| Abstract | Interdisciplinarna suradnja kod ortodontskih pacijenata važan je dio terapije u kojem ortodont, zajedno s drugim stručnjacima u svom timu, uz stalnu interakciju i komunikaciju, postavlja realne ciljeve liječenja koji će istovremeno zadovoljiti interdisciplinarni tim i pacijenta.
Cilj: Svrha istraživanja bila je utvrditi učestalost interdisciplinarne suradnje specijalista ortodoncije i specijalista drugih grana dentalne medicine te utvrditi s kojom specijalnošću se najčešće surađuje u terapiji ortodontskih pacijenata.
Materijal i metode: Analizirano je 586 ortopantomograma (OPG) pacijenata iz privatnih ortodontskih ordinacija u Splitu koji su pripadali pacijentima oba spola i dobnoj skupini od 10 do 42 godine. Prikupljanje se odvijalo nasumičnim putem, tijekom ožujka i travnja akademske godine 2015./2016. Analizirala se evenutalna potreba za interdisciplinarnom suradnjom s pojedinom specijalističkom granom. Analiza je provedena softwareom „MS Excell“.
Rezultati: Rezultati su pokazali da je od analiziranih 586 OPG-a, 98 pacijenata (16,72%) bilo uključeno u interdisciplinarnu suradnju. Od 98 pacijenata, 47,96% slučajeva bilo je uključeno u suradnju sa oralnim kirurgom nakon koje slijedi specijalist protetike s 25,51% slučajeva, specijalist restaurativne dentalne medicine s 14,29% slučajeva te specijalist parodontologije s 12,24% slučajeva. Analizirala se i frekvencija razloga suradnje s oralnim kirurgom. U 65,95% slučajeva razlog su bili impaktirani očnjaci, 14,89% impaktirani drugi premolari, 4,26% impaktirani molari, 2,13% impaktirani lateralni sjekutići, 8,51% slučajevi ugradnje implantata te 4,26% slučajevi rascjepa čeljusti.
Zaključak: Ovi rezultati i pregled literature potkrjepljuju hipotezu da je potreba za interdisciplinarnom suradnjom kod ortodontskih pacijenata česta te da se najčešće surađuje s oralnim kirurgom. Potrebna su daljnja istraživanja na većem uzorku i razdvajanjem ispitanika po dobi i spolu da bi se dobio cjelovit prikaz problematike interdisciplinarne suradnje u ortodonciji. |
| Abstract (english) | Interdisciplinary collaboration during the treatment of orthodontic patients is an important part of the therapeutic process. During this process the orthodontist should collaborate with other experts in the field, which includes constant interaction and communication with each other as well as setting realistic goals for treatment, which will in the end satisfy the interdisciplinary team as well as the patient.
Objective: The objective of the research is to examine the frequency of interdisciplinary collaboration of orthodontists and other dental specialists as well as to determine which specialty is mostly collaborated with during the therapeutic process.
Material and methods: The research was conducted in Split. The data, that was collected and analyzed, were 586 orthopantomograms (OPGs) belonging to patients from private orthodontic clinics in Split. The patients were both male and female from 10 to 42 years old. The corpus was collected randomly during March and April of the academic year 2015/2016. After gathering the OPGs, they were analyzed in terms of whether there was potential need for interdisciplinary collaboration with different specialist branches or not. The data were analyzed using the software „MS Excell“.
Results: The results showed that out of 586 OPGs, 98 patients (16.72%) needed interdisciplinary collaboration. Out of these 98 patients most of them, i.e. 47,96% of cases needed collaboration with oral surgeon, after that comes prosthodontist with 25,51%, then restorative dentist with 14,29%, and last periodontologist with 12,24% of cases. As oral surgery was the most frequently collaborated branch, these cases were analyzed in more depth. The analysis showed that 65,96% of cases included impacted canines, 14,98% impacted second premolars, 4,26% impacted molars, 2,13% impacted lateral incisors, 8,51% of cases included implant placements and 4,26% of cases included cleft palates.
Conclusion: The results and literature overview corroborate the hypothesis that there is frequent need for interdisciplinary collaboration during the treatment of orthodontic patients. The results show that an oral surgeon is the most collaborated specialist during the therapeutic process. Further research with a larger sample and separation of patients by age and gender is necessary in order to obtain a full overview of the problems of interdisciplinary collaboration in orthodontics. |
