Maintaining dental implants – do general dental practitioners have the necessary knowledge?

Jayachandran, S; Bhandal, Balbir; Hill, Kirsty; Walmsley, A. D.

doi:10.1038/sj.bdj.2015.528

Cited by 17 publications

(10 citation statements)

References 21 publications

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“…The issue of the life expectancy of dental implants is a notoriously difficult to define, being reportedly one of the most common misperceptions among patients (Yao et al 2017; Vipattanaporn et al 2019). At the same time, it is an issue that most clinicians were uncomfortable to express an opinion to their patients (Jayachandran et al 2015). As dentists are patients’ main source of information, unrealistic perceptions among dentists or their inability to provide clear information to patients on that issue could affect patients’ attitudes (Yao et al 2017; Kashbour et al 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire consisted of 10 items on demographic data, 6 items surveying attitudes, 2 items on self-reported competence toward dental implant maintenance, and 17 items objectively testing competences and knowledge related to maintaining dental implants. The questions about attitudes were based on the work of Jayachandran (Lang-Hua et al 2013; Jayachandran et al 2015). Self-reported competence with implant maintenance allowed the dentists to state the scope of their competence among 4 options—from offering a comprehensive oral examination to implant maintenance care, treatment of problems and complications of implants, and referral of all patients with implants to other dentists.…”

Section: Methodsmentioning

confidence: 99%

“…This is not limited to Thai dentists, as a study in Hong Kong revealed that just 25% of the practitioners who were providing implant therapy offered maintenance care (Lang-Hua et al 2013). A study in United Kingdom concluded that current dental implant education does not make general dentists confident in providing dental implant maintenance (Jayachandran et al 2015).…”

Section: 4 452mentioning

confidence: 99%

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Dentists’ Attitudes Toward Dental Implant Maintenance in Thailand

Rudeejaraswan

Pisarnturakit

Mattheos

et al. 2021

JDR Clinical & Translational Research

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Introduction: As implant therapy is a widely applied treatment modality, general dentists are in the frontline of maintaining health in patients with implants. It is however unknown to what extent general dentists are competent and feel prepared to deliver maintenance of implants to patients. Objectives: The aim of this study was to investigate the attitudes and self-reported and objectively assessed competences of general dentists with maintenance of dental implants in patients. Methods: A questionnaire designed and validated for the purpose of the study, including attitudes and self-reported and objectively assessed competences, was distributed by means of an online platform. Results: Data from 429 questionnaires were included in the study. Half of the participants were 28 to 33 y old and 78% had been working <10 y. Seventy-eight percent believed that dental implant maintenance should be performed by general dentists, but only 51% were prepared to do this, citing obstacles such as insufficient knowledge and limitations of their working environment. The mean ± SD objectively assessed competence score was 8.97 ± 2.74 of 17. There were significant differences (P < 0.001, 1-way analysis of variance) in the scores among dentists who offered the full range of maintenance and management of complications (10.83 ± 2.45) with those willing to provide comprehensive oral examination and implant maintenance only (9.31 ± 2.73), those offering comprehensive examination but unwilling to conduct maintenance (8.22 ± 2.28), and those who refer all dental implant patients elsewhere (7.2 ± 2.66). Around half of the dentists believed that implants last for life. Conclusions: While general dentists appeared to largely acknowledge the importance of providing implant maintenance care and present with positive attitudes, a large portion was unwilling to engage with maintenance of implants in patients and appeared to lack essential competences to this end. The main obstacles for providing implant maintenance care included insufficient knowledge and lack of a properly equipped clinical environment. Knowledge Transfer Statement: The results of this study can identify deficiencies in the currently available maintenance competences and schemes for patients with implants. These results can also help dental professionals, scientific bodies, and associations to design appropriate education and professional development strategies that can strengthen the confidence and competences of general dentists, thus offering better service to the public.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: 4 452mentioning

confidence: 99%

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Dentists’ Attitudes Toward Dental Implant Maintenance in Thailand

Rudeejaraswan

Pisarnturakit

Mattheos

et al. 2021

JDR Clinical & Translational Research

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“…This finding indicated the inadequacy of implant education in the entire dental education system. In a study by Jayachandran et al, 77% of general dentists were trained in only theoretical aspect of implant [11].…”

