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Association between multimorbidity and periodontal disease in Korean adults: A nationwide cross-sectional cohort study 韩国成年人多重疾病与牙周病之间的关系:一项全国性横断面队列研究。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-24 DOI: 10.1111/idh.12785
Yun-Sook Jung, Young-Seok Kim, Ki-Rim Kim

Objectives

This study aimed to investigate the association between multimorbidity, which refers to the presence of two or more chronic diseases, and periodontal disease in Korean adults using national survey data.

Methods

A total of 12,440 Korean adults aged ≥19 years were selected from the seventh Korea National Health and Nutrition Examination Survey (KNHANES). We investigated periodontal disease status based on various variables, including the gender, age, educational level, income level, smoking and alcohol drinking status, frequency of daily toothbrushing, and unmet dental treatment needs. Furthermore, periodontal status according to diagnosed chronic diseases, including hypertension, dyslipidaemia, stroke, myocardial infarction, angina pectoris, and diabetes, was investigated, and the association between multimorbidity and periodontal disease was analysed through multiple logistic regression using SAS 9.4.

Results

According to the general characteristics of the study participants, the prevalence of periodontal disease was higher in males, smokers, older age, and lower educational and income levels (p < 0.001). Moreover, as the frequency of daily toothbrushing increased, the distribution of periodontal disease decreased (p < 0.001). The prevalence of periodontal disease was higher in those with chronic diseases than in those without chronic diseases and was statistically significantly higher as the number of diagnosed chronic diseases increased (p < 0.001). Additionally, an increase in the number of chronic diseases was observed to increase the prevalence and risk of periodontal disease.

Conclusion

These results suggest that multimorbidity significantly affects the prevalence of periodontal disease.

研究目的本研究旨在利用全国性调查数据,调查韩国成年人多病(指患有两种或两种以上慢性疾病)与牙周病之间的关联:从第七次韩国国民健康与营养调查(KNHANES)中选取了 12,440 名年龄≥19 岁的韩国成年人。我们根据各种变量,包括性别、年龄、受教育程度、收入水平、吸烟和饮酒状况、每天刷牙频率和未满足的牙科治疗需求,调查了牙周病状况。此外,还根据已确诊的慢性病(包括高血压、血脂异常、中风、心肌梗塞、心绞痛和糖尿病)调查了牙周状况,并使用 SAS 9.4 通过多元逻辑回归分析了多病与牙周病之间的关联:根据研究参与者的一般特征,男性、吸烟者、年龄较大、教育程度和收入水平较低者的牙周病患病率较高(p 结论:这些结果表明,多病症与牙周病之间的关系非常密切:这些结果表明,多病症严重影响牙周病的患病率。
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引用次数: 0
The oral and systemic health impact profile for periodontal disease (OSHIP-Perio)—Part 1: development and validation 牙周病的口腔和全身健康影响概况(OSHIP-Perio)--第 1 部分:开发和验证。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-17 DOI: 10.1111/idh.12782
Li Beng Wong, Adrian Ujin Yap, Yu Fan Sim, Patrick Finbarr Allen

Objectives

This study aimed to develop and validate the Oral and Systemic Health Impact Profile for Periodontal Disease (OSHIP-Perio), a disease-specific instrument for assessing the impact of periodontal disease on both general and oral health-related quality of life.

Methods

A pool of 58 items, developed from the Oral Health Impact Profile (OHIP-49) and data generated through semi-structured patient interviews, was tested on 80 case subjects with periodontal disease and 80 control subjects. The dimensionality of the preliminary measure was evaluated using exploratory factor analysis (EFA). Rasch analysis was then performed on the primary dimension using the Winsteps software (Version 5.1.4.0) to render the final items for the OSHIP-Perio. The reliability and validity of the final OSHIP-Perio were subsequently determined.

