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Multicenter epidemiological study of maxillofacial trauma: a one-year retrospective-descriptive assessment of 1356 cases in a Colombian metropolitan region. 颌面部创伤的多中心流行病学研究:对哥伦比亚大都市地区1356例病例进行为期一年的回顾性描述性评估。
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.061
Jessica Lozano-Pérez, Sandra Jaramillo-Monroy, Gustavo Ortiz-Orrego, Verónica Gómez-Arcila, Sara Arias-Mendieta, S. Tobón-Arroyave
Background: This retrospective study was conducted to identify the epidemiological profile and treatment modalities linked to the maxillofacial trauma (MFT) managed in the Maxillofacial Surgery Departments of seven hospital centers in Antioquia, Colombia. Material and Methods: Clinical records with specific attention to sociodemographic characteristics, mechanisms of injury, type of MFT, location of injuries, and treatment modalities of MFT were collected from January to December 2017. Descriptive analyses using Pearson's chi-square tests were performed. Results: A total of 1356 records were retrieved.Males were significantly more affected, with a male-to-female ratio of 3.85:1.The most susceptible age group involved was young adults (18 to 40 years). A low percentage of alcohol (9.3%) and drugs consumption (2.5%) was recorded. Most common causes of MFT were road traffic accidents (RTA), falls, and interpersonal violence (IPV). Most injuries involved both soft and hard tissues followed by hard tissues and isolated open soft tissue injuries. Among fractures, the middle third was the most commonly affected site and the utmost method of treatment was open reduction and internal fixation. Conclusion: Within the limitations of the evidence available, this study has demonstrated that the gender, age stratum, and etiological factors, such as RTA, falls, and IPV, but no alcohol and/or psychoactive substances consumption, may have a significant influence on the prevalence, patterns, and treatment modalities of MFT in this sample population.
背景:本回顾性研究旨在确定哥伦比亚安蒂奥基亚七家医院中心颌面外科治疗的颌面创伤(MFT)的流行病学概况和治疗方式。材料和方法:收集2017年1月至12月期间MFT的社会人口学特征、损伤机制、MFT类型、损伤部位和治疗方式的临床记录。采用Pearson卡方检验进行描述性分析。结果:共检索到1356条记录。男性受影响更大,男女比例为3.85:1。最易受影响的年龄组是年轻人(18至40岁)。饮酒(9.3%)和吸毒(2.5%)的比例很低。MFT最常见的原因是道路交通事故(RTA)、跌倒和人际暴力(IPV)。大多数损伤涉及软硬组织,其次是硬组织和孤立的开放性软组织损伤。骨折中,中间三分之一是最常见的受损伤部位,最常用的治疗方法是切开复位内固定。结论:在现有证据的限制下,本研究表明,性别、年龄层和病因因素,如RTA、跌倒和IPV,但没有酒精和/或精神活性物质的摄入,可能对该样本人群中MFT的患病率、模式和治疗方式有重大影响。
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引用次数: 0
Assessment of the need for orthodontic treatment in a Peruvian sample using the Dental Aesthetic Index. 使用牙科美学指数评估秘鲁样本的正畸治疗需求。
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.066
Carlos Villanueva-Baltuano, J. Portocarrero, Carlos Villanueva-Aguilar
Introduction: The Dental Aesthetic Index (DAI) is considered an essential tool in the association of the aesthetic and clinical elements of occlusion. It plays a key role in the timely and essential orthodontic treatment. Objective: to determine the orthodontic treatment required in students of a Peruvian public institution using the DAI. Material and Methods: A descriptive, observational, cross-sectional study was carried out during the months of June to July 2016 in a Peruvian educational institution. The sample consisted of 120 students. The use of the DAI allowed to assess the orthodontic treatment required, through the 10 occlusal conditions and regression indicators that constitute a linear formula, with the following components: no treatment required, elective treatment, desirable treatment, and priority treatment, according to the severity of the malocclusion as normal, defined, severe, and very severe, respectively. Results: 53.3% (64) of the students required priority orthodontic treatment due to presenting DAI=43.03. Between the ages of 12-14 years, 56.7% (34), 8.3% (5), and 28.3% (17) required priority, desirable, and elective orthodontic treatment, respectively. The need for priority orthodontic treatment was more prevalent in females accounting for 57.6% (38). 95% (57) of the students from rural areas required orthodontic treatment. Conclusion: The need for orthodontic treatment in a Peruvian sample using the Dental Aesthetic Index was priority orthodontic treatment, mostly in females with ages ranging between 12-14 years.
