L' Orthodontie francaise · 2025
[Orofacial myofunctional disorders: Evaluation of screening practices and speech therapy referrals by dentists and orthodontists in France].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Rudler Lise, Da Cunha Eloïse, Gros Auriane, Manera Valeria, Chalmin Chloé, Bourgeois Cédric
Аннотация
INTRODUCTION: Orofacial myofunctional disorders (OMDs) refer to alterations in orofacial functions that may hinder craniofacial development. Early screening by dentists and orthodontists, together with timely referral for a speech-language evaluation and possible orofacial myofunctional therapy, is essential to optimize patient care. This study aims to assess the knowledge, practices, and training needs of French dentists and orthodontists regarding OMDs and the role of speech therapy in their management.
MATERIAL AND METHODS: A descriptive survey was conducted using an online questionnaire distributed between October 2024 and January 2025 to dentists and orthodontists practicing in France.
RESULTS: A total of 227 complete responses were analyzed (58 orthodontists and 169 general dentists). Among them, 95% of orthodontists reported systematically screening for OMDs, compared to 24% of general dentists. Regarding speech therapy referrals, 83% of orthodontists reported often or always referring patients after screening, versus 20% of general dentists. Furthermore, 51% of general dentists considered such referrals to fall outside their professional scope. Practice location significantly influenced referral patterns: Urban practitioners referred more frequently than those in rural areas. Regular orthodontic practice among general dentists was associated with increased referral rates, whereas pedodontic practice was not. Finally, knowledge of the speech therapist's role remained limited: Only 31% of general dentists reported knowing it very well or fairly well.
DISCUSSION: These disparities are primarily explained by differences in initial training. Although official recommendations exist, their implementation remains insufficient, particularly among general dentists and those practicing pedodontics. The central role of speech therapists in orofacial myofunctional rehabilitation also appears to remain poorly understood. The shortage of speech therapists in rural areas also hinders timely patient care.
CONCLUSION: This study highlights the need to strengthen initial training for general dentists and promote interdisciplinary collaboration to improve the screening and management of OMDs.
MATERIAL AND METHODS: A descriptive survey was conducted using an online questionnaire distributed between October 2024 and January 2025 to dentists and orthodontists practicing in France.
RESULTS: A total of 227 complete responses were analyzed (58 orthodontists and 169 general dentists). Among them, 95% of orthodontists reported systematically screening for OMDs, compared to 24% of general dentists. Regarding speech therapy referrals, 83% of orthodontists reported often or always referring patients after screening, versus 20% of general dentists. Furthermore, 51% of general dentists considered such referrals to fall outside their professional scope. Practice location significantly influenced referral patterns: Urban practitioners referred more frequently than those in rural areas. Regular orthodontic practice among general dentists was associated with increased referral rates, whereas pedodontic practice was not. Finally, knowledge of the speech therapist's role remained limited: Only 31% of general dentists reported knowing it very well or fairly well.
DISCUSSION: These disparities are primarily explained by differences in initial training. Although official recommendations exist, their implementation remains insufficient, particularly among general dentists and those practicing pedodontics. The central role of speech therapists in orofacial myofunctional rehabilitation also appears to remain poorly understood. The shortage of speech therapists in rural areas also hinders timely patient care.
CONCLUSION: This study highlights the need to strengthen initial training for general dentists and promote interdisciplinary collaboration to improve the screening and management of OMDs.