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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Peri-Implant Diseases in the Maxillofacial Region | Research

The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

Authors: Chia-Dan Cheng, Yi-Wen Cathy Tsai, Wan-Chien Cheng, Fu-Gong Lin, Pei-Wei Weng, Ying-Wu Chen, Ren-Yeong Huang, Wei-Liang Chen, Yi-Shing Shieh, Cheng-En Sung

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Objectives

This study is to investigate the referral pattern and treatment modality of dentists in the management of peri-implant diseases between periodontists and non-periodontist dentists (NPDs).

Materials and methods

A total of 167 validated questionnaires were obtained from periodontists and NPDs, who had experience of placing implants for at least one year. Question I to IV asked how the dentist would respond if a patient came for treatment of their peri-implant diseases with four different scenarios according to resource of patient and disease severity. For each Scenario, dentists also replied which treatment procedures they would use if they decide to treat the patient.

Results

Periodontal training, resource of patient, and disease severity were shown to significantly influence the referral pattern and treatment modality in the management of peri-implant disease (p < 0.05). Periodontists were more likely to use variable treatment procedures, including occlusal adjustment (OR = 2.283, p < 0.01), oral hygiene instruction (OR = 3.751, p < 0.001), topical antiseptic agent (OR = 2.491, p < 0.005), non-surgical mechanical therapy (OR = 2.689, p < 0.001), surgical therapy (OR = 2.009, p < 0.01), and remove implant (OR = 3.486, p < 0.001) to treat peri-implant diseases, compared to NPDs.

Conclusion

The periodontal specialty training, resource of patient, and disease severity significantly influenced the referral pattern and treatment modality of dentist treating an implant diagnosed with peri-implant disease. This study also highlighted the importance of educating basic periodontal and peri-implant disease-related knowledge to all dentists regularly performing dental implant treatments.

Clinical relevance

Peri-implant diseases are highly prevalent among patients with dental implants. Periodontal specialty training could enhance using variable treatment procedures to treat peri-implant diseases for dentists.
Appendix
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Metadata
Title
The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists
Authors
Chia-Dan Cheng
Yi-Wen Cathy Tsai
Wan-Chien Cheng
Fu-Gong Lin
Pei-Wei Weng
Ying-Wu Chen
Ren-Yeong Huang
Wei-Liang Chen
Yi-Shing Shieh
Cheng-En Sung
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03135-3

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