简介:牙科美学指数(DAI)被认为是一个重要的工具,在美学和临床元素的咬合的关系。它在及时和必要的正畸治疗中起着关键作用。目的:了解秘鲁某公立机构学生使用DAI进行正畸治疗的需求。材料和方法:2016年6月至7月在秘鲁一所教育机构进行了一项描述性、观察性、横断面研究。样本由120名学生组成。DAI的使用可以通过10个咬合条件和回归指标来评估需要的正畸治疗,这些条件和回归指标构成一个线性公式,其中包括:不需要治疗、选择性治疗、理想治疗和优先治疗,根据错牙合的严重程度分别为正常、定义、严重和非常严重。结果:53.3%(64人)的学生因出现DAI需要优先正畸治疗=43.03。在12-14岁之间,分别有56.7%(34人)、8.3%(5人)和28.3%(17人)需要优先、理想和选择性正畸治疗。需要优先正畸治疗的女性更为普遍,占57.6%(38)。95%(57)的农村学生需要正畸治疗。结论:秘鲁样本使用牙齿美学指数进行正畸治疗的需求是优先的正畸治疗,主要是年龄在12-14岁之间的女性。
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引用次数: 0
A One-Year Retrospective Radiographic Assessment of Marginal Bone Loss Around Basal Implants and Impact of Multiple Risk Factors using Multivariate Analysis 使用多变量分析对基础种植体周围边缘骨丢失及多重危险因素影响的一年回顾性x线评估
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.063
Y. Abdali, Sayfaldeen Kashmoolashmoola, Mustafa Al-Mash’hadani, Firas SO Albaaj
Background: Factors like medical and periodontal conditions, implant location and smoking can affect marginal bone loss (MBL) of basal implants. Objectives: The purpose of this study is to explore the association of MBL with multiple variables including gender, age, smoking status, diabetes, implant placement protocol, location of implant, and type of prosthesis. Material and Methods: A total of 156 single-piece basal implants (Dr. Ihde Dental AG in Gommiswald, Switzerland) were placed in 44 patients. Dental panoramic tomographs were obtained postoperatively and following a one-year of service to determine MBL on mesial and distal sides. The association of MBL with the multiple variables was analysed using the multivariate and the random forest analysis. Results: The mean mesial and distal MBL was 0.64 millimetres. None of the implants presented MBL exceeding 1 millimetre. All implants were retained without complications during the first year of service. The MBL was remarkably associated with the smoking status, diabetes, location of implant and implant placement protocol. Diabetes mellitus is the most vital parameter in predicting MBL. Conclusion: The mean MBL of all implants did not exceed the threshold of 1 millimetre during the first year of service. When placing implants in patients who smoke and have diabetes, care should be taken.
