:个人的 "协调感"(SOC)是通过 "生活取向问卷"(OLQ-13)来测量的。SOC 反映了一个人的生活取向和管理压力的能力,而压力会影响健康。本研究的目的是在挪威普通成年人群中,以自我报告的一般健康和口腔健康作为标准测量指标,测试 OLQ-13 的可靠性和结构有效性:方法:除测量社会人口信息、自我报告的一般健康状况和自我报告的口腔健康状况的项目外,还使用 OLQ-13 收集数据。本研究基于 2013 年 10 月至 2014 年 11 月在特罗姆斯县进行的一项基于人口的横断面口腔健康研究的数据(n = 1875,平均年龄 47.4 岁,50.5% 为女性)。内部一致性采用 Cronbach's alpha (α) 进行检验。确认性因子分析(CFA)用于检验构建有效性(OLQ-13 的单因子和三因子结构)。使用单因素方差分析检验了 SOC 与自我报告的一般健康和口腔健康之间的关联:OLQ-13 的内部一致性良好(α = 0.84)。CFA结果表明,虽然OLQ-13的拟合度无法接受,但具有三因素结构的11个项目的缩短版的拟合度可以接受,内部一致性良好(α = 0.86)。一般健康状况和口腔健康状况良好或非常良好的人的 SOC 平均得分最高:结论:在挪威北部的普通人群中,采用11项OLQ的三因素结构来评估SOC比OLQ-13更有效。在验证SOC时,自我报告的一般健康状况和口腔健康状况可被视为适当的标准测量指标。为了获得评估SOC的有效测量量表,似乎有必要对OLQ-13进行修订,而且还需要进一步的研究。
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引用次数: 0
Sex Differences in Health-Related Quality of Life in Patients With Head and Neck Cancer-A Prospective Study. 头颈癌患者健康相关生活质量的性别差异--一项前瞻性研究
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-17 DOI: 10.1111/idh.12880
Niklas Bohm, Charlott Karlsson, Caterina Finizia, Jessica Skoogh Andersson, Annica Almståhl

Objective: To analyse sex differences in health-related quality of life (HRQL) before, during and up to 3 months posttreatment of head and neck cancer, and to examine the importance of salivary secretion rate for HRQL posttreatment.

Methods: Patients were recruited before starting curative oncologic treatment. Clinical examinations were performed including determination of the stimulated salivary secretion rate. HRQL (EORTC C30 and HN35) was reported at baseline, weeks 2, 4 and 6 during treatment and 3 months after treatment.

Results: A total of 56 men and 19 women were included. During treatment, men reported more problems with pain and sexuality, a higher use of painkillers and need for nutritional support during oncologic treatment, while women reported more problems with weight loss and dry mouth. At 3 months posttreatment, women reported more problems and symptoms than men with the highest scores noted for dry mouth, weight loss and sticky saliva. Patients with hyposalivation (≤ 0.7 mL/min) posttreatment reported more problems and symptoms compared with those with a secretion rate of > 0.7 mL/min, especially regarding dry mouth, sticky saliva and social eating (p < 0.001 for all three).

Conclusion: Problems and symptoms during and postoncologic treatment seem to differ between women and men, which must be taken into consideration by healthcare and dental professionals. Patients with hyposalivation posttreatment have more problems and symptoms and are therefore in greater need of supportive care.

目的分析头颈部癌症治疗前、治疗期间和治疗后 3 个月内健康相关生活质量(HRQL)的性别差异,并研究唾液分泌率对治疗后健康相关生活质量的重要性:方法:在开始治愈性肿瘤治疗前招募患者。方法:在开始接受根治性肿瘤治疗前招募患者,进行临床检查,包括测定刺激性唾液分泌率。在基线、治疗期间的第 2、4 和 6 周以及治疗后 3 个月报告 HRQL(EORTC C30 和 HN35):共纳入 56 名男性和 19 名女性。在治疗期间,男性报告的疼痛和性生活问题较多、使用止痛药较多、在肿瘤治疗期间需要营养支持,而女性报告的体重减轻和口干问题较多。治疗后 3 个月,女性报告的问题和症状多于男性,其中口干、体重减轻和唾液粘稠的得分最高。与分泌率大于 0.7 毫升/分钟的患者相比,治疗后唾液分泌过少(≤ 0.7 毫升/分钟)的患者报告了更多的问题和症状,尤其是在口干、唾液粘稠和社交性进食方面(p 结论:在治疗期间和治疗后,患者报告的问题和症状更多:女性和男性在肿瘤治疗期间和治疗后出现的问题和症状似乎有所不同,医护人员和牙科专业人员必须考虑到这一点。治疗后唾液分泌过少的患者有更多的问题和症状,因此更需要支持性护理。
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引用次数: 0
The Experiences of Implementing a Near-Peer Teaching Scheme Into an Undergraduate Dental Hygiene and Dental Therapy Programme at the University of Sheffield in the United Kingdom. 在英国谢菲尔德大学牙科卫生和牙科治疗本科课程中实施近距离教学计划的经验。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-12 DOI: 10.1111/idh.12879
Kate Peysner, Emma Bingham

