Specialists' management of permanent dentition traumatic dental injuries in 7–16-year-olds: A qualitative study

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2024-05-21 DOI:10.1111/edt.12960

Greig Daniel Taylor, Nathalie Gallichan, Tauseef Haq, Oliver Sumner, Sondos Albadri, Richard D. Holmes, Paula Jane Waterhouse

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引用次数: 0

Abstract

Background/Aim

Specialist paediatric dentists are integral to dental trauma care pathways. General dentists rely on specialist input, more so in complex cases. Little is known about specialists' role in these pathways or the perceived barriers they face. The aim is to explore specialists' role in managing traumatic dental injuries in the permanent dentition in children.

Material/Methods

Face-to-face (remote video) online semi-structured interviews were undertaken. All UK specialists were invited by email. Purposeful sampling aimed to investigate representation from the devolved nations, presence/absence of working within a managed-clinical network and level of care provision. Interviews were audio-recorded and transcribed verbatim. Transcripts were thematically analysed.

Results

Data saturation was reached after nine interviews. Three main themes established were: inconsistent access to care; the need to formalise traumatic dental injuries care pathways; educationally upskilling general dentists.

Geographical variation in provision of specialist and out-of-hours/emergency department care meant patients risked not receiving care by the most appropriate individual. Formalizing care pathways by clearly defining the role of each stakeholder (specialist, dentist, medical professionals and parents) and developing a method to assess complexity was perceived to be essential to improving treatment outcomes. Upskilling general dentists in trauma management appeared essential. A potential lack of engagement was raised, with a suggestion that trauma management education should become core continuing-professional development.

Conclusions

Specialist input should be available in the management of traumatic dental injuries. Current access to specialist care is inequitable across the UK. Formalizing care pathways and upskilling general dentists could ease inconsistencies.

查看原文本刊更多论文

专科医生对 7-16 岁儿童恒牙外伤的处理：定性研究。

背景/目的：专科儿童牙科医生是牙科创伤护理路径中不可或缺的一部分。普通牙科医生依赖于专科医生的投入，在复杂病例中更是如此。人们对专科医生在这些治疗路径中的作用或他们所面临的障碍知之甚少。本研究旨在探讨专科医生在处理儿童恒牙外伤中的作用：进行了面对面（远程视频）在线半结构化访谈。通过电子邮件邀请了所有英国专家。有目的的抽样调查旨在调查下放国家的代表性、是否在管理式临床网络内工作以及提供医疗服务的水平。对访谈进行了录音和逐字记录。对誊本进行了主题分析：九次访谈后数据达到饱和。确定的三大主题是：获得护理的途径不一致；需要正式确定牙外伤护理路径；提高普通牙科医生的教育技能。在提供专科和非工作时间/急诊科护理方面的地域差异意味着患者有可能得不到最合适的护理。通过明确界定各利益相关方（专科医生、牙医、医疗专业人员和家长）的角色，使护理路径正规化，并制定评估复杂性的方法，对于改善治疗效果至关重要。提高普通牙医在创伤管理方面的能力似乎至关重要。有人提出了可能缺乏参与的问题，并建议将创伤管理教育作为核心的持续职业发展：结论：在牙科外伤的治疗中，应该有专科医生的参与。目前，英国各地获得专科治疗的机会并不平等。将护理路径正规化并提高普通牙医的技能可以缓解不一致的问题。

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.