背景:医学和牙周状况、种植体位置和吸烟等因素可影响基底种植体的边缘骨质流失(MBL)。目的:本研究的目的是探讨MBL与性别、年龄、吸烟状况、糖尿病、种植体放置方式、种植体位置和假体类型等多个变量的关系。材料和方法:44例患者共植入156个单片基面种植体(Dr. Ihde Dental AG in Gommiswald, Switzerland)。术后和一年后进行牙科全景断层扫描,以确定内侧和远端MBL。采用多变量分析和随机森林分析分析了MBL与多个变量的相关性。结果:近端和远端MBL平均为0.64 mm。所有植入物的MBL均未超过1毫米。在第一年的服务中,所有种植体均未出现并发症。MBL与吸烟状况、糖尿病、种植体位置和种植体放置方案显著相关。糖尿病是预测MBL最重要的参数。结论:在使用的第一年,所有种植体的平均MBL未超过1毫米的阈值。在吸烟和患有糖尿病的患者中放置植入物时,应小心。
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引用次数: 0
Periodontal diseases among pregnant women attending an antenatal clinic at Dhaka, Bangladesh. 在孟加拉国达卡产前诊所就诊的孕妇的牙周病。
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.067
S. Chowdhury, Md Nazrul Islam
Background: The most common maternal oral diseases that potentially could bring adverse pregnancy outcome are periodontal diseases. So periodontal diseases during pregnancy require special attention. Oral health education is often not addressed with importance during antenatal counseling. Objective: The purpose of the study was to assess the periodontal status, treatment needs and factors that influence periodontal diseases among pregnant women attending to antenatal clinic situated at Dhaka, Bangladesh. Material and Methods: A descriptive cross sectional study was conducted including 170 pregnant women selected by convenience sampling technique. Data were collected by pretested semi-structured questionnaire. Periodontal assessment was done by Community Periodontal Index of Treatment Need (CPITN) and oral hygiene status was assessed by the Simplified Oral Hygiene Index (OHI-S).The data analysis was done by SPSS software. Chi-square test was used for different variables. A probability value of <0.05 was taken as statistically significant. Results: The prevalence of periodontal diseases among pregnant women was found 95.3% where it was 52.4% for gingivitis and 43% for periodontitis. Age, employment status, income, oral hygiene status, frequency of tooth brushing and dental visit, previous pregnancy and pregnancy trimester were found statistically associated with periodontal condition of pregnant women. 75.3% of the respondents had never gone for dental checkup and only 4.7% were found to receive oral hygiene instructions during pregnancy. Conclusion: Policy should be formulated to include oral health education and periodontal assessment in antenatal checklist to improve oral hygiene awareness and ensure healthy periodontium during pregnancy.
背景:最常见的可能导致不良妊娠结局的产妇口腔疾病是牙周病。所以怀孕期间的牙周病需要特别注意。在产前咨询中,口腔健康教育往往不被重视。目的:本研究的目的是评估在孟加拉国达卡产前诊所就诊的孕妇的牙周状况、治疗需求和影响牙周疾病的因素。材料与方法:采用方便抽样法对170名孕妇进行描述性横断面研究。采用预测半结构化问卷收集数据。采用社区牙周治疗需求指数(CPITN)评估牙周状况,采用简易口腔卫生指数(OHI-S)评估口腔卫生状况。数据分析采用SPSS软件。不同变量采用卡方检验。以概率值<0.05为有统计学意义。结果:妊娠妇女牙周病患病率95.3%,其中牙龈炎患病率52.4%,牙周炎患病率43%。年龄、就业状况、收入、口腔卫生状况、刷牙及就诊频率、有无妊娠及妊娠三个月与孕妇牙周状况有统计学关系。75.3%的调查对象从未进行过口腔检查,仅有4.7%的调查对象在怀孕期间接受过口腔卫生指导。结论:应制定政策,将口腔健康教育和牙周评估纳入产前检查表,提高孕期口腔卫生意识,保障孕期牙周健康。
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引用次数: 0
Experiences of professionalized Chilean dental educators. A qualitative study. 智利牙科专业教育者的经验。定性研究。
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.059
Héctor Oñate, Jaime Segovia-Chamorro, Roberto Cárcamo, Alejandra Bravo
Introduction:The active learning process is certainly one of the most complex challenges in dental education. It is essential for the development of critical thinking and clinical skills. There is evidence of the need for teacher professionalization, but there is scarce literature reporting on the positive changes in the teaching profession based on such professionalization. The aim of the present study is to explore the experiences of the pedagogical performance of professionalized educators in dentistry. Material and Methods: A qualitative study was conducted using a design based on content analysis. The sample was selected for convenience and included dentists who have completed a master's degree in teaching in higher education, who were part of the teaching staff of a dental university program and with a career experience of at least 5 years. Semi-structured interviews were conducted, with three initial dimensions: Teaching Career, Motivation for Teacher Professionalization, and Impact on the teaching-learning process. The interviews were verbatim transcribed and content analysis was performed by the researchers using data triangulation. The research was approved by the research and ethics committee. Results: Six categories were established: Generational clash, Motivations to practice teaching, Motivations to professionalize teaching, Competences acquired after professionalization, Effects of professionalization in the classroom context, and Shortcomings of the professionalized educator. Conclusion: Professionalized dental educators show comprehensive improvements in their performance. They have developed practical competences for the specific needs of the courses they give.