Objectives: To assess the learning and relationship-building potential of a near-peer teaching scheme that is low in faculty financial and time input.

Methods: This longitudinal study collects data via pre- and post-programme questionnaires completed by near-peer tutors and learners following a six-week scheme schedule. Qualitative data are analysed using a descriptive analysis model to assess the perceived value of the scheme.

Results: Participants find the scheme to be highly beneficial and rewarding. In the 2023 scheme, as for all previous cohorts, no near-peer tutees reported any issues of negative cognitive congruence and most found that they had experienced a greater opportunity to ask for clarification on basic knowledge without fear of reproach. Near-peer tutors valued the opportunity to develop teaching skills in the supportive confines of their own undergraduate diploma, and reflected on their own experience of learning within a prior run of the scheme as being motivational to teach others.

Conclusion: Near-peer teaching offers a sustainable and effective approach for dental hygiene and dental therapy programmes. It benefits both tutees and tutors, enhancing skills, fostering relationships and preparing students for future teaching roles. The scheme also promotes a positive learning culture and improves overall educational quality.

目的方法:本纵向研究通过近距离同伴辅导员和学习者在六周计划前后填写的调查问卷收集数据:这项纵向研究通过近距离同伴辅导教师和学习者在计划前后填写的调查问卷收集数据,计划为期六周。采用描述性分析模型对定性数据进行分析,以评估该计划的感知价值:结果:参与者认为该计划受益匪浅、收获颇丰。在 2023 年的计划中,与之前的所有学员一样,没有近程导师报告任何负面的认知一致性问题,大多数学员认为他们有更多的机会要求澄清基础知识,而不必担心受到指责。近距离指导教师非常珍惜在自己的本科毕业证书的支持范围内发展教学技能的机会,并反思了自己在之前实施的计划中的学习经验,认为这是教别人的动力:近距离同伴教学为牙科卫生和牙科治疗课程提供了一种可持续的有效方法。它对学生和导师都有好处,能提高技能、促进关系并为学生将来担任教师角色做好准备。该计划还能促进积极的学习文化,提高整体教育质量。
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引用次数: 0
A Systematic Review Evaluating Methods for Diagnosis, Treatment and Prevention of Dental Erosions. 评估牙蚀症诊断、治疗和预防方法的系统性综述。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-11 DOI: 10.1111/idh.12876
Maria Skalsky Jarkander, Helena Domeij, Irene Edebert, Alfheidur Astvaldsdottir, Margaret Grindefjord, Annsofi Johannsen

Aim: The aim of this systematic review was to investigate the quality of evidence for methods used to diagnose, restore and prevent dental erosions, by evaluating and summarising clinical controlled studies and in situ studies covering this field.

Material and methods: Three databases, PubMed, Embase and Cochrane database, were searched for studies published until October 2023. Studies fulfilling the selection criteria were selected, and the risk of bias of the included studies was assessed. Two authors independently reviewed the studies, evaluated their risk of bias and extracted data from the included studies. The certainty of evidence of the findings in the studies was determined using GRADE.

Results: The literature search identified 7176 records. Out of these, 19 studies were included in this review, three revolving diagnostics, three revolving treatment and 13 revolving prevention. However, due to the fact that only few studies with a small number of participants have investigated the same methods on the same outcome, the studies do not constitute any body of evidence.

Conclusion: This systematic review highlights the shortage of data on methods used for diagnostics, restorative treatment and prevention of dental erosions. More knowledge is needed to strengthen the scientific evidence regarding methods used for dental erosions.