Results

Using an EFA factor loading >0.50, the primary dimension comprised 18 items. Using Rasch analysis, four items were subsequently excluded. The final OSHIP-Perio with 14 items showed excellent test–retest reliability (overall intraclass correlation coefficient index = 0.99) and internal consistency (overall Cronbach's alpha coefficient = 0.96). It also exhibited good discriminant validity when case and control groups were compared (p < 0.001). It showed very strong correlations (rho coefficients >0.90) with the OHIP-5, OHIP-14 and OHIP-49, exhibiting good concurrent validity. It demonstrated a moderate correlation (rho coefficient = 0.60) with the global health rating, exhibiting a moderate convergent validity.

Conclusions

The 14-item OSHIP-Perio exhibited good psychometric properties comparable to the OHIP-5, OHIP-14 and OHIP-49 for evaluating the impact of periodontal disease on quality of life.

研究目的本研究旨在开发和验证牙周病口腔和系统健康影响档案(OSHIP-Perio),这是一种针对特定疾病的工具,用于评估牙周病对一般生活质量和口腔健康相关生活质量的影响:方法:根据口腔健康影响档案(OHIP-49)和半结构式患者访谈数据开发的 58 个项目,在 80 名牙周病病例受试者和 80 名对照受试者中进行了测试。使用探索性因子分析(EFA)对初步测量的维度进行了评估。然后使用 Winsteps 软件(5.1.4.0 版)对主要维度进行 Rasch 分析,得出 OSHIP-Perio 的最终项目。随后确定了最终 OSHIP-Perio 的信度和效度:使用 EFA 因子负荷大于 0.50,主要维度包括 18 个项目。通过 Rasch 分析,有 4 个项目被排除在外。最终的 OSHIP-Perio 有 14 个项目,显示出良好的测试-再测试可靠性(总体类内相关系数指数 = 0.99)和内部一致性(总体克朗巴赫α系数 = 0.96)。当病例组和对照组与 OHIP-5、OHIP-14 和 OHIP-49 进行比较时,它还表现出良好的区分效度(p 0.90),并表现出良好的并发效度。它与总体健康评分呈中度相关(rho 系数 = 0.60),表现出中度收敛效度:14个项目的OSHIP-Perio在评估牙周病对生活质量的影响方面表现出良好的心理测量学特性,可与OHIP-5、OHIP-14和OHIP-49相媲美。
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引用次数: 0
The oral and systemic health impact profile for periodontal disease (OSHIP-Perio)—Part 2: Responsiveness and minimal important difference 牙周病的口腔和全身健康影响概况(OSHIP-Perio)--第二部分:反应性和最小重要差异。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-17 DOI: 10.1111/idh.12784
Li Beng Wong, Adrian Ujin Yap, Yu Fan Sim, Patrick Finbarr Allen

Objectives

The Oral and Systemic Health Impact Profile for Periodontal Disease (OSHIP-Perio) was developed to measure health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL). This study aimed to determine the responsiveness and minimal importance difference (MID) of the OSHIP-Perio.

Methods

Subjects with periodontal disease completed the OSHIP-Perio at baseline and six to ten weeks after non-surgical periodontal therapy. Comparisons of the clinical variables and the OSHIP-Perio scores before and after treatment were analysed using the Wilcoxon signed-rank test, together with the Oral Health Impact Profile (OHIP-49, OHIP-14 and OHIP-5) scores. The MIDs for all the instruments were calculated using distribution-based methods.

Results

Fifty-one case subjects who completed periodontal treatment and the OSHIP-Perio instrument were included for analysis. Significant improvement in all clinical variables after treatment (p < 0.001) was observed. The OSHIP-Perio total score as well as its four-dimensional scores (periodontal, oral function, orofacial pain and psychosocial impact) were significantly reduced after treatment (p < 0.001), indicating better OHRQoL. Findings were consistent with the other OHIP instruments. In determining the MID, the percentage point change of the OSHIP-Perio was found to be lower than the shorter OHIP-5 instrument when using both effect sizes (ES) (10.71% vs. 15.0% at 0.5SD) and standard error of measurement (SEM) (5.36% vs. 10.0% at 1SEM; 8.93% vs. 20.0% at 2SEM) calculations.