引言:主动学习的过程无疑是牙科教育中最复杂的挑战之一。这对批判性思维和临床技能的发展至关重要。有证据表明教师专业化的必要性,但很少有文献报道基于这种专业化的教师专业的积极变化。本研究的目的是探讨牙科专业教育工作者的教学绩效经验。材料与方法:采用基于内容分析的设计进行定性研究。为了方便起见,样本的选择包括完成高等教育教学硕士学位的牙医,他们是牙科大学课程的教学人员的一部分,并且具有至少5年的职业经验。本研究采用半结构式访谈,以教师职业生涯、教师职业化动机、对教学过程的影响三个维度为初始维度。访谈内容逐字记录,并由研究人员使用数据三角测量法进行内容分析。这项研究得到了研究和伦理委员会的批准。结果:建立了六个类别:代际冲突、实践教学动机、教学专业化动机、专业化后获得的能力、专业化对课堂环境的影响、专业化教育者的不足。结论:专业化牙科教育人员的工作表现有全面的提高。他们已经开发了实践能力,为他们所提供的课程的具体需要。
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引用次数: 0
Comparison of two dental caries risk assessment tools in peruvian children 秘鲁儿童两种龋齿风险评估工具的比较
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.065
Blanca Fortun-Junco, Vanessa Manrique-Flores, Rosa Muñoz-Nuñez, Ana Cupé-Araujo
Caries risk assessment protocols and tools are helpful for evidence-based clinical decision making. Objective: To compare the dental caries risk using two assessment tools in Peruvian children aged 7 to 11 years. Material and Methods: : 265 children from the Educational Institution (EI) Policía Nacional del Perú Juan Ingunza Valdivia were evaluated in 2019. The tools used to compare the risk of dental caries were the Reduced Cariogram and the Biological Caries Risk. The clinical examination was performed in a single time for both tools, evaluating oral hygiene and caries experience. Results: When using both tools, it was found that each one of the age groups have a different Caries Risk distribution than the other groups and this difference is statistically significant (p=0.001). When comparing both tools, a statistically significant difference was found between their diagnoses at the moderate and high-risk levels; however, diagnoses at the low level show agreement. Conclusion: There is a difference in the assessment of the level of risk between both tools, specifically at the moderate and high levels, with most of the children assessed at low risk levels.
龋病风险评估方案和工具有助于循证临床决策。目的:比较两种评估工具对秘鲁7 ~ 11岁儿童龋齿风险的影响。材料和方法:2019年对来自Perú Juan Ingunza Valdivia国家教育机构(EI) Policía的265名儿童进行了评估。用来比较龋齿风险的工具是减少龋齿图和生物龋齿风险。两种工具的临床检查在同一时间进行,评估口腔卫生和龋齿经历。结果:使用两种工具时,发现每个年龄组的龋病风险分布与其他组不同,差异有统计学意义(p=0.001)。当比较这两种工具时,发现他们在中等和高风险水平的诊断之间存在统计学上的显著差异;然而,在低水平的诊断显示一致。结论:两种工具对风险水平的评估存在差异,特别是在中度和高水平,大多数儿童被评估为低风险水平。
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引用次数: 0
¿Es Enterococcus faecalis el microorganismo más comúnmente involucrado en infecciones endodónticas postratamiento? 粪肠球菌是治疗后根管感染最常见的微生物吗?