目的:本系统综述旨在通过评估和总结该领域的临床对照研究和现场研究,调查用于诊断、修复和预防牙周病的方法的证据质量:对 PubMed、Embase 和 Cochrane 数据库这三个数据库中截至 2023 年 10 月发表的研究进行了检索。筛选出符合筛选标准的研究,并评估了纳入研究的偏倚风险。两位作者独立审阅了这些研究,评估了其偏倚风险,并从纳入的研究中提取了数据。研究结果的证据确定性采用 GRADE 方法确定:文献检索共发现 7176 条记录。结果:文献检索发现了 7176 条记录,其中有 19 项研究被纳入本综述,包括 3 项诊断研究、3 项治疗研究和 13 项预防研究。然而,由于只有少数几项研究对相同结果的相同方法进行了调查,且参与人数较少,因此这些研究并不构成任何证据:本系统综述强调了牙周病诊断、修复治疗和预防方法方面的数据短缺。我们需要更多的知识来加强有关牙周病治疗方法的科学证据。
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引用次数: 0
Effect of Different Concentrations of Chlorhexidine on Anti-Plaque in Oral Care Practice: A Systematic Review and Network Meta-Analysis. 不同浓度的洗必泰在口腔护理实践中对消泡剂的影响:系统综述与网络元分析》。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-11 DOI: 10.1111/idh.12878
Shiqi Liang, Yirong He, Xinrong Chen, Menghang Wu, Ka Li

Objectives: The aim of this network meta-analysis was to compare the anti-plaque effects and adverse effects of different concentrations of chlorhexidine (CHX).

Methods: PubMed, OVID Embase and the Cochrane Library were searched from inception to October 2023 for randomised controlled trials (RCTs) of different concentrations of CHX in healthy populations. Random-effects network meta-analyses were performed to summarise the evidence, and the Grading of Recommendations Assessment, Development and Evaluation framework was used to rate the certainty of evidence. Cohen's d standardised mean differences were calculated as the measure of effect size.

Results: Thirty-eight RCTs involving 2011 participants and six concentrations of CHX (0.2%, 0.12%, 0.1%, 0.3%, 1% and 0.06%) were included. The anti-plaque effects of CHX at all concentrations were compared with placebo. Moderate to very low certainty evidence established 0.2% CHX as the most effective on anti-plaque. 0.12% and 0.1% CHX also showed significant anti-plaque effects. However, the ranking probabilities showed that the adverse effects of 0.12% and 0.1% CHX were < 0.2% CHX.

Conclusions: Compared with placebo, 0.2%, 0.12% and 0.1% CHX had significant anti-plaque effects, with moderate to very low certainty evidence that 0.2% CHX was most effective on anti-plaque. However, 0.2% CHX had larger adverse effects than 0.12% and 0.1% CHX.

Trial registration: PROSPERO: Number CRD: 42022327083.

研究目的本网络荟萃分析旨在比较不同浓度的洗必泰(CHX)的抗牙菌斑效果和不良反应:方法:在PubMed、OVID Embase和Cochrane图书馆检索了从开始到2023年10月在健康人群中使用不同浓度CHX的随机对照试验(RCT)。随机效应网络荟萃分析用于总结证据,建议分级评估、发展和评价框架用于评定证据的确定性。科恩氏 d 标准化平均差被计算为衡量效应大小的指标:共纳入了 38 项 RCT,涉及 2011 名参与者和六种浓度的 CHX(0.2%、0.12%、0.1%、0.3%、1% 和 0.06%)。所有浓度的CHX抗斑块效果均与安慰剂进行了比较。中度至极度不确定的证据表明,0.2% CHX 的抗斑块效果最好。0.12% 和 0.1% CHX 也显示出显著的抗斑块效果。不过,排序概率显示,0.12% 和 0.1% CHX 的不良反应是结论:与安慰剂相比,0.2%、0.12% 和 0.1% CHX 具有显著的抗斑块作用,中度到极低的确定性证据表明 0.2% CHX 的抗斑块效果最好。不过,与 0.12% 和 0.1% CHX 相比,0.2% CHX 的不良反应更大:试验注册:PROSPERO:编号 CRD:42022327083。
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引用次数: 0
Association Between Toothbrushing Habits and Self-Rated Oral Health: Re-Consideration of the 3-3-3 Toothbrushing Campaign. 刷牙习惯与自评口腔健康之间的关系:重新考虑 "3-3-3 刷牙运动"。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-11 DOI: 10.1111/idh.12853
Yu-Rim Lee, Jin-Young Jeong, Hwa-Young Lee, Sun-Jung Shin, Hee-Jung Park, Nam-Hee Kim

Objectives: This study investigates the association between toothbrushing frequency and self-rated oral health to evaluate the effectiveness of the 3-3-3 toothbrushing campaign.