Section: Discussionmentioning

confidence: 99%

The Awareness and Attitude of General Dentists on Dental Implants Follow-up

et al. 2021

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Background and Aim: Considering the increasing use of dental implants in replacing lost teeth, the odds of failure over time in this treatment are inevitable, as with other dental treatments; thus, it requires careful and regular follow-up. Accordingly, the present study aimed to evaluate the awareness and attitude of general dentists about the follow-up of the dental implants to create baseline information to schedule future workshops concerning dental implants. Methods & Materials: In this analytic cross-sectional study, 98 general dentists of Arak City, Iran were evaluated. Questionnaires were designed in 3 sections, as follows: demographic, awareness, and attitude. After checking the validity and reliability of the questionnaires, they were distributed among the research participants. The obtained data were analyzed using descriptive analysis, Chi-squared test, and Independent Samples t-tests. The significance level was considered 0.05. Ethical Considerations: This article was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.283). Results: The average score of awareness of the questionnaires was equal to 10.8 (based on the score of 0-19); the mean score of attitude was measured as 12.8 (based on the score of 7-21). Fifty-Three of the explored dentists had performed implant treatment, whose awareness and attitude toward implants follow-up were significantly higher than those of the dentists who did not perform such treatment (P=0.0001). Work experience presented no significant effect on the examined dentists’ awareness and attitude (P>0.05). Conclusion: General dentists have low awareness and attitude about implant follow-up. Follow-up plays an important role in the long-term success of implant therapy; therefore, dental education/retraining programs should be reviewed in this field.

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“…A recent study from Britain confirmed that current implant education at both undergraduate and postgraduate levels does not instill confidence in general dental practitioners to provide and maintain dental implants. Of dentists who answered a evaluation sheet, 77% stated that they learned only theoretical aspects of dental implants during their undergraduate training.…”

Section: Educational Needs To Prevent and Control Implant Complicationsmentioning

confidence: 99%

Concepts for prevention of complications in implant therapy

Romanos

Delgado-Ruíz

Sculean

2019

Periodontology 2000

110

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| INTRODUC TI ONDental implant therapy is a well-established dental treatment modality that provides benefits for edentulous and partially edentulous patients. Edentulism is a toothless condition that affects well-being and life quality. Although the prevalence of complete tooth loss has declined since 2002, edentulism remains a major disease worldwide, especially among older adults. 1 According to several studies, tooth loss can affect general health in a number of ways owing to reduced intake of a vitamin-rich diet. 2 Also, it has been demonstrated that the dentition status can impact the healthy eating index score and overall diet quality. 3 Edentulism is significantly associated with depression and poor self-rated health in patients younger than 50 years. 4 Furthermore, in a recent systematic review that evaluated mortality and the rehabilitation of edentulism, a possible relationship was found between death rate and edentulousness, in that death rate was higher among edentulous patients not using dentures compared with denture wearers. 5 Therefore, oral health-care providers should prevent tooth loss with proper dental education and improved treatment quality to rehabilitate the edentulous and partially edentulous patients and reestablish proper masticatory function.Dental implants are a valuable treatment option for improving oral health and quality of life, especially for completely edentulous patients. 6 However, dental implants can fail at different points in time, starting from the moment when they are inserted. Based on the time when the failure occurred and the time of loading, early and late failures have been described. 7 However, implant therapy also can present complications, which do not necessarily lead to implant failure.Therefore, the aim of this volume of Periodontology 2000 is to present an overview on the causes of various types of complications related to implant therapy and to provide the practitioner with clinical concepts on their prevention and management. | BONE DYNAMI C AC TIVIT Y FROM TIME OF IMPL ANT PL ACEMENTThe dental implant treatment process starts with comprehensive planning, followed by surgical management of the alveolar bone to prepare it to receive primary (mechanically) stable implant(s) and implant restoration(s) that are resistant to occlusal loads and meet the functional and esthetic demands of patients. However, complications (biological, surgical, or prosthetic) may be encountered. During surgery, strong dynamic and active processes are present in peri-implant tissues, which are induced by trauma during flap and periosteum elevation at the time of implant insertion and the response of the surrounding tissues to the implant material (ie, titanium). The peri-implant bone density is altered (modified) as a result of bone removal (osteotomy) and subsequent bone condensation (ie, through the use of osteotomes or osseodensification, or undersizing of the osteotomy), and bone density continues to improve by stimulating the surrounding bone using functional loading. This st...

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Maintaining dental implants – do general dental practitioners have the necessary knowledge?

Abstract: The present study confirmed that the current implant education at both undergraduate and postgraduate levels in the UK does not instil confidence to the GDPs to provide and maintain dental implants.

Cited by 17 publications

References 21 publications

Dentists’ Attitudes Toward Dental Implant Maintenance in Thailand

Dentists’ Attitudes Toward Dental Implant Maintenance in Thailand

The Awareness and Attitude of General Dentists on Dental Implants Follow-up

Concepts for prevention of complications in implant therapy

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