Conclusions

The OSHIP-Perio demonstrated good responsiveness which was comparable to the OHIP-49 and its short-form derivatives. Its required percentage point change in determining its MID is smaller than the OHIP-5.

目的:开发牙周病口腔和系统健康影响档案(OSHIP-Perio)是为了测量健康相关生活质量(HRQoL)和口腔健康相关生活质量(OHRQoL)。本研究旨在确定 OSHIP-Perio 的响应性和最小重要性差异 (MID):方法:患有牙周病的受试者在基线和非手术牙周治疗后六到十周完成 OSHIP-Perio 测试。采用Wilcoxon符号秩检验对治疗前后的临床变量和OSHIP-Perio评分进行比较分析,同时对口腔健康影响档案(OHIP-49、OHIP-14和OHIP-5)评分进行比较分析。采用基于分布的方法计算了所有工具的中位数:结果:51 例完成牙周治疗和 OSHIP-Perio 工具的受试者被纳入分析。治疗后所有临床变量均有明显改善(POSHIP-Perio显示出良好的反应性,可与OHIP-49及其短式衍生物相媲美。与 OHIP-5 相比,OSHIP-Perio 在确定 MID 时所需的百分点变化较小。
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引用次数: 0
Comparison of the effectiveness of Morus alba and chlorhexidine gels as an adjunct to scaling and root planing on stage II periodontitis – A randomized controlled clinical trial 比较桑白皮凝胶和洗必泰凝胶作为洗牙和根面平整术辅助治疗 II 期牙周炎的效果--随机对照临床试验。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-15 DOI: 10.1111/idh.12781
Shilpa Gunjal, Vinuta Hampiholi, Anil V. Ankola, Deepak Gowda Sadashivappa Pateel

Objectives

The present study aimed to assess and compare the effect of Morus alba and chlorhexidine gel as an adjunct to scaling and root planing (SRP) in treating stage II periodontitis.

Methods

A single-blind, randomized controlled trial was conducted on 180 patients with stage II periodontitis who received full-mouth SRP. They were randomly assigned to receive chlorhexidine digluconate (CHX) gel, Morus alba (MA) and placebo gel for Groups A, B and C, respectively, at the baseline, 15 days and 30 days. Plaque index (PI), Gingival index (GI), periodontal pocket depth (PPD) and quantitative analysis (culture) of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia were assessed at baseline and 45 days. Analysis of variance was used to compare the significant difference in PI, GI, PPD and microbiological parameters between the three groups after the intervention, followed by post hoc Mann–Whitney U and Tukey's HSD test for clinical and microbiological parameters, respectively.

Results

Intergroup comparison of the PI, GI and microbiological parameters between the MA and CHX groups at the end of 45 days did not show a statistically significant difference (p > 0.05), whereas a statistically significant difference was observed for PPD between MA and CHX groups with the mean difference of 0.18 mm (p = 0.002).

Conclusion

Morus alba gel was found to be effective in decreasing PPD. However, there was no difference between Morus alba and chlorhexidine gel as an adjunct to SRP in treating stage II periodontitis.

