Rationale of referral of patients to a periodontist by general practitioners: Review with a cross-sectional survey

Cherian, Deepthi; Dayakar, MM; Thermadam, Tim Peter

doi:10.4103/2229-5194.162737

Cited by 5 publications

(6 citation statements)

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“…So the need of the hour is to establish the referral trend to the specialist at the initial stage of periodontal disease so as to render a better and an effective treatment to the patient. 3 In the present study, only 30 out of the 50 general dental practitioners did attend the CDE program regarding periodontal disease and treatment outcomes at different stages of disease in the past 1 year. According to Lee JH (2009) 4 , dentists who did not refer patients to the periodontist were less interested in attending CDE programs in periodontics than dentists who made such referrals, which is in accordance to the results of the present study where majority of the dentists performed most of the surgical periodontal treatment and phase I therapy on their own.…”

Section: Discussionmentioning

confidence: 91%

“…Thus the need of the hour is to establish a referral trend by the general dentist to a specialist at the initial stages of periodontal disease as the services rendered by the periodontist will be more effective and beneficial to the patient. 5,6 According to Cherian DA et al (2019) 3 with the emerging concept of speciality dental practice, the patient will appreciate the knowledge of general dentist to diagnose the periodontal disease condition at an initial stage and will be more pleased to be under the specialist care. However, 78% (41) of dentists referred cases to specialist only for grafting, ridge augmentation and dental implant procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Cherian DA et al (2019) 3 suggested that patients when referred to the specialist at the worsening periodontal condition may not be benefited from the services of the specialist; also the services of the periodontist could be underestimated by the patient and the general dentist. So the need of the hour is to establish the referral trend to the specialist at the initial stage of periodontal disease so as to render a better and an effective treatment to the patient.…”

Section: Discussionmentioning

confidence: 99%

“…2 Thus the need of the hour is the early recognition of periodontal disease by the general dentist and basic periodontal examination be mandatory to all the teeth as a part of the routine dental checkup and refer the case to the specialist. 3 But it is noticed that most of the young general dentists treat periodontal cases on their own and keep the periodontal patients in their practices for years and perform repetitive sessions of soft tissue treatment on their own as opposed to having a specialist provide the treatment thus resulting in a compromised periodontium. 4 Such patients when referred to a specialist are not benefited from periodontal treatment.…”

Section: Introductionmentioning

confidence: 99%

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Perception of general dental practitioners towards periodontal practice and referral profile: A survey study

Bhat¹,

Desai²,

Padmakumar³

et al. 2020

IJPI

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The speciality of periodontology has been evolved with leaps and bounds in all aspects ranging from advances in diagnostic aids to use of growth factors and periodontal regeneration techniques in treatment, thus making speciality per se reach new heights. Moreover, with development of technology, periodontal treatment is freely accessible to general dental practitioners. However, knowledge of periodontal diagnosis and treatment is usually limited to undergraduate level and most of times private practice deals only with chief complaint of patient. Evaluate the knowledge and perception of general dentists towards periodontal treatment.The study involved a survey for 50 practicing general dentists having their clinics in Hubli-Dharwad city with qualification of Bachelor of Dental Surgery only. A pre-tested close ended questionnaire was distributed comprising of 20 questions and knowledge, perception levels were assessed. Percentage-wise distribution of responses to various questions was used. Although 90.4% of general dentists did believe in the success of periodontal treatment and did recommend their patients to undergo various periodontal treatment procedures, 88.5% of the dentists performed most of periodontal surgeries and phase I therapy on their own. 78% of dentists referred cases to specialist only for grafting, ridge augmentation and dental implant procedures. About 71.2% of dentists considered gingival health for prosthetic considerations and 94.2% of them did evaluate periodontal condition before referring case for orthodontic treatment. It was noted that 84.6% of dentists followed up periodontal cases as a part of maintenance phase and 57.7% of them did attend CDE program regarding consequences periodontal disease progression and its treatment outcomes in past 1 year. In this study, dentists reported rendering nonsurgical and surgical periodontal therapy on a wide scale. Majority of dentists did attend CDE programs on periodontology and have gained knowledge about periodontal disease and its current treatment modalities. Although dentists do have good perception on success of periodontal treatment, majority of nonsurgical and surgical periodontal treatment was performed by general dentists on their own. Thus the need of the hour is to establish a proper periodontal referral relationship among the general dentists of Hubli-Dharwad. Although dentists do have good perception on success of periodontal treatment, majority of nonsurgical and surgical periodontal treatment was performed by general dentists on their own. Thus the need of the hour is to establish a proper periodontal referral relationship among the general dentists of Hubli-Dharwad city.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perception of general dental practitioners towards periodontal practice and referral profile: A survey study

