Periodontal Treatment Practice and Referral Profile of General Dentists – A Cross-sectional Questionnaire Survey
Keywords:Referral;, general dentists, periodontal treatment, periodontist, survey, Saudi Arabia
BACKGROUND: Because of medical advancement, the mean age of the general population is increasing gradually. This increase in the mean age of patients has led to its implications on oral health. Hence, it is logical to assume an increase in the figure of referrals to specialists and the complexity of treatments provided.
AIM: The aim of the survey was to assess the current status of periodontal treatment provided, awareness of referral profile, and criteria taken into consideration for the referral to the periodontist by general dentists.
MATERIALS AND METHODS: This cross-sectional questionnaire study was conducted among 318 general dentists. The relevant work related to the status of periodontal procedures provided by dentists and their referral relationships were studied. The questionnaire consisting of six questions was designed. Descriptive statistics, including frequency distributions and measures of central tendency and Chi-square test, were used.
RESULTS: The study showed that majority of the general dentists do non-surgical procedures by their own. However, around 85% of respondents did not provide surgical periodontal treatment by themselves. About 25% of the responding general dentists thought that they had inadequate education and experience in the field of periodontics which was a major reason for the referral to specialists.
CONCLUSION: It was concluded that the general dentists are comfortable in carrying out the non-surgical procedures, but they had some reservations about the periodontal surgical procedures. Inadequate experience and facilities were the major reasons for the referral to periodontists. More of this type of study should be conducted to know the basic level of periodontal practices carried out among the general dentists and about the referral to the specialists.
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American Academy of Periodontology. 2003 Practice Profile Survey. Vol. 114. Chicago: American Academy of Periodontology; 2004. p. 209-10.
Waldman HB. Changing number and distribution of periodontists: A continuing imbalance--1987-1995. J Periodontol. 1998;69(4):439-44. https://doi.org/10.1902/jop.19220.127.116.119 PMid:9609374
Gilbert GH, Heft MW. Periodontal status of older Floridians attending senior activity centers. J Clin Periodontol. 1992;19(4):249-55. https://doi.org/10.1111/j.1600-051x.1992.tb00462.x PMid:1569225
Hugoson A, Norderyd O, Slotte C, Thorstensson H. Distribution of periodontal disease in a Swedish adult population 1973, 1983 and 1993. J Clin Periodontol. 1998;25(7):542-8. https://doi.org/10.1111/j.1600-051x.1998.tb02485.x PMid:9696253
Susin C, Dalla Vecchia CF, Oppermann RV, Haugejorden O, Albandar JM. Periodontal attachment loss in an urban population of Brazilian adults: Effect of demographic, behavioral, and environmental risk indicators. J Periodontol. 2004;75(7):1033-41. https://doi.org/10.1902/jop.2004.75.7.1033 PMid:15341364
Niessen LC, Fedele DJ. Aging successfully: Oral health for the prime of life. Compend Contin Educ Dent. 2002;23 (10 Suppl):4-11. PMid:12790011
Brown IS, Salkin LM, Vanderveer R. The current status of professional relationships between periodontists and general dentists. J Am Dent Assoc. 1981;102(6):854-58. https://doi.org/10.14219/jada.archive.1981.0210
Glicksman MA. Referral of the periodontal patient to the periodontist. Periodontol 2000. 2001;25:110-13. https://doi.org/10.1034/j.1600-0757.2001.22250109.x PMid:11155186
Brustein DD, Rauschart EA. A comparative study on the relationship between the specialist and the referring dentist. J Periodontol. 1971;42(5):306-8. https://doi.org/10.1902/jop.1918.104.22.1686 PMid:5280504
Wilson RD. Referrals to specialists. In: Wilson TG, Kerman KS, editors. Fundamentals of Periodontics. 2nd ed. Chicago: Quintessence; 2003. p. 465-70.
Linden GJ, Stevenson M, Burke FJ. Variation in periodontal referral in 2 regions in the UK. J Clin Periodontal. 1999;26(9):590-5. PMid:10487309
Linden GJ. Variation in periodontal referral by general dental practitioners. J Clin Periodontal. 1998;25(8):655-61. https://doi.org/10.1111/j.1600-051x.1998.tb02502.x PMid:9722270
Ghiabi E, Matthews DC. Periodontal practice and referral profile of general dentists in Nova Scotia, Canada. J Can Dent Assoc. 2012;78:c55. PMid:22673218
Lee JH, Bennett DE, Richards PS, Inglehart MR. Periodontal referral patterns of general dentists: Lessons for dental education. J Dent Educ. 2009;73(2):199-210. https://doi.org/10.1002/j.0022-0337.2009.73.2.tb04655.x PMid:19234076
Robertson PB, Del Aguila MA, Anderson MH. Trends in periodontal care. Periodontol 2000. 2002;30(1):104-10. https://doi.org/10.1034/j.1600-0757.2002.03010.x
Rabi H, Rabi TH, Qirresh E, Assaf M. Periodontal practice and referral profile of general dentists in palestine. J Dent Health Oral Disord Ther. 2016;4(4):100-7. https://doi.org/10.15406/jdhodt.2016.04.00117
Jadhav SS, Rajhans NS, Mhaske NH, Moolya NN, Salunkhe N. Awareness and attitude among general dentists regarding periodontal treatments and referrals in Ahmednagar city. J Int Oral Health. 2015;7(12):90-6.
Mali A, Mali R, Mehta H. Perception of general dental practitioners toward periodontal treatment: A survey. J Indian Soc Periodontol. 2008;12(1):4-7. https://doi.org/10.4103/0972-124x.44086 PMid:20142936
Esfandiari S, Majdzadeh R, Feine J. Types of Canadian dentists who are more likely to provide dental implant treatment. Implant Dent. 2011;20(1):76-84. https://doi.org/10.1097/id.0b013e318200315e PMid:21278530
Zemanovich MR, Bogacki RE, Abbott DM, Maynard JG, Lanning S. Demographic variables affecting patient referrals from general practice dentists to periodontists. J Periodontol 2006;77(3):341-9. https://doi.org/10.1902/jop.2006.050125 PMid:16512747
Park CH, Thomas MV, Branscum AJ, Harrison E, Al-Sabbagh M. Factors influencing the periodontal referral process. J Periodontol. 2011;82(9):1288-94. https://doi.org/10.1902/jop.2011.100270 PMid:21284554
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Copyright (c) 2021 Mukhatar Ahmed Javali, Abdullah M. A. Alkanad, Shahabe Abullais Saquib, Raghvendra R. Nagate, Mohasin Abdul Khader, Imran Khalid, Mohamed Fadul A. Elagib (Author)
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