正畸治疗中牙周风险认知的调查分析  

Investigation and analysis on cognition of periodontal risk in orthodontic treatment

作　　者：江静 冯剑颖[2] 周佳赟 陈梦含 刘光俊 轩东英 JIANG Jing;FENG Jianying;ZHOU Jiayun;CHEN Menghan;LIU Guangjun;XUAN Dongying(School of Stomatology,Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;Department of Orthodontics,Stomatological Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;Department of Periodontology,Hangzhou Stomatology Hospital,University of Chinese Academy of Sciences,Hangzhou 310053,Zhejiang,China)

机构地区：[1]浙江中医药大学口腔医学院,浙江杭州310053 [2]浙江中医药大学附属口腔医院正畸科,浙江杭州310053 [3]中国科学院大学杭州口腔医院牙周科,浙江杭州310053

出　　处：《中国现代医生》2023年第27期1-5,共5页China Modern Doctor

基　　金：国家自然科学基金(81470750)。

摘　　要：目的了解正畸医师与牙周医师对正畸治疗中牙周风险的认知现状,为学科间协作诊疗模式的探索提供证据。方法参照《维护牙周健康的中国口腔医学多学科专家共识(第一版)》设计问卷,对国内正畸医师与牙周医师进行调查。采用SPSS 25.0软件包进行数据分析。结果共收到1050份有效问卷,正畸医师517份,牙周医师533份。对正畸医师的调查结果显示,在成人正畸治疗前,59.19%会进行牙周炎症筛查,41.01%会进行牙周软组织量评估,77.95%会通过锥形束(cone beam,CB)CT评估患者的根骨关系;正畸过程中,51.06%要求患者定期进行牙周复查。对牙周医师的调查结果显示,为正畸转诊患者行风险评估时,78.05%会同时评估炎症风险和软、硬组织风险,67.36%会结合正畸牙移动方案评估;96.43%会和患者强调定期牙周维护。医师间的转诊方式与工作单位显著相关(P<0.001)。结论有必要加强学科间共同认知,实施专业交互支撑,构建“以患者为中心”的牙周–正畸有序联合诊疗模式。Objective To investigate the cognition of orthodontists and periodontists on periodontal risk in orthodontic treatment and provide evidence for the exploration of inter-disciplinary collaborative diagnosis and treatment mode.Methods Two questionnaire surveys were conducted among orthodontists and periodontists in China according to the“Consensus of Chinese stomatological multidisciplinary experts on maintaining periodontal health(First edition)”.Data analysis was performed using SPSS 25.0 software.Results A total of 1050 valid questionnaires were received,including 517 orthodontists and 533 periodontists.The survey results of orthodontists showed that before adult orthodontic treatment,59.19%would screen for periodontal inflammation,41.01%would assess periodontal soft tissue volume,and 77.95%would evaluate the relationship between tooth root and alveolar bone through cone beam(CB)CT.During the orthodontic process,51.06%would require patients to perform periodontal review regularly.The survey results of periodontists showed that when facing orthodontic referral patients,78.05%would assess the risk of inflammation and soft and hard tissue at the same time,67.36%would be combined with orthodontic tooth movement program for personalized assessment,96.43%would emphasize regular periodontal maintenance.The referral mode of clinicians was related to the workplace(P<0.001).Conclusion It’s necessary to take measures to strengthen inter-disciplinary consensus and construct a“patient-centered”periodontal-orthodontic cooperative treatment mode.

关 键 词：正畸医师 牙周医师 正畸治疗 牙周风险 认知 

分 类 号：R781.4[医药卫生—口腔医学] R783.5[医药卫生—临床医学]