Hvordan kartlegger og forstår tannhelsepersonell begrepet «store vansker med psykisk og sosial mestring» i forbindelse med bittavvik?

Authors:
  • ASAili Sara
    Aili Sara
  • JJJan-Are Kolset Johnsen
    Jan-Are Kolset Johnsen
  • RMRita Myrlund
    Rita Myrlund
  • ASAnders Sjögren
    Anders Sjögren
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Abstract
English summary: How do dental health professionals chart and understand the concept of “major difficulties with mental and social coping” related to malocclusions?: Nor Tannlegeforen Tid. 2022; 132: 1016-26. In 2020, a subjective assessment was introduced in the reimbursement system for orthodontic treatment in Norway. The aim of the study was to investigate how dental health personnel chart and understand the term “major difficulties with with psychological and social coping” in relation to malocclusions, as well as to investigate what they think of the changes to the reimbursement system. The study used a “mixed method” approach (focus groups and questionnaires). Digital questionnaires were distributed to dentists, dental hygienists, and orthodontists employed in the public dental health service, as well as private practicing orthodontists. The response rate was approximately 20% for dentists and dental hygienists, and 30% for orthodontists. Dental health personnel emphasize different factors when mapping difficulties with psychological and social coping in relation to malocclusions. Bullying and smile aversion were the two most important factors that were emphasized. Approximately 10% of the dental health professionals were satisfied with the guidelines on how to assess whether the patient has difficulties with psychological and social coping linked to malocclusions. More than 70% of the orthodontists were dissatisfied with the guidelines. Less than 1/4 of the orthodontists stated that they understand the concept, or feel competent to evaluate, psychological and social coping. The figures were somewhat higher for referring dental health personnel. Varying interpretation of the concept psychological and social coping may imply that young people with malocclusions in group C (with 40% reimbursement) do not receive an equal offer of referral and orthodontic treatment with reimbursement.

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