Bhat¹,

Desai²,

Padmakumar³

et al. 2020

IJPI

View full text Add to dashboard Cite

show abstract

“…The general dental practitioners should be educated on the importance of the periodontal examination and also the referral to the periodontist for treatment of conditions which are beyond their scope and skill. 3 An important point concluded from the study amongst the general dental practitioners of London in terms of training and its evaluation and also expectation and outcomes for health professionals is the improvement in the periodontal health education and the skill development; ultimately resulting in the benefit to the patient. The general dental practitioner ended up with enhanced appreciation of inter-professional working which contributed to their professional status and development.…”

Section: Guest Editorialmentioning

confidence: 99%

Good Clinical Practice – Need of the Hour

Manohar

2020

J Nepal Soc Perio Oral Implantology

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Specialist Periodontal Referral Knowledge, Attitude and Practice by General Dental Practitioner in Nepal: A Web-based Questionnaire study

Rijal,

Humagain,

Lamichhane

et al. 2023

Preprint

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Purpose Dentists can administer periodontal treatment as long as they demonstrate the expertise of a specialist. However, without adequate education and training, there is a risk of harming patients by disregarding ethical principles. To enhance the referral process, it is essential for the patient, referring practitioner, and specialist to establish effective communication and ensure they are well-informed and educated about each other's requirements. The main objective of this study is to assess the knowledge and attitude of general dental practitioners towards specialist periodontal referral. Methods This cross-sectional study was carried out for 6 months from October 2022 to April 2023 using a self-administered questionnaire by general dental practitioners registered in Nepal Medical Council. Knowledge and attitude about periodontics, various diseases and referral to specialist for special treatment were analyzed. Results Total of 238 General Dental Practitioners (GDPs) participated in this web-based questionnaire survey. Majority of general dental practitioners (GDPs) reported that they always performed full-mouth and subgingival scaling (193, 81.09%), providing advice on proper brushing techniques (205, 86.13%), advising patients to stop harmful habits (212, 89.07%), and offering diet counseling (122, 51.26%) for patients displaying signs of gingival or periodontal diseases. Majority of GDPs also indicated that they occasionally consult a periodontist for specific periodontal problems, such as the presence of periodontal pockets (143, 60.084%), mobile teeth (150, 63.025%), gingival enlargement (145, 60.924%), periodontal abscess (146, 61.344%), and gingival recession (149, 62.605%). Common procedures performed by periodontists in GDPs' clinics included gingivectomy/gingivoplasty (149, 62.605%), frenectomy/vestibuloplasty (144, 60.504%), crown lengthening (137, 57.563%), and flap surgery (134, 56.302%). Conclusions General dental practitioners play a crucial role as the primary point of contact for patients seeking dental treatment. They are responsible for early diagnosis and treatment of various periodontal problems to prevent their progression to more severe forms. The periodontal health of the general population largely depends on the knowledge, attitude, and practice of GDPs.

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Rationale of referral of patients to a periodontist by general practitioners: Review with a cross-sectional survey

Cited by 5 publications

References 0 publications

Perception of general dental practitioners towards periodontal practice and referral profile: A survey study

Perception of general dental practitioners towards periodontal practice and referral profile: A survey study

Good Clinical Practice – Need of the Hour

Specialist Periodontal Referral Knowledge, Attitude and Practice by General Dental Practitioner in Nepal: A Web-based Questionnaire study

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