Applying the NHS restorative dentistry index of treatment need to clinical decision-making in Saudi Arabia

IF 2.3 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Saudi Dental Journal Pub Date : 2024-12-01 DOI:10.1016/j.sdentj.2024.11.014

Raghad A. Al-Dabbagh , Abdulelah J. Alrasheedy , Mohammed K. Jawi , Afaf A. Almabadi , Osama M. Felemban

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引用次数: 0

Abstract

Objective

Making appropriate referrals for patients with complex restorative needs can be challenging. The NHS Restorative Dentistry Index of Treatment Need (IOTN) is an important guideline and tool that helps to ensure that patients receive the appropriate level of restorative dental care for their needs. The objective of this study was to test, via structured training, the usability and utility of the IOTN as a screening tool for referral and management of patients attending [King Abdulaziz University Faculty of Dentistry (KAUFD)], Saudi Arabia.

Methods

In this prospective, interventional study, one hundred and fourteen participants (38 sixth-year dental students, 44 interns, and 32 general dentists) were equally and randomly assigned to either receive training on the IOTN or no training. Then, participants were provided with clinical and radiographic records for six cases and asked to make management and referral decisions recorded on a questionnaire.

Results

The group receiving training on the IOTN more accurately classified cases into different levels of complexity and specialty and more frequently made correct management and referral decisions for complexity levels 2 and 3 cases than the untrained group. There was no difference between the trained and untrained groups for complexity level 1 cases.

Conclusion

Training general dentists to use the NHS IOTN improved referral and management decision skills.

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应用NHS恢复性牙科治疗需求指数在沙特阿拉伯的临床决策

目的：为具有复杂恢复性需求的患者做出适当的转诊可能具有挑战性。NHS恢复性牙科治疗需求指数（IOTN）是一个重要的指导方针和工具，有助于确保患者接受适当水平的恢复性牙科护理，以满足他们的需求。本研究的目的是通过结构化培训，测试IOTN作为沙特阿拉伯阿卜杜勒阿齐兹国王大学牙科学院（KAUFD）患者转诊和管理筛查工具的可用性和实用性。方法在这项前瞻性干预性研究中，114名参与者（38名六年级牙科学生，44名实习生和32名普通牙医）平均随机分配接受IOTN培训或不接受培训。然后，研究人员向参与者提供了6例病例的临床和放射学记录，并要求他们在问卷中做出管理和转诊决定。结果接受过IOTN培训的组比未接受培训的组更准确地将病例划分为不同的复杂程度和专科，对复杂程度为2级和3级的病例做出正确的管理和转诊决策的几率更高。对于复杂性等级1的病例，训练组和未训练组之间没有差异。结论培训全科牙医使用NHS IOTN可提高转诊和管理决策技能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.