Periodontal referral patterns in Norway: 2003 versus 2018

Lind, Kristian H.; Bunæs, Dagmar F.; Lie, Stein Atle; Leknes, Knut N.

doi:10.1002/cre2.491

Cited by 4 publications

(2 citation statements)

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“…A six-part questionnaire was developed to obtain the treatment decision of each dentist on treatment of peri-implant diseases [ 16 ], which referred to previous studies investigating the diagnosis, treatment decision, and referral patterns of general dental practitioners and specialists [ 11 , 12 , 17 – 19 ] (Table S 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…A study had found the implant survival and success rates in general dental practices may be lower than those reported in studies conducted in academic or specialty settings [ 9 ]. The treatment planning and modality of implant therapy also varies greatly among dentists with different training backgrounds, or due to the complexity of diseases and medico-legal reasons [ 10 – 12 ]. Therefore, when more advanced implant-related surgical therapy was required, general dental practitioners might consider referring the patient to dental specialists or experienced dentists [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

et al. 2023

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Objectives This study is to investigate the referral pattern and treatment modality of dentists in the management of peri-implant diseases between periodontists and non-periodontist dentists (NPDs). Materials and methods A total of 167 validated questionnaires were obtained from periodontists and NPDs, who had experience of placing implants for at least one year. Question I to IV asked how the dentist would respond if a patient came for treatment of their peri-implant diseases with four different scenarios according to resource of patient and disease severity. For each Scenario, dentists also replied which treatment procedures they would use if they decide to treat the patient. Results Periodontal training, resource of patient, and disease severity were shown to significantly influence the referral pattern and treatment modality in the management of peri-implant disease (p < 0.05). Periodontists were more likely to use variable treatment procedures, including occlusal adjustment (OR = 2.283, p < 0.01), oral hygiene instruction (OR = 3.751, p < 0.001), topical antiseptic agent (OR = 2.491, p < 0.005), non-surgical mechanical therapy (OR = 2.689, p < 0.001), surgical therapy (OR = 2.009, p < 0.01), and remove implant (OR = 3.486, p < 0.001) to treat peri-implant diseases, compared to NPDs. Conclusion The periodontal specialty training, resource of patient, and disease severity significantly influenced the referral pattern and treatment modality of dentist treating an implant diagnosed with peri-implant disease. This study also highlighted the importance of educating basic periodontal and peri-implant disease-related knowledge to all dentists regularly performing dental implant treatments. Clinical relevance Peri-implant diseases are highly prevalent among patients with dental implants. Periodontal specialty training could enhance using variable treatment procedures to treat peri-implant diseases for dentists.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

et al. 2023

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Periodontal referral patterns in Norway: 2003 versus 2018

Lind

Bunæs

Lie

et al. 2021

Clinical & Exp Dental Res

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Objectives: Changes in periodontal referral patterns over time have been reported from the United States and Australia. To date, comparable studies have not been published from Europe. The objectives of the present study were to examine changes in periodontal referral patterns in Norway in 2003 versus 2018 and to compare these with trends observed in the United States and Australia using universal criteria for grading of periodontal severity. Materials and methods:A retrospective analysis of 369 charts from four Norwegian periodontics clinics was completed. Data on year of referral, gender, age, tobacco smoking, periodontal status and missing teeth at initial examination, teeth planned for extraction, and periodontal case type were collected using a survey format; case type I, II, III, and IV representing increasing severity of periodontitis, case type V representing referral for other periodontal conditions (peri-implantitis, refractory periodontitis, etc.). Chi-square, t-tests, and negative binomial regression were used for the statistical analysis. Results: Compared with 2003, the 2018 data showed an increase in mean age at referral (p < 0.05), overall distribution of case type III and V (p = 0.047), and number of missing teeth (p = 0.001). Further, a decrease in prevalence of smokers (p < 0.05), but no change in number of teeth planned for extraction (p = 0.104), were observed. Conclusions: During a period of 15 years, changes in periodontal referral patterns in Norway are similar to those in the United States and Australia. The adoption of a guideline-based referral practice might be beneficial for both the dental profession and patients.

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Entrustable professional activities (EPAs) in postgraduate periodontics programs in Saudi Arabia: A modified Delphi study

Aldahlawi,

Zaini,

Almoallim

2024

Journal of Dental Education

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PurposeThe purpose of this study was to obtain a validated consensus among expert periodontists in Saudi Arabia regarding end‐of‐periodontics‐residency‐training entrustable professional activities (EPAs) using a modified Delphi method.MethodsThe study consisted of two phases. A preliminary phase in which experts met and proposed an initial list of EPAs following an extensive literature review. The second phase consisted of two rounds of the modified Delphi method in which expert periodontists in Saudi Arabia determined the content validity of each EPA. This was determined with a 5‐point scale ranging from 1 (not important/relevant) to 5 (very important/relevant), and the mean score for each EPA was calculated. EPAs with a mean value of ≤ 4 or agreement rate among experts of less than 80% were excluded.ResultsAn initial list of 40 EPAs was proposed. A total of 30 expert periodontists participated in the first round, and 24 participated in the second round of the modified Delphi method ratings. Most of the participants were program directors and represented different programs and cities in Saudi Arabia. Five EPAs were removed, and a final list of EPAs was produced based on the defined criteria. The Cronbach's alpha was 0.920, indicating high reliability.ConclusionsA final list of 35 end‐of‐periodontics‐training EPAs was produced. The findings of this study can serve as a valuable resource for curriculum development, assessments, and evaluation of periodontics training programs in Saudi Arabia.

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Periodontal referral patterns in Norway: 2003 versus 2018

Cited by 4 publications

References 30 publications

The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

Periodontal referral patterns in Norway: 2003 versus 2018

Entrustable professional activities (EPAs) in postgraduate periodontics programs in Saudi Arabia: A modified Delphi study

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