研究目的本研究旨在评估和比较桑白皮凝胶和洗必泰凝胶作为洗牙和根面平整术(SRP)辅助治疗 II 期牙周炎的效果:对 180 名接受全口 SRP 的 II 期牙周炎患者进行了单盲随机对照试验。他们被随机分配到 A 组、B 组和 C 组,分别在基线、15 天和 30 天接受洗必泰葡萄糖酸盐(CHX)凝胶、桑白皮(MA)凝胶和安慰剂凝胶。在基线和 45 天时评估牙菌斑指数 (PI)、牙龈指数 (GI)、牙周袋深度 (PPD),并对放线菌、牙龈卟啉单胞菌和连翘丹那菌进行定量分析(培养)。采用方差分析比较三组干预后 PI、GI、PPD 和微生物参数的显著差异,然后分别对临床和微生物参数进行事后 Mann-Whitney U 和 Tukey's HSD 检验:结果:45天后,MA组和CHX组的PI、消化道指标和微生物指标的组间比较差异无统计学意义(P>0.05),而MA组和CHX组的PPD差异有统计学意义,平均差异为0.18毫米(P=0.002):结论:桑白皮凝胶可有效降低 PPD。结论:在治疗 II 期牙周炎时,桑白皮凝胶和洗必泰凝胶在辅助 SRP 方面没有差异。
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引用次数: 0
Dental hygiene research: It's momentous! 口腔卫生研究:意义重大!
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-11-23 DOI: 10.1111/idh.12780
Catherine K. Draper, Dagmar E. Slot
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引用次数: 0
Edentulism among diabetic patients compared to non-diabetic controls: A systematic review and meta-analysis 糖尿病患者与非糖尿病对照组的水肿:一项系统综述和荟萃分析。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-10-27 DOI: 10.1111/idh.12762
Laura Žiūkaitė, Lotte P. M. Weijdijk, Jennifer Tang, Dagmar Else Slot, G. A. (Fridus) van der Weijden

Objective

The purpose of this paper is to systematically and critically appraise the available scientific evidence concerning the prevalence of edentulism among diabetic patients compared to non-diabetic people.

Methods

MEDLINE-PubMed and Cochrane-CENTRAL databases were comprehensively searched up to April 2023 to identify appropriate studies. The inclusion criteria were observational studies conducted in human subjects ≥18 years of age with the primary aim of investigating the prevalence of edentulism among diabetic patients. Based on the extracted data, a meta-analysis was performed. Recommendations based on the body of evidence were formulated using the GRADE approach.

Results

Independent screening of 2085 unique titles and abstracts revealed seven publications that met the eligibility criteria. Study size ranged from 293 to 15,943 participants. Data from all seven studies were suitable for meta-analysis. Overall, 8.3% of the studied population was edentulous. The weighted mean prevalence of edentulism among diabetic and non-diabetics was 14.0% and 7.1%, respectively. The overall odds ratio for diabetic patients to be edentulous as compared to non-diabetics was 2.39 (95% CI [1.73, 3.28], p < 0.00001).

Conclusion

There appears to be moderate certainty that the risk of being edentulous for diabetic patients compared to non-diabetic people is significant, but the odds ratio is estimated to be small.

目的:本文的目的是系统和批判性地评估糖尿病患者与非糖尿病患者缺牙症患病率的现有科学证据。方法:对截至2023年4月的MEDLINE PubMed和Cochrane CENTRAL数据库进行全面检索,以确定合适的研究。纳入标准为对≥18岁的受试者进行的观察性研究 年龄,主要目的是调查糖尿病患者缺牙症的患病率。基于提取的数据,进行了荟萃分析。基于大量证据的建议是使用GRADE方法制定的。结果:对2085种独特的标题和摘要进行独立筛选,发现有7种出版物符合资格标准。研究规模从293人到15943人不等。所有七项研究的数据均适合进行荟萃分析。总的来说,8.3%的研究人群是无牙的。糖尿病患者和非糖尿病患者缺牙症的加权平均患病率分别为14.0%和7.1%。与非糖尿病患者相比,糖尿病患者缺牙的总优势比为2.39(95%CI[1.73,3.28],p 结论:与非糖尿病患者相比,糖尿病患者缺牙的风险似乎是显著的,但比值比估计很小。
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引用次数: 0
Efficacy of panthenol- and bisabolol-containing lip care as monotherapy for mild-to-moderate cheilitis 含泛醇和双abolol的唇部护理单药治疗轻至中度唇炎的疗效。
IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-10-24 DOI: 10.1111/idh.12779
Supenya Varothai MD, Pichanee Chaweekulrat MD, Chutipon Pruksaeakanan MD, Supisara Wongdama MD, Waranya Boonchai MD

Background

Cheilitis is a chronic inflammatory condition of the lips, and frequent or prolonged use of topical corticosteroids may lead to various adverse events. Therefore, alternative therapies with fewer side effects are beneficial for the treatment of this condition.