Q4 Dentistry Pub Date : 2021-10-30 DOI: 10.17126/joralres.2021.058
Eulàlia Sans-Serramitjana, Pablo Betancourt
{"title":"¿Es Enterococcus faecalis el microorganismo más comúnmente involucrado en infecciones endodónticas postratamiento?","authors":"Eulàlia Sans-Serramitjana, Pablo Betancourt","doi":"10.17126/joralres.2021.058","DOIUrl":"https://doi.org/10.17126/joralres.2021.058","url":null,"abstract":"","PeriodicalId":16625,"journal":{"name":"Journal of Oral Research","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80789220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating edentulism and frailty in a group of elderly people treated at the dental clinic of Universidad San Martín de Porres in Lambayeque, Peru. 评估在秘鲁兰巴耶克的圣大学Martín de Porres牙科诊所接受治疗的一组老年人的牙齿治疗和虚弱。
Q4 Dentistry Pub Date : 2021-08-30 DOI: 10.17126/joralres.2021.051
Rubén Chumpitaz-Durand, Freddy Manayay-Llaguento, Daniel Córdova-Sotomayor
Introduction: Dentistry should contribute to achieving healthy aging based on the identification of the well-being and oral health needs of the elderly. Objective: To evaluate the conditions of edentulism and frailty in a group of elderly people treated at the dental clinic of Universidad San Martín de Porres in Lambayeque, Peru, between the years 2016 and 2018. Material and Methods: An observational, descriptive, retrolective, and cross-sectional study was conducted. Two hundred and seven medical records that included an odontogram were randomly selected to identify cases of total or partial edentulism according to the Kennedy classification. The files were assessed with Fried’s test to evaluate the conditions of frailty. The association between variables was estimated by means of a significance analysis using the Chi square test. Results: There was a statistically significant difference between edentulism in both jaws and conditions of frailty (p<0.05). An association of edentulism with physical inactivity and weakness was also demonstrated. Additionally, a statistically significant difference between degrees of edentulism was observed regarding poor diet (p<0.05). Conclusion: The absence of teeth in the elderly acts as a risk factor leading to negative changes in diet, weight, and physical activity. These changes may be associated with frailty, as masticatory insufficiency results in a poor diet and subsequent weakness.
导言:牙科应在确定老年人的福祉和口腔健康需求的基础上,为实现健康老龄化做出贡献。目的:评估2016年至2018年在秘鲁兰巴耶克市圣大学Martín de Porres牙科诊所就诊的一组老年人的全牙症和虚弱状况。材料和方法:采用观察性、描述性、回顾性和横断面研究。根据肯尼迪分类法,研究人员随机选取了包括牙齿x线照片在内的227份医疗记录,以确定患者是否患有全牙补牙或部分全牙补牙。这些档案是用弗里德的测试来评估脆弱状况的。变量之间的相关性通过使用卡方检验的显著性分析来估计。结果:双颌全牙与虚弱状态的差异有统计学意义(p<0.05)。缺牙症与身体缺乏活动和虚弱也有关联。此外,在不良饮食的情况下,两组龋病程度差异有统计学意义(p<0.05)。结论:老年人缺牙是导致饮食、体重和体力活动发生负面变化的危险因素。这些变化可能与虚弱有关,因为咀嚼功能不全导致不良饮食和随后的虚弱。
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引用次数: 0
Association between self-reported bruxism and academic performance in university students. 大学生磨牙症与学业成绩的关系。
Q4 Dentistry Pub Date : 2021-08-30 DOI: 10.17126/JORALRES.2021.048
Cynthia Huañec-Paucar, Valery Ayma-León., S. Caballero-García
Objective: To evaluate the association between self-reported bruxism and academic performance in students at a university in Lima, Peru. Material and Methods: A total of 203 students were evaluated in this study, between the ages of 19 and 35 years. Self-reported bruxism was measured using the Bruxism Assessment Questionnaire. Academic performance was evaluated using the Approval Index Scale. In addition, other variables were included such as employment status, socioeconomic level, stress, anxiety, among others. The association of variables were factored in using the chi-square test and the logistic regression presented the unadjusted and adjusted analisis. Results: The frequency of self-reported awake bruxism and sleep bruxism was 53.20% and 36.45%, respectively. Evidence revealed there was a statistically significant association between awake bruxism with stress and anxiety, and sleep bruxism with anxiety. Students with high academic performance (OR=2.36; IC del 95%:1.06-5.23) and low academic performance (OR=5.72; IC del 95%:1.28-25.57) were found to be more likely to have awake bruxism than those with medium academic performance. Conclusion: This study revealed a statistically significant association between self-reported awake bruxism and academic performance. However, in the future it is suggested to carry out a study with focus only on students with bruxism and with a larger sample of participants with low academic performance to confirm the association found between these variables.
