Preliminary study of Korean orthodontic residents’ current concepts and knowledge of cleft lip and palate management
조일식, 백승학, 신효근,
소속 상세정보
조일식 ( Cho Il-Sik ) - Seoul National University School of Dentistry Department of Orthodontics
백승학 ( Baek Seung-Hak ) - Seoul National University School of Dentistry Department of Orthodontics
신효근 ( Shin Hyo-keun ) - Jeonbuk National University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0361920120420030100
Abstract
Objective: A national survey was conducted to assess orthodontic residents’ current concepts and knowledge of cleft lip and palate (CLP) management in Korea.
Methods: A questionnaire consisting of 7 categories and 36 question items was distributed to 16 senior chief residents of orthodontic department at 11 dental university hospitals and 5 medical university hospitals in Korea. All respondents completed the questionnaires and returned them.
Results: All of the respondents reported that they belonged to an interdisciplinary team. Nineteen percent indicated that they use presurgical infant orthopedic (PSIO) appliances. The percentage of respondents who reported they were ’unsure’ about the methods about for cleft repair operation method was relatively high. Eighty-six percent reported that the orthodontic treatment was started at the deciduous or mixed dentition. Various answers were given regarding the amount of maxillary expansion for alveolar bone graft and the estimates of spontaneous or forced eruption of the upper canine. Sixty-seven percent reported use of a rapid maxillary expansion appliance as an anchorage device for maxillary protraction with a facemask. Th ere was consensus among respondents regarding daily wearing time, duration of treatment, and amount of orthopedic force. Various estimates were given for the relapse percentage after maxillary advancement distraction osteogenesis (MADO). Most respondents did not have suffi cient experience with MADO.
Conclusions: Th ese fi ndings suggest that education about the concepts and methods of PSIO and surgical repair, consensus regarding orthodontic management protocols, and additional MADO experience are needed in order to improve the quality of CLP management in Korean orthodontic residents.
키워드
Cleft lip and palate management;Orthodontic training programs;Korea
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