Aim

To evaluate the efficacy of a lip care formulation containing both panthenol and bisabolol as a monotherapy for mild-to-moderate cheilitis.

Methods

This single-centre prospective pilot open-label study included 20 patients with mild-to-moderate cheilitis who were treated with the tested lip care for 8 weeks and evaluated by physician and patient assessments before the final efficacy was determined using the Visioscan score.

Results

Of the 20 patients, 13 (65.0%) presented with moderate cheilitis with dry and chapped lips. All parameters, including physician and patient clinical scores and bioengineering measurements, showed significant improvements as early as week 2 and sustained until week 8 following the application of the tested lip care. The frequency of cheilitis flareups also decreased significantly. The tested product was well tolerated without any adverse effects.

Conclusions

Lip care with panthenol and bisabolol was safe and effective. It can be used as monotherapy for the treatment of mild-to-moderate cheilitis.

背景:唇炎是嘴唇的一种慢性炎症性疾病,频繁或长期使用局部皮质类固醇可能会导致各种不良事件。因此,副作用较少的替代疗法对这种情况的治疗是有益的。目的:评价含有泛醇和红没药醇的唇部护理制剂作为轻中度唇炎的单一疗法的疗效。方法:这项单中心前瞻性试点开放标签研究包括20名轻度至中度唇炎患者,他们接受了8年的唇部护理 周,并在使用Visioscan评分确定最终疗效之前通过医生和患者评估进行评估。结果:在20例患者中,13例(65.0%)出现中度唇炎,伴有嘴唇干燥和干裂。所有参数,包括医生和患者的临床评分和生物工程测量,早在第2周就显示出显著改善,并在应用测试的唇部护理后持续到第8周。唇炎的发病率也明显下降。试验产品耐受性良好,无任何不良反应。结论:泛醇和红没药醇用于唇部护理是安全有效的。它可以作为单一疗法用于治疗轻度至中度唇炎。
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引用次数: 0
A conceptual model using CliftonStrengths® to support dental hygiene students' professional development 使用CliftonStrength®支持牙科卫生学生专业发展的概念模型。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-10-20 DOI: 10.1111/idh.12768
Leciel Bono, JoAnn Gurenlian, Jessica August

Purpose

Professional development is instrumental in the ongoing success of healthcare professionals and students. The purpose of the second year of this 2-year study was to continue to apply the results from the CliftonStrengths® assessment to support entry-level dental hygiene students' professional development and to create a conceptual model for professional development in dental hygiene education.

Methods

CliftonStrengths® was incorporated into didactic and community learning experiences throughout year two of the dental hygiene curriculum. At the end of year two, focus group interviews assessed student perceptions of professional strengths based on these learning experiences. Co-investigators used a qualitative analysis software program to identify codes and themes. Investigator triangulation and member checks were used to validate responses.

Results

All second-year dental hygiene students (n = 32) participated in year two of the study. Two themes were identified: relevance of CliftonStrengths® and professional development. Within the theme of relevance, the subthemes of adaptability, making connections and teamwork emerged. The theme of professional development yielded three subthemes: appreciation, personal and professional identity and insight.

Conclusion

This study demonstrated CliftonStrengths® can be used to promote professional development among dental hygiene students. As a result, a conceptual model was developed for professional development in dental hygiene education. This model can be used as a framework for teaching and to improve student learning experiences.

