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Assessment of the orthodontic knowledge demonstrated by dental school undergraduates: recognizing the key features of Angle Class II, Division 1 malocclusion

机译:牙科学校本科生对正畸知识的评估:认识II类1分类错牙合的关键特征

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OBJECTIVE: To investigate the ability of undergraduate students in diagnosing Angle Class II malocclusion and evaluate the clinical approach of these students toward a patient displaying this condition. METHODS: The sample consisted of 138 students attending the last semester of 10 dental schools in the State of Rio de Janeiro/Brazil assessed by questionnaires with closed questions. They were presented with photographs and dental casts of a patient in the mixed dentition, with Angle Class II malocclusion, increased overjet and overbite, deviated dental midlines and anterior diastemas in the upper arch. RESULTS: It was found that students easily identified increased overjet (92% of students), followed by the presence of diastemas (89%), midline deviation (84.7%) and increased overbite (77.3%). Conversely, approximately half the sample (n=70 or 51% of the students) were able to identify bilateral Angle Class II malocclusion. Nearly all agreed on the need for treatment and that it should be provided by a specialist (n=131 or 95%), but found it difficult to determine the ideal moment to start orthodontic treatment: 48.9% of the sample would begin treatment at the end of the mixed dentition, 41.7% would indicate treatment during deciduous dentition and 7.9% during permanent dentition. CONCLUSIONS: On completion of their undergraduate courses, students encounter difficulties in diagnosing Class II and even find it hard to articulate ideas about a basic treatment protocol to correct this malocclusion.
机译:目的:探讨大学生诊断角度II类错牙合的能力,并评估这些学生对出现这种情况的患者的临床方法。方法:样本由138名学生组成,这些学生参加了巴西里约热内卢州10所牙科学校的最后一个学期,并通过带有封闭问题的问卷进行了评估。他们向他们展示了混合牙列中患者的照片和牙模,这些患者患有II类角度错牙合畸形,上颌过度咬合和咬合增加,牙齿中线偏斜和上弓前牙垂体。结果:发现学生容易识别出过量喷射(占学生的92%),其次是呕吐(89%),中线偏差(84.7%)和咬合增加(77.3%)。相反,大约一半的样本(n = 70或51%的学生)能够识别双侧安氏II类错牙合。几乎所有人都同意治疗的必要性,并应由专科医生提供治疗(n = 131或95%),但发现难以确定开始正畸治疗的理想时机:48.9%的样本将在正畸治疗时开始治疗。在混合牙列的末期,有41.7%的患者表示在乳牙牙列治疗,而在永久性牙列的情况为7.9%。结论:完成本科课程后,学生在诊断II类疾病时遇到困难,甚至发现很难就矫正这种错牙合症的基本治疗方案提出意见。

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