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首页> 外文期刊>The Journal of Prosthetic Dentistry >Professional attitudes toward denture adhesives: A Delphi technique survey of academic prosthodontists.
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Professional attitudes toward denture adhesives: A Delphi technique survey of academic prosthodontists.

机译：对义齿粘合剂的专业态度：对学术义齿修复专家的Delphi技术调查。

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STATEMENT OF PROBLEM: The use of denture adhesives and their role in prosthodontics has been an intriguing and conflicted topic, both in clinical practice and dental education. PURPOSE: This study generated discussion, and if possible, obtained a consensus on a series of issues related to denture adhesives among a group of leading academic prosthodontists. MATERIAL AND METHODS: The Delphi Technique survey method was used. It consists of a series of survey questionnaire rounds to a panel of experts to either develop a consensus (>70% agreement) or to clarify the reasons for multiple schools of thought on a topic. A 24-item Delphi questionnaire was sent to an expert panel that consisted of a 33% regionally stratified random sample of program directors of undergraduate complete denture courses in US dental schools. The 5 major topic areas on denture adhesives addressed by the questionnaire items were (1) general perceptions, (2) specific clinical uses/misuses, (3) patient education, (4) inclusion in dental curricula, and (5) overall opinions of utility. RESULTS: Of the 18 randomly selected panelists, 94% (n = 17) agreed to participate, with either 16 or 17 fully participating in each of the 3 survey rounds. The panel achieved consensus and clearly concluded that denture adhesives: (1) are a useful adjunct in denture prosthesis services, having specific roles in both the fabrication and postinsertion phases; (2) had the potential for misuse, both by dentists and by patients; and (3) should be an integral part of patient education for all denture patients and of the undergraduate dental curriculum. However, the panel was unable to achieve consensus on whether denture adhesives should be used at the postinsertion phase for immediate denture patients and whether, on the whole, they were a beneficial adjunct in denture patient management (59% agreed they were). The panelists also clearly expressed their concerns that neither dentists nor patients should use denture adhesives as a substitute for either good clinical practices or proper denture maintenance routines. CONCLUSIONS: This panel of leading academic prosthodontists concluded that denture adhesives are a useful adjunct in denture prosthesis services, with specific roles in both fabrication and postinsertion phases. They also indicated that only through education, for dentists and patients, would the dual goals of maximizing the beneficial aspects of denture adhesive use while minimizing the misuse of denture adhesives be achieved.
机译：问题陈述：在临床实践和牙科教育中，义齿粘合剂的使用及其在义齿修复中的作用一直是一个有趣且矛盾的话题。目的：该研究引起了讨论，并且在可能的情况下，在一组领先的学术义齿修复专家之间就与义齿粘合剂相关的一系列问题达成了共识。材料与方法：采用德尔菲技术调查法。它由向专家小组进行的一系列调查问卷回合组成，以形成共识（> 70％达成共识）或阐明就一个主题提出多种观点的原因。将24项Delphi调查表发送到一个专家小组，该小组包括33％的按地区分层的美国牙科学校本科全口假牙课程计划主任的随机样本。问卷调查项目涉及的5个主要义齿粘合剂领域是（1）普遍认识，（2）特定的临床用途/误用，（3）患者教育，（4）纳入牙科课程以及（5）总体意见效用。结果：在18名随机选择的小组成员中，有94％（n = 17）同意参加，在3轮调查中，有16名或17名充分参加。专家小组达成共识，并明确得出以下结论：义齿粘合剂：（1）在义齿修复服务中是有用的辅助工具，在制作和插入后阶段均具有特定作用; （2）有可能被牙医和患者误用; （3）应该是所有义齿患者和本科牙科课程患者教育不可或缺的一部分。但是，专家小组未能就是否应在即刻义齿患者插入后的阶段使用义齿胶粘剂，以及总体上讲，它们是否对义齿患者的治疗有益（59％同意），未能达成共识。小组成员还清楚地表达了他们的担忧，即牙医和患者均不应使用义齿粘合剂代替良好的临床实践或适当的义齿维护常规。结论：这个由领先的学术义齿修复专家组成的小组得出结论，义齿粘合剂是义齿修复服务的有用辅助工具，在制造和插入后阶段均具有特定作用。他们还指出，只有通过对牙医和患者的教育，才能实现最大化利用义齿粘合剂的有益方面，同时最大程度地减少义齿粘合剂滥用的双重目标。

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