Abstract
Background: The use of orthognathic surgery (OS) protocol in the correction of severe skeletal malocclusions is still not widely practiced especially in the developing world despite its obvious benefits. In order to assess its acceptance and utilization in our environment, it is necessary to understand orthodontic practitioners’ current attitudes and perceptions toward this emerging treatment option. This survey was therefore aimed to provide an insight into orthodontists’ attitudes and perceptions to this treatment modalilty in Nigeria
Methodology: Thirty- six practicing Nigerian Orthodontists were included in this cross-sectional study. An 18- item self administered open ended questionnaire was used to collect data on their attitudes and perceptions of orthognathic surgery. Descriptive statistics were computed and analyzed as appropriate.
Results: The mean age of the respondents was 41.3 years (range 29-68 years) with a female to male ratio of 2:1. Fifteen respondents (41.7%) were fellows of postgraduate Colleges (National postgraduate College of Nigeria/West African Postgraduate Medical College) while the remaining 21(58.3%) were resident doctors. Most of the respondents (88.9%) indicated that there was a need for OS in managing patients with dentofacial deformity while only 9(47.2%) of the respondents treat all cases of malocclusion with orthodontic methods alone irrespective of the aetiology. Majority believed that orthognathic surgical procedure is not easily accessible in Nigeria and they identified cost, fear and safety of surgery, lack of facilities and expertise as possible obstacles.
Conclusion: Nigerian orthodontists and trainees seem to view OS as a useful treatment protocol that is capable of improving efficiency and quality of patient care.
Keywords: Orthognathic surgery, malocclusions, cross-sectional, respondent, dentofacial.
Résumé
Contexte: L’utilisation du protocole de chirurgie orthognathique (CO) pour la correction des malocclusions squelettiques sévères n’est pas encore largement pratiquée, en particulier dans les pays en voie de développement, en dépit de ses avantages évidents. Afin d’évaluer son acceptation et son utilisation dans notre environnement, il est nécessaire de comprendre les attitudes et perceptions actuelles des praticiens orthodontiques à l’égard de cette nouvelle option de traitement. Cette enquête visait donc à fournir un aperçu des attitudes et des perceptions des orthodontistes à l’égard de cette modalité de traitement au Nigéria.
Méthodologie: Trente - six orthodontistes pratiquants nigérians ont été inclus dans cette étude transversale. Un questionnaire ouvert de 18 questions auto-administré a été utilisé pour collecter des données sur leurs attitudes et leurs perceptions de lachirurgieorthognathique.Des statistiques descriptives ont été calculées et analysées le cas échéant.
Résultats: L’âge moyen des répondants était de 41,3 ans (intervalle de 29 à 68 ans) avec un ratio femmes / hommes de 2:1. Quinze répondants (41,7%) étaient membres des collèges de troisième cycle (Collège national de troisième cycle du Nigeria / Collège de médecine de troisième cycle de l’Afrique de l’Ouest), les 21 autres (58,3%) étaient des médecins résidents. La plupart des répondants (88,9%) ont indiqué qu’il y a un besoin de CO pour la prise en charge des patients présentant une déformation dento-faciale, tandis que seulement 9 (47,2%) des répondants traitent tous les cas de malocclusion avec des méthodes orthodontiques seules, indépendamment de l’étiologie. La majorité a estimé quelaprocédure chirurgicale orthognathiquen’était pas facilement accessible au Nigéria et ils ont identifié le coût, la peur et la sécurité de la chirurgie, le manque d’installations et de compétences spécialisées comme obstacles possibles.
Conclusion: Les orthodontistes et stagiaires nigérians semblent considérer la CO comme un protocole de traitement utile, capable d’améliorer l’efficacité et la qualité des soins prodigués aux patients.
Mots clés: Chirurgieorthognathique, malocclusions, transversale, répondant,dento–faciale
Correspondence: Dr. O.K. Ogundipe, Department of Oral Maxillofacial Surgery and Oral Pathology, Faculty of Dentistry, Obafemi Awolowo University , Ile-Ife, Nigeria. E-mail: olufemikola@yahoo.co.uk
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