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Advisor(s)
Abstract(s)
Introdução: A Medicina Dentária do Sono recorre a dispositivos intraorais para o
tratamento da roncopatia e da Síndrome da Apneia Obstrutiva do Sono (SAOS) no âmbito
de uma abordagem multidisciplinar.
Objetivo: Analisar conhecimentos, opiniões e prática clínica relativas ao diagnóstico e
tratamento destes distúrbios segundo uma abordagem multidisciplinar.
Métodos e Materiais: Para este estudo descritivo, observacional e transversal, foi
realizado um questionário semiaberto em português e traduções para castelhano e inglês.
Os questionários foram distribuídos a Médicos e Médicos Dentistas em papel e difundidos
através da plataforma online Google Forms®. Os dados foram registados numa base de
dados (Microsoft Excel®). Posteriormente, estes foram tratados estatisticamente utilizando
o SPSS®, tendo sido considerado um valor de p < 0,05 como estatisticamente
significativo.
Resultados: Foram validados 415 (98,6%) questionários preenchidos: 56,9% de Médicos
Dentistas e 43,1% de Médicos. A maioria destes profissionais possui conhecimentos
básicos adequados sobre o tema. Quando os Médicos necessitaram de tratar a
roncopatia e a SAOS, 81,3% escolheram pressão aérea positiva e 96,7% dos Médicos
Dentistas escolheram dispositivos de avanço mandibular (p < 0,0005). 76,5% dos
Médicos e 28,0% dos Médicos Dentistas concordaram ou concordaram totalmente que a
formação académica que possuem é suficiente para tratarem estes distúrbios (p <
0,0005). 17,9% dos Médicos e 54,2% dos Médicos Dentistas concordaram ou
concordaram totalmente que os Médicos Dentistas podem detetar, diagnosticar e/ou tratar
a roncopatia e a SAOS (p < 0,0005).
Conclusões: Apesar dos significativos desenvolvimentos nas últimas décadas, verifica-se
a necessidade de melhorar a abordagem multidisciplinar, para que a deteção seja mais
eficiente e o planeamento do tratamento dos pacientes seja o mais adequado. Estes
profissionais demonstraram conhecimentos básicos adequados, mas não evidenciaram
confiança suficiente para tratarem estes distúrbios. Assim, o desenvolvimento de
formação adicional deve ser considerado a fim de superarem-se as lacunas observadas.
XI
Verificou-se que as opções de tratamento para estes distúrbios são diferentes entre estes
profissionais.
Introduction: Dental Sleep Medicine focuses on the use of oral appliances for the treatment of snoring and Obstructive Sleep Apnea Syndrome (OSAS) under a multidisciplinary approach. Objective: Analyse the knowledge, opinions, and practice on the diagnosis and treatment of these disorders under a multidisciplinary approach. Methods and Materials: For this descriptive, observational, and cross-sectional study, was carried out a structured questionnaire in Portuguese and translated into Spanish and English. The questionnaire was distributed to physicians and dentists in paper format and disseminated through the Google Forms® online platform. The data were recorded in a database (Microsoft Excel®). Later the data were treated statistically using SPSS®. In all statistical analyses, a p-value of < 0.05 was considered to be statistically significant. Results: A total of 415 (98.6%) completed questionnaires were validated: 56.9% were from dentists, and 43.1% were from physicians. The majority of physicians and dentists have an adequate basic knowledge about the topic. When physicians needed to treat snoring and OSAS, 81.3% chose positive airway pressure, and 96.7% of the dentists chose mandibular advancement devices (p < 0.0005). 76.5% of the physicians and 28.0% of the dentists agree or strongly agree that the academic training they have is sufficient to treat these disorders (p < 0.0005). 17.9% of the physicians and 54.2% of the dentists agree or strongly agree that dentists can detect, diagnose, and/or treat snoring and OSAS (p < 0.0005). Conclusions: Despite the significant developments in the last decades, we have found a need to improve the multidisciplinary approach, for more efficient detection and adequate treatment planning for patients. These professionals reported adequate basic knowledge, but they didn't report enough confidence to treat these disorders. Thus, development of additional training should be considered in order to overcome the examined barriers. We found that treatment options for these conditions are different amongst those professionals.
Introduction: Dental Sleep Medicine focuses on the use of oral appliances for the treatment of snoring and Obstructive Sleep Apnea Syndrome (OSAS) under a multidisciplinary approach. Objective: Analyse the knowledge, opinions, and practice on the diagnosis and treatment of these disorders under a multidisciplinary approach. Methods and Materials: For this descriptive, observational, and cross-sectional study, was carried out a structured questionnaire in Portuguese and translated into Spanish and English. The questionnaire was distributed to physicians and dentists in paper format and disseminated through the Google Forms® online platform. The data were recorded in a database (Microsoft Excel®). Later the data were treated statistically using SPSS®. In all statistical analyses, a p-value of < 0.05 was considered to be statistically significant. Results: A total of 415 (98.6%) completed questionnaires were validated: 56.9% were from dentists, and 43.1% were from physicians. The majority of physicians and dentists have an adequate basic knowledge about the topic. When physicians needed to treat snoring and OSAS, 81.3% chose positive airway pressure, and 96.7% of the dentists chose mandibular advancement devices (p < 0.0005). 76.5% of the physicians and 28.0% of the dentists agree or strongly agree that the academic training they have is sufficient to treat these disorders (p < 0.0005). 17.9% of the physicians and 54.2% of the dentists agree or strongly agree that dentists can detect, diagnose, and/or treat snoring and OSAS (p < 0.0005). Conclusions: Despite the significant developments in the last decades, we have found a need to improve the multidisciplinary approach, for more efficient detection and adequate treatment planning for patients. These professionals reported adequate basic knowledge, but they didn't report enough confidence to treat these disorders. Thus, development of additional training should be considered in order to overcome the examined barriers. We found that treatment options for these conditions are different amongst those professionals.
Description
Keywords
Distúrbios respiratórios relacionados com o sono Apneia obstrutiva do sono Síndrome da apneia obstrutiva do sono Conhecimentos, atitudes e prática Breathing Sleep disordered Apnea Obstructive sleep