Abstract
Purpose
The aim of this study was to evaluate orthodontists’ knowledge and experience on referring orthognathic surgery patients to psychological support.
Methods
A 15-question questionnaire was sent to orthodontists who were members of the Turkish Orthodontic Society via e‑mail. The participants were informed about the purpose of the study and were provided a link to access the questionnaire via the internet. In order to increase the feedback rate, two reminders were sent to all addresses. Members who did not perform orthognathic surgery were not included in the study.
Results
Of the 1615 members who were sent the link, 233 responded and filled out the electronic questionnaire, while 12 participants who stated that they did not treat orthognathic patients were excluded. Most of the participants stated that they did not refer their patients to psychological support. The main reasons for not recommending psychological support to patients was fear about the reaction of the patients and that patients might refuse to visit the psychologist/psychiatrist. The most common reasons for referring patients to psychological support were the following: patient had past/current psychological problem, unrealistic expectations, recent concerns regarding orthognathic surgery and see no significant need for surgery. In all, 98% of participants stated that they did not use psychological questionnaire forms for their patients. The vast majority of participants stated that they were not trained in psychological assessment/treatment, and a large majority of participants thought that it would be beneficial to receive training in this field.
Conclusion
Most orthodontists do not receive adequate training in psychology and do not refer orthognathic surgery patients to psychological support. It would be beneficial to offer clinicians training in this field.
Zusammenfassung
Zielsetzung
Ziel dieser Studie war es, das Wissen und die Erfahrung von Kieferorthopäden bezüglich der Vermittlung von psychologischer Unterstützung für kieferorthopädisch-chirurgische Patienten zu evaluieren.
Methoden
Ein Fragebogen mit 15 Fragen wurde an Kieferorthopäden, die Mitglieder der türkischen kieferorthopädischen Gesellschaft waren, per Email verschickt. Die Teilnehmenden wurden über den Zweck der Studie informiert und erhielten einen Link, um den Fragebogen online abzurufen. Um die Rücklaufquote zu erhöhen, wurden an alle Adressen jeweils 2 Erinnerungsschreiben verschickt. Mitglieder, die keine Patienten für orthognathe Chirurgie betreuten, wurden nicht in die Studie aufgenommen.
Ergebnisse
Von den 1615 Mitgliedern, denen der Link zugesandt worden war, antworteten 233 und füllten den elektronischen Fragebogen aus, während 12 Teilnehmende, die angaben, keine Orthognathiepatienten zu behandeln, ausgeschlossen wurden. Die meisten Teilnehmer gaben an, dass sie ihre Patienten nicht an psychologische Unterstützung verweisen. Die Hauptgründe dafür, den Patienten keine psychologische Unterstützung zu empfehlen, waren die Sorge vor der Reaktion der Patienten und davor, dass die Patienten eine Vorstellung beim Psychologen/Psychiater ablehnen könnten. Die häufigsten Gründe, Patienten an psychologische Unterstützung zu verweisen, waren: Der Patient hatte ein zurückliegendes/aktuelles psychologisches Problem, unrealistische Erwartungen, aktuelle Bedenken bezüglich kieferorthopädischer Chirurgie und sah keinen signifikanten Bedarf für eine operative Intervention. Von den Teilnehmenden gaben 98% an, dass sie keine psychologischen Fragebögen für ihre Patienten verwenden. Die überwiegende Mehrheit der Befragten gab an, dass sie nicht in der psychologischen Beurteilung/Behandlung geschult seien, und eine große Mehrheit der Befragten war der Meinung, dass Fortbildungen in diesem Bereich hilfreich seien.
Schlussfolgerung
Die meisten Kieferorthopäden erhalten keine adäquate Ausbildung in Psychologie und verweisen kieferorthopädisch-chirurgische Patienten nicht an eine entsprechende Mitbetreuung. Hilfreich wären hier Fortbildungsangebote für klinisch Tätige.
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Change history
07 June 2021
A Correction to this paper has been published: https://doi.org/10.1007/s00056-021-00310-5
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H.K. Olkun declares that she has no competing interests.
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The study was approved by the Istanbul Okan University Noninterventional Clinical Research Ethics Committee. Written informed consent to participate was obtained from the patients in the study.
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The original online version of this article was revised: The following statement from the conclusions section in the original manuscript: “Both clinicians and patients stated that it would be beneficial to obtain training in this field.” should be: “It would be beneficial to offer clinicians training in this field.”
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Olkun, H.K. Orthodontists’ knowledge and experience on referring orthognathic surgery patients to psychological support. J Orofac Orthop 82, 338–343 (2021). https://doi.org/10.1007/s00056-021-00289-z
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DOI: https://doi.org/10.1007/s00056-021-00289-z
Keywords
- Orthodontics
- Dental health surveys
- Psychological support systems
- Postgraduate education
- Surveys and questionnaires