Survey of General Dentists to Identify Characteristics Associated with Increased Referrals to Endodontists

Abbott, James A.; Wolcott, James; Gordon, Greg; Terlap, Heidi Tarr

doi:10.1016/j.joen.2011.06.029

Cited by 14 publications

(13 citation statements)

References 11 publications

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“…This does seem to be a recurring theme in most of the literature to date: although an analysis of dental claims data in Washington State revealed no gender differences in practice patterns [ 21 ], other studies have observed that male dentists are more likely to provide specific procedures. These include studies of Nova Scotia and Virginia GDs in which male dentists were more likely to perform non-surgical periodontal therapy [ 8 , 14 ], endodontic services [ 11 ], and dental extractions [ 12 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Periodontal referrals have been associated with year of dental school graduation [ 13 , 18 ]. Endodontic referrals were less likely among GDs with 6–10 years of experience, compared to those with more than 10 years of experience [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…An Australian study led to the conclusion that dental service rates are influenced by a large number of small effects from a wide range of dentist, practice, and patient factors [ 10 ]. A few studies have identified certain dentist characteristics as being associated with provision of endodontic, periodontal, and oral surgical services [ 11 – 14 ]. However, little is known about how commonly GDs provide directly a comprehensive range of procedures, or about factors associated with this provision.…”

Section: Introductionmentioning

confidence: 99%

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Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings

et al. 2015

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BackgroundObjectives were to: (1) determine whether and how often general dentists (GDs) provide specific dental procedures; and (2) test the hypothesis that provision is associated with key dentist, practice, and patient characteristics.MethodsGDs (n = 2,367) in the United States National Dental Practice-Based Research Network completed an Enrollment Questionnaire that included: (1) dentist; (2) practice; and (3) patient characteristics, and how commonly they provide each of 10 dental procedures. We determined how commonly procedures were provided and tested the hypothesis that provision was substantively related to the three sets of characteristics.ResultsTwo procedure categories were classified as “uncommon” (orthodontics, periodontal surgery), three were “common” (molar endodontics; implants; non-surgical periodontics), and five were “very common” (restorative; esthetic procedures; extractions; removable prosthetics; non-molar endodontics). Dentist, practice, and patient characteristics were substantively related to procedure provision; several characteristics seemed to have pervasive effects, such as dentist gender, training after dental school, full-time/part-time status, private practice vs. institutional practice, presence of a specialist in the same practice, and insurance status of patients.ConclusionsAs a group, GDs provide a comprehensive range of procedures. However, provision by individual dentists is substantively related to certain dentist, practice, and patient characteristics. A large number and broad range of factors seem to influence which procedures GDs provide. This may have implications for how GDs respond to the ever-changing landscape of dental care utilization, patient population demography, scope of practice, delivery models and GDs’ evolving role in primary care.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6831-15-11) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings

et al. 2015

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“…A few surveys of general dental practitioners have been conducted to determine the various factors associated with a referral to an endodontist 1,2,3,4,5. One of these surveys demonstrated the various aspects regarding the relationships between general practitioners and endodontists, such as communication, location, patient management, and waiting time, influenced decisions pertaining to endodontic referrals 2.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of referral reasons and clinical symptoms for endodontic referrals

Kim¹

2014

Restor Dent Endod

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ObjectivesTo investigate the prevalence of different primary reasons for endodontic referrals and the clinical symptoms of the referred cases.Materials and MethodsClinical data of total endodontic treatment cases (1,014 teeth) including endodontic referral cases (224 teeth) between January 1, 2010 and December 31, 2012, at Kangdong Sacred Heart Hospital, were investigated retrospectively. The one major reason for referral, the clinical symptoms, and the resulting treatment procedures of referral cases were recorded. The percentages of clinical symptoms of the endodontic referral cases and the total endodontic treatment cases were compared by χ2 test for each symptom.ResultsPersistent pain was the most frequent reason for endodontic referral (29.5%), followed by presence of gingival swelling and sinus tract (24.1%), and apical radiolucency (12.9%). Referrals in cases involving endodontic difficulties such as canal calcification, broken instruments, post, perforation, and resorption were less than 5.0%, respectively. The percentages of four major clinical symptoms of pain, apical radiolucency, previous endodontic treatment, and gingival swelling and sinus tract were significantly higher in the endodontic referral cases than those in the total endodontic cases (p = 0.001). Among the included referral cases, 72.8% were treated with nonsurgical endodontic treatment only. Teeth other than the referred teeth were diagnosed as the origin of the problem in 5.8% of the referrals.ConclusionsThe high prevalence of pain, apical radiolucency, previous treatment, and gingival swelling and sinus tract in endodontic referral cases suggest that these symptoms may be what general practitioners consider to be difficult and refer to endodontists.

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“…In the recent past, there have been surveys conducted from the GP's perspective analyzing the referral relationship, which have shown concrete actions endodontists could potentially take to increase their referral base and improve their referral relationship (16,17). However, to the authors' knowledge no study has examined U.S. endodontists' perceptions regarding the referral relationship and endodontic economics.…”

mentioning

confidence: 99%

A Survey for Endodontists in Today's Economy: Exploring the Current State of Endodontics as a Profession and the Relationship between Endodontists and Their Referral Base

Lin

Sabbah

Sedgley

et al. 2015

Journal of Endodontics

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Survey of General Dentists to Identify Characteristics Associated with Increased Referrals to Endodontists

Abstract: There are concrete actions endodontists can take and segments of the GP population that can be targeted to successfully address the issue of increasing referrals, but this is only the first step in addressing the complex relationships involved in referral behavior.

Cited by 14 publications

References 11 publications

Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings

Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings

Prevalence of referral reasons and clinical symptoms for endodontic referrals

A Survey for Endodontists in Today's Economy: Exploring the Current State of Endodontics as a Profession and the Relationship between Endodontists and Their Referral Base

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