Methods: Employing a cross-sectional study design, we analysed responses from 13,199 adults using structured questionnaires. The dependent variable was self-rated oral health. The independent variables were toothbrushing habits. We compared both groups; control group: twice a day and case group: three times a day. Predisposing, enabling and need factors were adjusted as confounders based on the Anderson behaviour model.

Results: Our findings reveal no significant correlation between toothbrushing frequency (twice vs. three times daily) and self-perceived oral health status. These results suggest re-evaluating the 3-3-3 campaign's recommendations. Further research is necessary to identify factors that more directly influence self-rated oral health.

Conclusion: Our research found that increasing toothbrushing from twice to three times daily does not significantly enhance oral health, as evidenced by an odds ratio of 0.97 and a negligible Cohen's d value. We recommend public health campaigns emphasise toothbrushing quality over frequency to improve oral health outcomes.

研究目的本研究调查了刷牙频率与自评口腔健康之间的关系,以评估 3-3-3 刷牙运动的效果:我们采用横断面研究设计,通过结构化问卷对 13199 名成年人的回答进行了分析。因变量是自评口腔健康状况。自变量为刷牙习惯。我们对两组进行了比较:对照组:每天两次,病例组:每天三次。根据安德森行为模型,将诱发因素、促成因素和需要因素作为混杂因素进行了调整:我们的研究结果表明,刷牙频率(每天两次与每天三次)与自我感觉的口腔健康状况之间没有明显的相关性。这些结果建议重新评估 3-3-3 运动的建议。有必要开展进一步的研究,以确定更直接影响自我口腔健康状况的因素:我们的研究发现,将刷牙次数从每天两次增加到三次并不能显著提高口腔健康水平,其几率比为 0.97,Cohen's d 值可忽略不计。我们建议公共卫生运动强调刷牙质量而非频率,以改善口腔健康状况。
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引用次数: 0
Dental Hygienists' Influence on Oral Health Knowledge, Attitudes and Behavioural of Patients and Effectiveness on Improving Patients' Periodontal Status-Evaluations of a Hospital Based Oral Hygiene Training Program in China. 牙科保健师对患者口腔健康知识、态度和行为的影响以及对改善患者牙周状况的效果--中国医院口腔卫生培训项目评估。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-11 DOI: 10.1111/idh.12872
Aijuan Yang, Wenlin Yuan, Lili Yang, Lihong Lei, Zheng Cao, Lili Chen

Objectives: To evaluate the possibility of integrating dental hygienists (DHs) into the dental field in China, and investigate its effectiveness on improving patients' knowledge, attitudes, self-care behaviours as well as their periodontal status.

Methods: A hospital-based oral hygiene training program was developed at Sir Run Run Shaw Hospital's (SRRSH) Dental Clinic with the support of two registered DHs from Loma Linda University in California. A questionnaire evaluating oral health knowledge, attitudes and behaviours was conducted in patients who visited SRRSH's Dental Clinic. Scores of oral health knowledge and proportions of positive oral health attitudes and favourable self-care behaviours were estimated between patients treated and not treated by DHs (DH group and NDH group). The improvements in patients' periodontal conditions following non-surgical periodontal therapy (NSPT) administered by DHs at the Dental Clinic of SRRSH, as assessed through the measurement of periodontal pocket depths and the incidence of bleeding upon probing.

Results: Patients in DH group exhibited relatively better results in several aspects of oral health knowledge, attitudes and behaviours, compared to those in NDH group. Moreover, NPST performed by DHs significantly improved the periodontal status of the patients, with a remarkably reduction in periodontal pocket depth and bleeding on probing.

Conclusions: Integrating DHs into SRRSH's Dental Clinic showed effectiveness in enhancing patients' oral health knowledge, attitudes, behaviours and succeeded in improving patients' periodontal status. This program demonstrated that incorporating DHs into dental care team is not only practical but also enhances the value of the dental workforce in China.

