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Cunha-Cruz J, Gilbert GH, Allareddy V, Cochran DL, Fellows J, Kopycka-Kedzierawski DT, McBurnie M, Meyerowitz C, Mungia R, Rindal DB, Gordan VV. Characteristics of dentists in the National Dental Practice-Based Research Network. J Dent 2023; 137:104653. [PMID: 37572986 PMCID: PMC10528504 DOI: 10.1016/j.jdent.2023.104653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 08/08/2023] [Indexed: 08/14/2023] Open
Abstract
OBJECTIVES Our aims are to describe the characteristics of dentists, members of the US National Dental practice-based research network (PBRN) in the United States, and determine how often these dentists provide specific dental procedures. METHODS Dentists completed a questionnaire when they enrolled in the Network about their demographic and training characteristics and characteristics of their practices and patients. Dentists also reported the frequency of providing specific dental procedures. Data were analyzed using descriptive statistics. RESULTS Of 4,483 dentists in active clinical practice, 34% identified as females, 70% as white, and 73% as general dentists. Most dentists practiced in large metropolitan areas (87%) and in solo or small practices (72%). On average, they reported about one-half of their patients were children or older adults, a third were from historically underrepresented racial and ethnic groups, and one-quarter were covered by public insurance. Most dentists routinely performed restorations and fixed prosthetics (78%), extractions (59%), removable (44%) and implant (40%) prosthetics, and endodontics on incisor and premolar teeth (44%). CONCLUSIONS Dentists participating in the National Dental PBRN have much in common with dentists at large. The network has a broad representation of dentists, practice types, patient populations, and treatments offered, including diversity regarding race/ethnicity, gender, insurance, and geography of its practitioners and patients. CLINICAL SIGNIFICANCE Characteristics of National Dental PBRN dentists suggest that a broad range of dentists is interested in participating in national-level research studies, thereby enabling an array of clinical study settings and topics that can optimize the generalizability of study findings.
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Affiliation(s)
- Joana Cunha-Cruz
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Medical Towers Suite 402, 1717 11th Avenue South, Birmingham, AL 35205, United States.
| | - Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Medical Towers Suite 402, 1717 11th Avenue South, Birmingham, AL 35205, United States
| | - Veerasathpurush Allareddy
- University of Illinois Chicago College of Dentistry, 801 S. Paulina Street, Chicago, Illinois 60612, United States
| | - David L Cochran
- Department of Periodontics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, United States
| | - Jeffrey Fellows
- Center for Health Research, Kaiser Permanente, 3800N. Interstate Avenue, Portland, OR 97227-1098, United States
| | - Dorota T Kopycka-Kedzierawski
- Eastman Institute for Oral Health, University of Rochester, 625 Elmwood Ave, PO Box 683, Rochester, NY 14620, United States
| | - MaryAnn McBurnie
- Kaiser Permanente Center for Health Research, 3800N. Interstate Avenue, Portland, OR 97114, United States
| | - Cyril Meyerowitz
- Eastman Institute for Oral Health, University of Rochester. 601 Elmwood Avenue, Box 686, Rochester, NY 14642, United States.