目的:专业发展有助于医疗保健专业人员和学生的持续成功。这项为期2年的研究的第二年的目的是继续应用CliftonStrength®评估的结果,以支持初级牙科卫生学生的专业发展,并为牙科卫生教育的专业发展创建一个概念模型。方法:在牙科卫生课程的第二年,将CliftonStrength®纳入教学和社区学习体验中。在第二年年底,焦点小组访谈根据这些学习经历评估了学生对专业优势的看法。联合调查人员使用定性分析软件程序来识别代码和主题。研究者三角测量和成员检查用于验证响应。结果:所有二年级口腔卫生专业学生(n = 32)参加了第二年的研究。确定了两个主题:CliftonStrength®的相关性和专业发展。在相关性主题中,出现了适应性、建立联系和团队合作的副主题。职业发展的主题产生了三个分主题:欣赏、个人和职业身份和洞察力。结论:本研究表明CliftonStrength®可用于促进口腔卫生专业学生的专业发展。因此,为牙科卫生教育的专业发展开发了一个概念模型。该模型可作为教学和改善学生学习体验的框架。
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引用次数: 0
Success factors and barriers in interprofessional collaboration between dental hygienists and dietitians in community-dwelling older people: Focus group interviews 社区老年人牙科保健师和营养师跨专业合作的成功因素和障碍:焦点小组访谈。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-10-16 DOI: 10.1111/idh.12774
Vanessa R. Y. Hollaar, Elke Naumann, Elizabeth B. Haverkort, Katarina Jerković-Ćosić, Wilhelmina E. Kok, Marian A. E. de van der Schueren

Introduction

Poor nutritional status can impair oral health while poor oral health can influence the individual's dietary intake, which may result in malnutrition. This interaction between nutritional status and oral health in older age requires attention, coordination and collaboration between healthcare professionals. This qualitative study explores dental hygienists' and dietitians' opinions about current collaboration with the aim of identifying success factors and barriers to this interprofessional collaboration.

Methods

Three focus group interviews were held with Dutch dental hygienists and dietitians about nutritional and oral healthcare in community-dwelling older people.

Results

In total, 9 dietitians and 11 dental hygienists participated in three online focus group interviews. Dental hygienists and dietitians seldom collaborated or consulted with each other. They struggled with the professional boundaries of their field of expertise and experienced limited knowledge about the scope of practice of the other profession, resulting in conflicting information to patients about nutrition and oral health. Interprofessional education was scarce during their professional training. Organizational and network obstacles to collaborate were recognized, such as limitations in time, reimbursement and their professional network that often does not include a dietitian or dental hygienist.

Conclusion

Dental hygienists and dietitians do not collaborate or consult each other about (mal)nutrition or oral health in community-dwelling older people. To establish interprofessional collaboration, they need to gain knowledge and skills about nutrition and oral health to effectively recognize problems in nutritional status and oral health. Interprofessional education for healthcare professionals is needed to stimulate interprofessional collaboration to improve care for older people.

简介:不良的营养状况会损害口腔健康,而不良的口腔健康会影响个人的饮食摄入,从而可能导致营养不良。老年人营养状况和口腔健康之间的这种相互作用需要医疗保健专业人员的关注、协调和合作。这项定性研究探讨了牙科卫生学家和营养师对当前合作的看法,目的是确定这种跨专业合作的成功因素和障碍。方法:就社区老年人的营养和口腔保健问题,对荷兰牙科保健师和营养师进行了三次焦点小组访谈。结果:总共有9名营养师和11名牙科保健师参加了三次在线焦点小组访谈。牙科保健师和营养师很少相互合作或咨询。他们在专业领域的专业界限中挣扎,对其他专业的实践范围了解有限,导致患者在营养和口腔健康方面的信息相互矛盾。在他们的专业培训期间,缺乏跨专业的教育。合作的组织和网络障碍得到了承认,例如时间、报销以及他们的专业网络通常不包括营养师或牙科保健师。结论:口腔卫生学家和营养师在社区老年人的营养不良或口腔健康方面不合作或相互咨询。为了建立跨专业合作,他们需要获得有关营养和口腔健康的知识和技能,以有效识别营养状况和口腔健康方面的问题。需要对医疗保健专业人员进行跨专业教育,以促进跨专业合作,改善对老年人的护理。
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引用次数: 0
Orthodontists’ instructions for oral hygiene in patients with removable and fixed orthodontic appliances 口腔正畸医生关于使用可拆卸和固定正畸矫治器的患者口腔卫生的说明。
IF 2.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-10-16 DOI: 10.1111/idh.12763
Christina Baumer, Irene Schmidtmann, Daniela Ohlendorf, Priscila Ferrari Peron, Heinrich Wehrbein, Christina Erbe

