Periodontal screening and referral behaviour of general dental practitioners in Flanders

Meers, Erik; Dekeyser, Christel; Favril, C.; Teughels, Wim; Quirynen, Marc; Laleman, Isabelle

doi:10.1007/s00784-017-2212-1

Cited by 4 publications

(5 citation statements)

References 19 publications

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“…The data collected concerned some general characteristics of patients with DS, their oral health, their overall health, treatments performed, their oral health behavior, and their behavior during treatment. As to oral health, the most recent scores of patients, measured using the Dutch Periodontal Screening Index (DPSI) in 2012, 2013, or 2014, were included if they were present (Table ) . To the patients whose recent DPSI score was unknown, the evaluating dentists awarded a DPSI score using an estimate based on X‐rays, old DPSI scores, and the dentist/dental hygienist's report.…”

Section: Methodssupporting

confidence: 93%

“…As to oral health, the most recent scores of patients, measured using the Dutch Periodontal Screening Index (DPSI) in 2012, 2013, or 2014, were included if they were present (Table 1). 21 To the patients whose recent DPSI score was unknown, the evaluating dentists awarded a DPSI score using an estimate based on X-rays, old DPSI scores, and the dentist/dental hygienist's report. Furthermore, the number of absent dental elements was recorded including cause of absence (caries, periodontitis, agenesis etc.…”

Section: Data Collectionmentioning

confidence: 99%

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Periodontal disease in Down's syndrome patients. A retrospective study

Wiel¹,

Loon

Reuland

et al. 2018

Special Care in Dentistry

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Data were collected at the Centre for Special Care Dentistry (CBT) Rijnmond from the records of all 183 registered patients with DS who were 18 years of age on 31 December 2013. Patients were divided into two groups on the basis of their periodontal status: healthy or periodontally compromised. A total of 36.6% of the DS patients had actually incurred damage by periodontitis. The risk factors were: high age at the time of intake, large number of treatment sessions, and impossibility for the "Dutch Periodontal Screening Index" to be measured. In conclusion, the early introduction and continuous attendance of DS patients in a CBT can contributed to better results for a healthy periodontal condition.

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Section: Methodssupporting

confidence: 93%

Section: Data Collectionmentioning

confidence: 99%

Periodontal disease in Down's syndrome patients. A retrospective study

Wiel¹,

Loon

Reuland

et al. 2018

Special Care in Dentistry

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“…Several methods, including the BPE, CPITN, and PSR, are available to assist dentists in assessing and detecting periodontal disease during routine dental examinations. The participants in this study mostly reported using BPE and CPITN as periodontal screening methods, depending on their personal preferences and training, similar to other studies on periodontal screening [ 12 , 13 , 14 ]. Nearly all tools used for periodontal health screening assess the most severe pocket depth but no further information about the loss of interproximal attachment is assessed.…”

Section: Discussionsupporting

confidence: 57%

Validation of a Simplified Digital Periodontal Health Screening Module for General Dental Practitioners

et al. 2022

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As a silent disease, individuals at risk of periodontitis are not easily identified until the disease has become severe. Early detection at the community level is essential, especially for general dental practitioners. The aim of this study was to design a comprehensive, user-friendly tool to screen patients’ periodontal health at community level and to evaluate users’ acceptance of its use. The periodontal health screening module was first developed by an expert panel of periodontists, public health specialists and general dentists. The developed module was tested for content acceptance on 156 graduating dental students from three public schools and later validated by 12 private general dental practitioners (GDPs) for reliability. Most of the students (64.1%) found the new module an easy assessment tool for periodontal health compared to the Basic Periodontal Examination (BPE). Most claimed that they understand the contents (80.8%) and accepted the designs (86.6%) and agreed (82.7%) that the new assessment module would allow them to screen patients anytime in the clinic. The interrater reliability as assessed between the GDPs and the investigators revealed acceptable agreement ranging from 62.5–100.0% (mean 89.6 ± 10.2%). The simplified digital periodontal health screening module showed promising acceptance for application in private general dental clinics.

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“…Several studies have been conducted in the past to assess the knowledge, attitude, and practices of GDPs in relation to the diagnosis, management, and referral patterns of gingival and periodontal diseases. [16,17] The referral of patients to a periodontist is influenced by a range of clinical and non-clinical factors.…”

Section: Discussionmentioning

confidence: 99%

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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Periodontal screening and referral behaviour of general dental practitioners in Flanders

Cited by 4 publications

References 19 publications

Periodontal disease in Down's syndrome patients. A retrospective study

Periodontal disease in Down's syndrome patients. A retrospective study

Validation of a Simplified Digital Periodontal Health Screening Module for General Dental Practitioners

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

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