Periodontal diagnosis, treatment, and referral patterns of general dental practitioners

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-04-21 DOI:10.1111/jicd.12411

Jennifer Kraatz, Ha Hoang, Saso Ivanovski, Robert S. Ware, Leonard A. Crocombe

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引用次数: 7

Abstract

Aim

The aim of the present study was to investigate the diagnosis, treatment, and referral patterns of periodontal patients by general dental practitioners (GDP).

Methods

A questionnaire was mailed to registered GDP with publicly-listed postal addresses in Tasmania, Australia. Information was collected on demographics, training and professional development, examination, diagnosis and referral patterns, and periodontal treatment patterns.

Results

Seventy-seven (44.5%) questionnaires were completed. Over 85% always or usually screened for periodontal disease. On average, 0 to ≤7 patients were diagnosed with periodontal disease. GDP were always or usually confident in treating gingivitis (100%), mild (98.7%) and moderate periodontitis (73.7%), and rarely or never confident in treating severe (81.6%) and aggressive periodontitis (86.8%). Over 38% frequently referred to periodontists, 35.5% sometimes, 21.1% rarely, and 5.3% never. Clinical factors associated with referral were periodontal pocketing of ≥6 mm, tooth mobility, no improvement following treatment, and a complex medical history.

Conclusions

Most GDP performed periodontal screening and diagnosis. They were confident in treating gingivitis and mild-to-moderate periodontitis. Referral to a periodontist was associated with disease severity, tooth mobility, a complex medical history, or unsuccessful treatment.

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牙周诊断、治疗和转诊模式的一般牙科医生

目的本研究的目的是调查普通牙科医生(GDP)对牙周病患者的诊断、治疗和转诊模式。方法将问卷邮寄至澳大利亚塔斯马尼亚州注册GDP单位。收集了人口统计、培训和专业发展、检查、诊断和转诊模式以及牙周治疗模式等方面的信息。结果共完成问卷77份(44.5%)。超过85%的人经常或经常接受牙周病筛查。平均0 ~≤7例患者被诊断为牙周病。GDP对牙龈炎(100%)、轻度(98.7%)和中度牙周炎(73.7%)一直或通常有信心，对重度(81.6%)和侵袭性牙周炎(86.8%)很少或从不有信心。超过38%的患者经常就诊，35.5%有时就诊，21.1%很少就诊，5.3%从不就诊。与转诊相关的临床因素是牙周袋≥6 mm，牙齿活动，治疗后无改善，以及复杂的病史。结论大多数GDP进行牙周筛查和诊断。他们对治疗牙龈炎和轻中度牙周炎很有信心。转诊到牙周病医生与疾病严重程度、牙齿活动度、复杂病史或治疗不成功有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.