目的:评估秘鲁利马一所大学学生自我报告的磨牙症与学习成绩之间的关系。材料与方法:本研究共评估203名学生,年龄在19 ~ 35岁之间。采用磨牙症评估问卷对自我报告的磨牙进行测量。学业成绩评估采用认可指数量表。此外,还包括其他变量,如就业状况、社会经济水平、压力、焦虑等。变量间的相关性采用卡方检验,logistic回归采用未调整和调整分析。结果:自述清醒磨牙和睡眠磨牙的频率分别为53.20%和36.45%。有证据显示,醒时磨牙症与压力和焦虑,以及睡眠时磨牙症与焦虑之间存在统计学上的显著关联。学业成绩高的学生(OR=2.36;IC del 95%:1.06-5.23)和学习成绩低(OR=5.72;(95%:1.28-25.57)的学生比学习成绩中等的学生更容易患醒时磨牙症。结论:本研究揭示了自我报告的醒时磨牙症与学习成绩之间具有统计学意义的关联。然而,在未来,建议进行一项研究,只关注有磨牙症的学生,并以更大的学习成绩较差的参与者样本来证实这些变量之间的关联。
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引用次数: 0
Preschool teachers' knowledge and attitudes about dental trauma in Rijeka, Croatia: a cross-sectional study. 克罗地亚里耶卡学龄前教师对牙外伤的知识和态度:一项横断面研究。
Q4 Dentistry Pub Date : 2021-08-30 DOI: 10.17126/joralres.2021.054
N. Jokic, J. Kristić, O. Cicvaric, Marija Šimunović-Erpušina, Danijela Stanfel, D. Bakarcic
Introduction: Traumatic tooth injuries often occur in childhood. They are not life-threatening, but they can cause a number of complications that can affect the quality of life. Proper first aid can significantly facilitate further dental treatment. The aim of this research was to evaluate preschool teachers’ knowledge and attitudes about dental trauma and their motivation for further education. Material and Methods: This cross-sectional study included 54 preschool teachers. It was carried out in the form of a questionnaire consisting of 23 questions regarding traumatic tooth injuries, experiences and knowledge and teachers’ interest in additional education.Results: Most of the preschool teachers, 68.51%, did not witness any dental traumas during their work experience. From the teachers who witnessed dental trauma, only 11.76% gave first aid and none of them called the dentist and followed their instructions. In case of dental avulsion 72.22% would keep the avulsed tooth in a dry gauze or tissue. Even though 81.49% consider themselves uninformed about dental, all of them are interested in additional education. Conclusion: Despite the insufficient knowledge about dental trauma, its management, and first aid it is encouraging that all of the preschool teachers included in this research are motivated to educate themselves more on this subject.
外伤性牙齿损伤常见于儿童期。它们不会危及生命,但会引起一些并发症,影响生活质量。适当的急救可以大大促进进一步的牙科治疗。摘要本研究旨在了解幼儿教师对牙外伤的认知、态度及继续教育的动机。材料与方法:对54名幼儿教师进行横断面研究。调查以问卷的形式进行,包括23个问题,涉及外伤性牙齿损伤、经验和知识以及教师对额外教育的兴趣。结果:68.51%的幼儿教师在工作中未见过牙外伤。在目睹牙外伤的教师中,只有11.76%的教师进行了急救,而且没有人打电话给牙医并按照牙医的指示去做。在牙齿撕脱的情况下,72.22%的人会将撕脱的牙齿放在干燥的纱布或组织中。尽管81.49%的人认为自己对牙科不了解,但他们都有兴趣接受额外的教育。结论:尽管幼儿对牙外伤、牙外伤处理和急救的认识不足,但令人鼓舞的是,参与本研究的所有幼儿教师都有动力进行这方面的教育。
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引用次数: 1
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Journal of Oral Research
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