目的评估将牙科保健师(DHs)纳入中国牙科领域的可能性,并研究其在改善患者的知识、态度、自我护理行为以及牙周状况方面的有效性:方法:在加州洛马琳达大学两名注册牙科医生的支持下,邵逸夫医院牙科诊所制定了一项医院口腔卫生培训计划。对到邵逸夫医院牙科诊所就诊的患者进行了口腔卫生知识、态度和行为问卷调查。对接受和未接受牙科保健医生治疗的患者(牙科保健医生组和非牙科保健医生组)的口腔保健知识得分、积极的口腔保健态度和有利的自我保健行为比例进行了估算。通过测量牙周袋深度和探诊时出血的发生率,评估在 SRRSH 牙科诊所接受牙科医生非手术牙周治疗(NSPT)后患者牙周状况的改善情况:结果:与 NDH 组的患者相比,DH 组的患者在口腔健康知识、态度和行为等几个方面的表现相对较好。此外,由保健医生实施的 NPST 显著改善了患者的牙周状况,牙周袋深度和探诊出血量明显减少:结论:将牙科医生纳入 SRRSH 的牙科诊所对提高患者的口腔健康知识、态度和行为非常有效,并成功改善了患者的牙周状况。该项目表明,将牙科医生纳入牙科医疗团队不仅切实可行,还能提升中国牙科医疗队伍的价值。
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引用次数: 0
Factors Affecting Well-Being and Work Activity in Italian Dental Hygienists During COVID-19 Emergency. 在 COVID-19 紧急事件期间影响意大利牙科保健师幸福感和工作积极性的因素。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-10 DOI: 10.1111/idh.12871
Martina Benvenuti, Antonella Abbinante, Maria Teresa Agneta, Pietro Bussotti, Viviana Cortesi, Sergio Sangiorgi

Objectives: The goal of this study was to assess the effect of the COVID 19 pandemic in terms of work-related stress on a sample of 424 Italian dental hygienists (rate response 98%). It was tested which factors may influence most the perception of stress among Italian dental hygienists, which coping strategies hygienists adopted, and which protective factors may help them to cope with stress.

Methods: Data were collected during a phase of moderate improvement of epidemiological conditions in Italy (Summer 2021-from June to September) through an online questionnaire, 424 questionnaires were considered for analysis.

Results: Results show a perception of good satisfaction among participants about their job, although the level of stress perception seems to be significant. They have also a perception of effective risk management in the workplace. The elements that seem to influence mostly work-related stress levels are associated to (1) repetitive movements and postural changes due to the use of mechanical tools; (2) the use of personal protective equipment (e.g., surgery masks, gloves, etc.); and (3) relations with patients. Results show that participants tend to implement coping strategies such as physical activity and/or spending time with family and/or friends, but it seems that at an organisational level, no systematic measures have been taken.

Conclusions: This study shows some protective factors that may help in coping with work-related stress, such as support from the dentist, a good work-life balance, role clarity with respect to the operational and professional role, the perception of self-efficacy at work, good integration into the teamwork and perceived support from colleagues.

研究目的本研究的目的是评估 COVID 19 大流行对 424 名意大利牙科保健师(回复率为 98%)工作压力的影响。研究测试了哪些因素可能对意大利牙科卫生员的压力感影响最大,卫生员采取了哪些应对策略,以及哪些保护性因素可能有助于他们应对压力:在意大利流行病条件适度改善的阶段(2021 年夏季--6 月至 9 月),通过在线问卷收集数据,分析了 424 份问卷:结果显示,参与者对自己的工作满意度较高,但压力感似乎很大。他们还认为工作场所的风险管理是有效的。似乎主要影响工作压力水平的因素与以下方面有关:(1) 使用机械工具导致的重复动作和姿势变化;(2) 使用个人防护设备(如手术面罩、手套等);(3) 与病人的关系。结果显示,参与者倾向于采取应对策略,如体育锻炼和/或与家人和/或朋友共度时光,但在组织层面,似乎没有采取系统性措施:本研究显示了一些有助于应对工作压力的保护性因素,如牙医的支持、工作与生活的良好平衡、业务和专业角色的明确性、工作中的自我效能感、团队合作的良好融入以及感知到的同事支持。
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International journal of dental hygiene
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