在dentoalveolar创伤中使用牙:巴西公共医疗保健服务的概述
Caroline Garcia Orsi1, Roberta Alves de Oliveira1, Carlos Daniel Sturaro Junqueira2
1Department of Periodontology and Implantology, Faculty of Dentistry, Federal University of Uberlândia - UFU, Uberlândia, MG, Brazil.
概括
公共卫生服务中的牙护质量显示出重大问题,包括不适当的对齐和口腔卫生不良,影响创伤护理. 改善培训和遵守协议对于更好的患者结果至关重要.
科学领域:
- 牙科创伤学 牙科创伤学
- 公共口腔卫生 公共口腔卫生
- 临床质量评估临床质量评估
背景情况:
- 牙 splinting 对于创伤的牙预后至关重要.
- splinting 的质量可以显著影响治疗结果.
- 公共卫生服务需要对创伤护理标准进行评估.
研究的目的:
- 评估巴西公共口腔卫生服务中使用的牙片的适用性和质量.
- 确定牙科创伤管理的改进领域.
- 评估对牙 splinting 建立的协议的遵守.
主要方法:
- 在一年内对51个牙骨架 (320颗牙) 进行前性观察性研究.
- 评估刺类型,特征,斑块保留,卫生和协议遵守情况.
- 记录参数的描述性数据分析.
主要成果:
- 大多数支柱是半刚硬的 (58.8%),其中49%的支柱显示出不适当的对齐.
- 发现斑块 (73.4%) 和牙炎 (66.9%) 的高发病率.
- 发现了与协议的重大偏差,包括诊断错误 (19.6%) 和不正确的刚性 (31.4%).
结论:
- 在评估的公共医疗保健中,在 splint 指示,应用和跟进方面发现了空白.
- 强调需要加强培训,继续教育和协议标准化.
- 建议改进文档以优化创伤护理结果.
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