Introduction

The aim of this questionnaire-based survey was to evaluate information on frequencies, instructions and products relating to oral hygiene (OH) in orthodontic practices.

Methods

Using a computer-generated randomization list, 1000 orthodontists were selected and sent a questionnaire. The size and number of inhabitants of the federal states of Germany were considered. The federal states with the highest return rate (Baden-Wuerttemberg [BW], Bavaria [B], Hesse [H], Lower Saxony [LS], Nordrhein-Westphalia [NRW]) were considered and differences between the 16 federal states were divided into North, South, East and Central Germany.

Results

The response rate of the questionnaires was 52.4%. The majority (53.8%) worked in one practice alone. Most (59.1%) have been orthodontists for 5–25 years. For vestibular multibracket appliances (MBA) in BW, B, H and LS over 90% recommended interdental brushes (IDB). In NRW 91.4% recommend fluoride gel. In B and H more than 80% chose electric toothbrush (ETB), in BW, LS and NRW more than 80% manual toothbrush (MTB). For lingual MBA (LMBA) in BW, H, LS and NRW with approximately 50% each fluoride gel, IDB and MTB were chosen. In B fluoride gel, IDB and ETB. For removable apparatus (RA), five federal states recommended MTB (>80%) and ETB (BW, B, H > 80%; NRW > 70%; LS > 60%).

Conclusion

Electric toothbrushes are recommended for the use with all appliances, only with removable appliances manual toothbrushes are favoured. For vestibular MBA it is strongly advised to use IDB additionally.

引言:这项基于问卷的调查的目的是评估有关正畸实践中口腔卫生(OH)的频率、说明和产品的信息。方法:使用计算机生成的随机列表,选择1000名正畸医生并发送问卷。考虑了德国联邦各州的人口规模和数量。考虑了回报率最高的联邦州(巴登-符腾堡州[BW]、巴伐利亚州[B]、黑森州[H]、下萨克森州[LS]、北威州[NRW]),并将16个联邦州之间的差异分为德国北部、南部、东部和中部。结果:调查问卷的回复率为52.4%,绝大多数(53.8%)仅在一家诊所工作。大多数人(59.1%)已经做了5-25年的正畸医生 年。对于BW、B、H和LS的前庭多球拍矫治器(MBA),90%以上推荐使用齿间刷(IDB)。在NRW,91.4%的人推荐使用氟化物凝胶。在B和H组中,80%以上的人选择电动牙刷,在BW、LS和NRW组中,超过80%的人选择手动牙刷。对于BW、H、LS和NRW的语言MBA(LMBA),每种含氟凝胶约50%,选择IDB和MTB。在氟化硼凝胶、IDB和ETB。对于可拆卸器械(RA),五个联邦州建议使用MTB(>80%)和ETB(BW、B、H > 80%;NRW > 70%;LS > 60%)。结论:电动牙刷建议与所有电器一起使用,只有可拆卸电器才适合手动牙刷。对于前庭MBA,强烈建议另外使用IDB。
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International journal of dental hygiene
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