| | - Rahma Mungia
- Department of Periodontics, The University of Texas Health San Antonio, 8403 Floyd Curl Drive; MC 8258; Suite 300.29, San Antonio, TX 78229, United States
| | - D Brad Rindal
- HealthPartners Institute, HealthPartners Dental Group, 8170 33rd Avenue South | P.O. Box 1524, MS 21112R, Minneapolis MN 55440-1524, United States
| | - Valeria V Gordan
- University of Florida College of Dentistry, Restorative Dental Sciences Department, PO Box 100415, Gainesville FL 32610-0415, United States
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White JH, Carrico CK, Lanning SK, Waldrop TC, Sabatini R, Richardson CR, Golob Deeb J. Virginia‐based periodontists’ perceptions: Current and future trends of the specialty. J Periodontol 2019; 90:1287-1296. [DOI: 10.1002/jper.18-0634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 03/04/2019] [Accepted: 03/08/2019] [Indexed: 11/06/2022]
Affiliation(s)
| | - Caroline K. Carrico
- Department of Oral Health Promotion and Community OutreachVirginia Commonwealth University Richmond VA
| | - Sharon K. Lanning
- Department of PeriodonticsVirginia Commonwealth University Richmond VA
| | - Thomas C. Waldrop
- Department of PeriodonticsVirginia Commonwealth University Richmond VA
| | - Robert Sabatini
- Department of PeriodonticsVirginia Commonwealth University Richmond VA
| | | | - Janina Golob Deeb
- Department of PeriodonticsVirginia Commonwealth University Richmond VA
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Kraatz J, Hoang H, Ivanovski S, Ware RS, Crocombe LA. Periodontal diagnosis, treatment, and referral patterns of general dental practitioners. ACTA ACUST UNITED AC 2019; 10:e12411. [PMID: 31006957 DOI: 10.1111/jicd.12411] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 01/08/2019] [Accepted: 02/01/2019] [Indexed: 11/29/2022]
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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Affiliation(s)
- Jennifer Kraatz
- School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia
| | - Ha Hoang
- School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia.,Centre for Rural Health, The University of Tasmania, Launceston, TAS, Australia
| | - Saso Ivanovski
- School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia.,School of Dentistry, University of Queensland, Brisbane, QLD, Australia
| | - Robert S Ware
- Menzies Health Institute of Queensland, Griffith University, Gold Coast, QLD, Australia
| | - Leonard A Crocombe
- School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia.,Centre for Rural Health, The University of Tasmania, Launceston, TAS, Australia
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Brown LM, Bowman P, O’Rourke VJ, Mercado F, Marshall R, Parsons S. Periodontal Referral Patterns in Australia: 2000 Versus 2015. J Periodontol 2017; 88:869-875. [DOI: 10.1902/jop.2017.160774] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Leah M. Brown
- School of Dentistry, University of Queensland, Brisbane, Queensland, Australia
| | - Patrick Bowman
- School of Dentistry, University of Queensland, Brisbane, Queensland, Australia
| | - Vincent J. O’Rourke
- School of Dentistry, University of Queensland, Brisbane, Queensland, Australia
| | | | | | - Scott Parsons
- Private practice, Canberra, New South Wales, Australia
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Deas DE, Moritz AJ, Sagun RS, Gruwell SF, Powell CA. Scaling and root planing vs. conservative surgery in the treatment of chronic periodontitis. Periodontol 2000 2017; 71:128-39. [PMID: 27045434 DOI: 10.1111/prd.12114] [Citation(s) in RCA: 98] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
A renewed interest in conservative surgical techniques has been fueled by new technology, changes in referral patterns to periodontists and a desire to achieve periodontal health in the least invasive, most cost-efficient manner possible. Trends suggest that an increasing amount of periodontal care is being provided in the offices of general dentists. If true, it is likely that patients receiving care in these offices will be offered simpler surgical treatment modalities that do not require an extensive armamentarium. The purpose of this article was to review the effectiveness of six relatively simple surgical techniques - gingivectomy, flap debridement, modified Widman flap, excisional new attachment procedure, modified excisional new attachment procedure and laser-assisted new attachment procedure - and to compare the results obtained using these procedures with the well-known clinical benefits of scaling and root planing. The intent was to determine whether the benefits of surgical procedures in the hands of most general dentists extend beyond those of conventional nonsurgical therapy.
