Communication practices and preferences between orthodontists and general dentists

Bibona, Kevin; Shroff, Bhavna; Best, Al M.; Lindauer, Steven J.

doi:10.2319/111714-826.1

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…Orthodontists mostly delivered the information in writing, whereas periodontists and general dentists communicated by mail, or through the patient himself in more than one case out of four. It is consistent with the literature, which shows that mail is the preferred method of communication between colleagues [ 31 , 40 ].…”

Section: Discussionsupporting

confidence: 92%

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Knowledge, attitudes and professional practices of ortho-periodontal care of adults: a cross-sectional survey in France

et al. 2022

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Background Due to increasing numbers of adult patients, orthodontists are being confronted more and more with periodontal problems. Coordination amongst orthodontists, periodontists and general dentists is useful in preventing and stopping periodontal disease. The main objectives of this survey were to evaluate the technical knowledge, techniques and attitudes employed by French orthodontists, periodontists and general dentists in adult dental care. Methods A cross-sectional online survey was distributed to French dentists. The questionnaire, consisting of 30 questions, was divided into six sections covering treatment programs and the forensic environment. Results One thousand one hundred twenty-two complete answers were recorded. Adults undergoing orthodontic treatment represented 19.9% of the orthodontists' patients, but only 2.67% of the general dentists' patients. Communication between clinicians was rated as good, greater than 3 out of 5. Before treatment, orthodontists were less alarmed than generalists regarding bleeding, recessions, increased probing depths, halitosis and hyperplasia. During treatment, orthodontists never or only occasionally performed palpation or probing in 54.2% and 84.6% of cases. Gingivitis and recessions were the main reasons for consultations for 22.0% and 20.1% of general dentists and periodontists after orthodontic treatment. Of the practitioners surveyed, 43% felt that they experienced a setback in the ortho-periodontal treatment. Conclusions This study revealed discrepancies in the knowledge and attitudes of practitioners. Therapeutic management remains one of the major challenges of multidisciplinary treatments. Continuing education needs to be further developed in this field.

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Section: Discussionsupporting

confidence: 92%

“…The construction of this questionnaire, its structure and the survey methods used were chosen for their proximity to other studies in dentistry [ 31 – 33 ]. The distribution of the questionnaire resulted in a high response rate, comparable to other studies conducted in Europe [ 34 – 36 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and professional practices of ortho-periodontal care of adults: a cross-sectional survey in France

et al. 2022

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“…A similar situation to that in Lithuania was observed in Switzerland [ 9 ], where 62% of the orthodontists maintained a successful relationship with general dentists. General dentists are important because they not only choose the orthodontist according to their good relationships with the general dentist, reputation, and other factors [ 29 ] but they are also involved in the treatment [ 30 ]. If appropriate, patients after an orthodontic treatment return to their general dentists in order to undertake any needed dental treatment including their oral hygiene, extractions, restorations, or implantation.…”

Section: Discussionmentioning

confidence: 99%

A survey of protocols and trends in orthodontic retention

2017

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BackgroundThe objectives of this study were to evaluate retention procedures and protocols which are used by the orthodontists in Lithuania and to identify commonly used types of dental retainers.MethodsOne hundred seven questionnaires in total with 28 multiple-choice questions were sent to all members of the Lithuanian Orthodontic Society. The questionnaire was organized into eight sections representing specific information about socio-demographic status of the respondents, selection of a retention system, details of commonly used fixed and removable retainers, the duration of the retention period, supervision of the retainers, instructions for patients, and necessity of common retention guidelines.ResultsThe overall response rate was 75.7%. All of the respondents prescribed retainers after the orthodontic therapy. More than 40% of the respondents combined fixed and removable retainers in different clinical situations, but the first-choice option after an expansion of the maxillary dental arch was the removable retainer (54.3%); meanwhile, a fixed retainer was used after a correction of any rotations of the mandibular anterior teeth (49.4%). The Hawley retainer was preferred by 90.1% of the respondents for a maxillary dental arch, and 74.1% of them preferred it for a mandibular dental arch. The most preferable fixed retainer was the retainer bonded to all six anterior teeth (in the upper dental arch—by 71.6%; in the lower one—by 80.2%). There was no consensus on the duration of a retention period. Most of the orthodontists checked up retainers three times during the first year (fixed ones—by 42.0%; removable ones—by 30.0%) and once per year after the 1-year retention period (fixed ones—by 44.4%; removable ones—by 40.7%). All orthodontists gave instructions for taking care of an orthodontic retainer. It was observed that the orthodontists with less than 10 years of experience used a protocol based on the skills learned during their postgraduate studies, while orthodontists with more than 10 years of experience used retention procedures based on their orthodontic work practice (p < 0.05).ConclusionsA combination of fixed and removable retainers was the most often used in an orthodontic retention. Evidence-based guidelines are desired for a common retention protocol.

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“…Referrals from general dentists play an important role in maintaining the number of orthognathic surgery patients. 22 The high incidence of two-jaw surgeries may reflect the greater severity of dentofacial deformities seen in the university dental hospital. 11 It is also possible that the more complex cases that need two-jaw surgery have moved from the private practice surgeons to academic oral surgeons at university hospitals.…”

Section: Discussionmentioning

confidence: 99%

Modern trends in Class III orthognathic treatment: A time series analysis

Lee¹,

Park²,

Lee

2016

The Angle Orthodontist

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Objective: To examine the current trends in surgical-orthodontic treatment for patients with Class III malocclusion using time-series analysis. Materials and Methods: The records of 2994 consecutive patients who underwent orthognathic surgery from January 1, 2004, through December 31, 2015, at Seoul National University Dental Hospital, Seoul, Korea, were reviewed. Clinical data from each surgical and orthodontic treatment record included patient's sex, age at the time of surgery, malocclusion classification, type of orthognathic surgical procedure, place where the orthodontic treatment was performed, orthodontic treatment modality, and time elapsed for pre-and postoperative orthodontic treatment. Results: Out of the orthognathic surgery patients, 86% had Class III malocclusion. Among them, two-jaw surgeries have become by far the most common orthognathic surgical treatment these days. The age at the time of surgery and the number of new patients had seasonal variations, which demonstrated opposing patterns. There was neither positive nor negative correlation between preand postoperative orthodontic treatment time. Elapsed orthodontic treatment time for both before and after Class III orthognathic surgeries has been decreasing over the years. Conclusion: Results of the time series analysis might provide clinicians with some insights into current surgical and orthodontic management. (Angle Orthod. 2017;87:269-278)

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Communication practices and preferences between orthodontists and general dentists

Cited by 8 publications

References 18 publications

Knowledge, attitudes and professional practices of ortho-periodontal care of adults: a cross-sectional survey in France

Knowledge, attitudes and professional practices of ortho-periodontal care of adults: a cross-sectional survey in France

A survey of protocols and trends in orthodontic retention

Modern trends in Class III orthognathic treatment: A time series analysis

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