Abstract：
Paediatric residents usually visit children since the first years of life and can potentially diagnose craniofacial anomalies and malocclusions. Therefore, the aim of this study was to assess the ability of paediatric medical residents to diagnose malocclusions in growing subjects at an early stage. Eighty-three paediatric medical residents from the University of Pavia, Italy, who were enrolled in the Paediatric Residency program, participated in an online questionnaire. The questionnaire covered demographic variables, oral examination practices, dental and orthodontic knowledge, and sources of information. Following this, the residents were presented with a photographic analysis and asked to determine the treatment priority for 10 patients with malocclusions using the Index of Orthodontic Treatment Need (IOTN). On average, it was recommended that the first orthodontic visit should occur at around 4.92 years of age. The results showed that 75.9% of the residents always performed oral examinations on their patients, and 48.1% assigned a priority score of 8 or higher. The scores obtained by the paediatric residents did not significantly differ based on the year of study, frequency of oral examinations, or sources of information reported. Notably, there was a particular underestimation of treatment priority for malocclusions characterized by a significant increase in overjet. The findings suggest a potential lack of improvement in orthodontic knowledge during the medical residency program. It is recommended to increase the availability of orthodontic information sources for paediatric residents to enhance their understanding in this area.
摘要：
儿科居民通常从出生后的第一年就去看孩子，并且可以潜在地诊断颅面异常和咬合不正。因此,这项研究的目的是评估儿科住院医师在成长中的受试者早期诊断咬合不正的能力.帕维亚大学83名儿科住院医师,意大利,他们参加了儿科住院医师计划，参加了在线问卷调查。问卷涵盖了人口统计学变量，口试实践,牙科和正畸知识，和信息来源。在此之后,对居民进行了摄影分析,并要求他们使用正畸治疗需求指数(IOTN)确定10例错牙合畸形患者的优先治疗方案.平均而言,建议第一次正畸就诊应在4.92岁左右进行。结果显示,75.9%的居民总是对病人进行口腔检查,48.1%的人被分配了8分或更高的优先级。根据研究年份，儿科住院医师获得的分数没有显着差异，口试的频率,或报告的信息来源。值得注意的是,对于以过度喷射显著增加为特征的错牙合畸形的治疗优先级,存在特别低估.研究结果表明，在医疗住院医师计划期间，正畸知识可能缺乏改善。建议增加儿科居民的正畸信息来源的可用性，以增进他们对这一领域的了解。