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Pilalas I, Tsalikis L, Tatakis DN. Pre-restorative crown lengthening surgery outcomes: a systematic review. J Clin Periodontol 2016; 43:1094-1108. [DOI: 10.1111/jcpe.12617] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Ioannis Pilalas
- Department of Preventive Dentistry, Periodontology and Implant Biology; School of Dentistry; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - Lazaros Tsalikis
- Department of Preventive Dentistry, Periodontology and Implant Biology; School of Dentistry; Aristotle University of Thessaloniki; Thessaloniki Greece
| | - Dimitris N. Tatakis
- Division of Periodontology; College of Dentistry; The Ohio State University; Columbus OH USA
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Bailey DL, Barrow SY, Cvetkovic B, Musolino R, Wise SL, Yung C, Darby I. Periodontal diagnosis in private dental practice: a case-based survey. Aust Dent J 2015; 61:244-51. [PMID: 26308865 DOI: 10.1111/adj.12369] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2015] [Indexed: 12/11/2022]
Abstract
BACKGROUND Despite the prevalence of periodontitis in Australia, there are few reports regarding periodontal diagnosis and therapies in the general dental practice setting. This study aimed to assess the degree of diagnostic accuracy in periodontal cases of Victorian general dental practitioners. METHODS Following ethics approval, dentists were invited to complete a scenario-based questionnaire on the Australian Dental Association Victorian Branch (ADAVB) website. Five text-based clinical scenarios (from a total of 10) were randomly presented, representing patients with a range of disease levels from periodontal health/gingivitis to severe periodontitis, and respondents were asked what examinations they would usually perform. Based upon the presented results of periodontal and radiographic examinations, a periodontal diagnosis was requested. RESULTS One hundred and thirty-five dentists attempted the survey. Most were in group practice and based in Melbourne; 22.5% of respondents worked in a practice employing a hygienist. The clinical parameters most commonly measured to diagnose periodontal disease were pocket depth and mobility. The majority of respondents diagnosed health, gingivitis and mild periodontitis correctly compared to American Academy of Periodontology guidelines. However, moderate periodontitis tended to be diagnosed as severe. CONCLUSIONS Dentists in Victoria used appropriate clinical parameters when assessing periodontal disease and were generally accurate in their diagnoses. There is a need for consensus regarding diagnostic definitions.
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Affiliation(s)
- D L Bailey
- Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia
| | - S-Y Barrow
- Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia
| | - B Cvetkovic
- eviDent Foundation, South Yarra, Victoria, Australia
| | - R Musolino
- eviDent Foundation, South Yarra, Victoria, Australia
| | - S L Wise
- eviDent Foundation, South Yarra, Victoria, Australia
| | - C Yung
- eviDent Foundation, South Yarra, Victoria, Australia
| | - I Darby
- Melbourne Dental School, The University of Melbourne, Parkville, Victoria, Australia
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The practice of oral medicine in the United States in the twenty-first century: an update. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:408-15. [DOI: 10.1016/j.oooo.2014.12.018] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Revised: 12/05/2014] [Accepted: 12/19/2014] [Indexed: 11/15/2022]
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Gilbert GH, Gordan VV, Korelitz JJ, Fellows JL, Meyerowitz C, Oates TW, Rindal DB, Gregory RJ. Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings. BMC Oral Health 2015; 15:11. [PMID: 25608862 PMCID: PMC4324862 DOI: 10.1186/1472-6831-15-11] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2014] [Accepted: 01/14/2015] [Indexed: 12/22/2022] Open
Abstract
Background Objectives were to: (1) determine whether and how often general dentists (GDs) provide specific dental procedures; and (2) test the hypothesis that provision is associated with key dentist, practice, and patient characteristics. Methods GDs (n = 2,367) in the United States National Dental Practice-Based Research Network completed an Enrollment Questionnaire that included: (1) dentist; (2) practice; and (3) patient characteristics, and how commonly they provide each of 10 dental procedures. We determined how commonly procedures were provided and tested the hypothesis that provision was substantively related to the three sets of characteristics. Results Two procedure categories were classified as “uncommon” (orthodontics, periodontal surgery), three were “common” (molar endodontics; implants; non-surgical periodontics), and five were “very common” (restorative; esthetic procedures; extractions; removable prosthetics; non-molar endodontics). Dentist, practice, and patient characteristics were substantively related to procedure provision; several characteristics seemed to have pervasive effects, such as dentist gender, training after dental school, full-time/part-time status, private practice vs. institutional practice, presence of a specialist in the same practice, and insurance status of patients. Conclusions As a group, GDs provide a comprehensive range of procedures. However, provision by individual dentists is substantively related to certain dentist, practice, and patient characteristics. A large number and broad range of factors seem to influence which procedures GDs provide. This may have implications for how GDs respond to the ever-changing landscape of dental care utilization, patient population demography, scope of practice, delivery models and GDs’ evolving role in primary care. Electronic supplementary material The online version of this article (doi:10.1186/1472-6831-15-11) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, SDB Room 109, 1530 Third Avenue South, Birmingham, AL 35294-0007, USA.
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Burke B, Hamdan AM, Tufekci E, Shroff B, Best AM, Lindauer SJ. Perceptions of soft tissue laser use in orthodontics. Angle Orthod 2012; 82:75-83. [PMID: 22220842 DOI: 10.2319/030311-154.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To compare attitudes of orthodontists, periodontists, and general dentists regarding the use of soft tissue lasers by orthodontists during the course of orthodontic treatment. MATERIALS AND METHODS An analogous survey was developed to evaluate and compare the current opinions of a representative sample (n = 538) of orthodontists (61.3%), periodontists (24.3%), and general dentists (14.3%) regarding orthodontists' use of soft tissue lasers. RESULTS The majority (84%) of orthodontists, periodontists, and general dentists regarded the use of a soft tissue laser by orthodontists as appropriate. When compared to orthodontists and general dentists, a lower percentage of periodontists indicated that soft tissue laser use by orthodontists was appropriate (P < .01). For each of the eight specific soft tissue laser procedures investigated, periodontists reported a significantly lower level of appropriateness than did orthodontists and general dentists (P < .01). Around 75% of the total sample believed that referral would not be affected by the use of soft tissue lasers by orthodontists. CONCLUSIONS Orthodontists, periodontists, and general dentists differed in their opinions of the perceived appropriateness of soft tissue laser use by orthodontists, with periodontists reporting a lower level of appropriateness. Clinicians need to communicate effectively to ensure that orthodontic patients in need of adjunctive soft tissue surgery are treated to the accepted standard of care.
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Affiliation(s)
- Brandon Burke
- Department of Orthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, VA, USA
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Park CH, Thomas MV, Branscum AJ, Harrison E, Al-Sabbagh M. Factors influencing the periodontal referral process. J Periodontol 2011; 82:1288-94. [PMID: 21284554 DOI: 10.1902/jop.2011.100270] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND General dental practitioners (GPs) assess the periodontal status of patients and make decisions to treat patients or refer them to a periodontist. There is little information available regarding this process. The purpose of this study is to identify significant factors that GPs consider important in selecting a particular periodontist. The findings were compared and contrasted with responses of periodontists to gain perspectives from both groups involved in the referral process. METHODS Data from an online cross-sectional survey of GPs (n = 533) and periodontists (n = 533) who practice in the southeastern region of the United States (from the databases of the American Dental Association and American Academy of Periodontology member directories) were obtained. RESULTS The specialist's clinical skill was identified as the most important factor influencing periodontal referrals by GPs, whereas periodontists identified a previous positive experience between a GP and periodontist as the most important factor. In a descending order of importance, the top three rating averages (rated out of five) by GPs were clinical skill (4.84), a previous positive experience between a GP and periodontist (4.57), and communication (4.52). The top three factors of periodontists were a previous positive experience between a GP and periodontist (4.66), communication (4.40), and the likelihood of a good patient and periodontist rapport (4.29). CONCLUSIONS The periodontist's clinical skill was chosen by GPs as the primary factor influencing the referral decisions of GPs. Periodontists perceived a previous positive experience between the GP and periodontist as the most influential factor. Further studies are required to gain more insight into the referral process.
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Affiliation(s)
- Christina H Park
- Division of Periodontology, College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.
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Cobb CM, Williams KB, Gerkovitch MM. Is the prevalence of periodontitis in the USA in decline? Periodontol 2000 2009; 50:13-24. [DOI: 10.1111/j.1600-0757.2008.00284.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Effects of geometry on fracture initiation and propagation in all-ceramic crowns. J Biomed Mater Res B Appl Biomater 2009; 88:436-46. [DOI: 10.1002/jbm.b.31133] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Lee JH, Bennett DE, Richards PS, Inglehart MR. Periodontal Referral Patterns of General Dentists: Lessons for Dental Education. J Dent Educ 2009. [DOI: 10.1002/j.0022-0337.2009.73.2.tb04655.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | | | - Philip S. Richards
- Department of Periodontics and Oral Medicine; University of Michigan, School of Dentistry
| | - Marita Rohr Inglehart
- Department of Periodontics and Oral Medicine; School of Dentistry; University of Michigan
- Department of Psychology; College of Literature, Science, and Arts; University of Michigan
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Gaunt F, Devine M, Pennington M, Vernazza C, Gwynnett E, Steen N, Heasman P. The cost-effectiveness of supportive periodontal care for patients with chronic periodontitis. J Clin Periodontol 2008; 35:67-82. [DOI: 10.1111/j.1600-051x.2008.01261.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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