EdenteV2, Istex, Corpus, bibRecord, 002405

An analysis of the decision‐making process for single implant treatment in general practice

Identifieur interne : 002405 ( Istex/Corpus ); précédent : 002404; suivant : 002406

An analysis of the decision‐making process for single implant treatment in general practice

Auteurs : Jan Cosyn ; Stefanie Raes ; Stefanie De Meyer ; Filiep Raes ; Ronald Buyl ; Danny Coomans ; Hugo De Bruyn

Source :

Journal of Clinical Periodontology [ 0303-6979 ] ; 2012-02.

RBID : ISTEX:494DFC24FC13126C1FC3979BB6DF0B83752E86F7

English descriptors

Abstract

To study the frequency of and factors associated with the decision to perform single implant treatment after tooth extraction by general practitioners in a private, fee‐for‐service setting.

Url:

https://api.istex.fr/document/494DFC24FC13126C1FC3979BB6DF0B83752E86F7/fulltext/pdf

DOI: 10.1111/j.1600-051X.2011.01804.x

Links to Exploration step

ISTEX:494DFC24FC13126C1FC3979BB6DF0B83752E86F7

Le document en format XML

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<front><div type="abstract">To study the frequency of and factors associated with the decision to perform single implant treatment after tooth extraction by general practitioners in a private, fee‐for‐service setting.</div>
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<affiliation>Address: Jan Cosyn Dental School, Department of Periodontology and Oral Implantology Faculty of Medicine and Health Sciences University of Ghent De Pintelaan 185 B‐9000 Ghent Belgium E‐mail: jan.cosyn@ugent.be</affiliation>
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<profileDesc><abstract style="main" xml:id="jcpe1804-abs-0001"><head>Abstract</head>

Purpose
<p>To study the frequency of and factors associated with the decision to perform single implant treatment after tooth extraction by general practitioners in a private, fee‐for‐service setting.</p>


Material and methods
<p>One hundred practitioners with a general dental practice in Ghent were randomly selected. Clinicians were asked to fill in a study form for every single extraction they performed during an 8‐week period. The form related to the treatment decision and a number of patient‐ and clinician‐related factors.</p>


Results
<p>Ninety‐four general dentists (52 men, 42 women; mean age 49; range 24–68) agreed to participate and extracted 1180 single teeth. After exclusion of third molars and cases where the reason for tooth loss would generally prohibit replacement, 900 cases were identified. In 24% of these patients, there was no treatment decision and in 18% replacement was deemed unnecessary. When replacement was necessary (<hi rend="italic">n</hi>
 = 526), removable partial denture (<hi rend="fc">RPD</hi>
), fixed partial denture (<hi rend="fc">FPD</hi>
), single implant treatment and resin‐bonded bridge were chosen in 54%, 24%, 21% and 1% of the patients, respectively. Multinomial logistic regression was used to evaluate the decision‐making process for single implant treatment against <hi rend="fc">RPD</hi>
 and <hi rend="fc">FPD</hi>
. In relation to <hi rend="fc">RPD</hi>
, single implant treatment was more likely in highly educated patients with few missing teeth and no bone loss at adjacent teeth. In relation to <hi rend="fc">FPD</hi>
, single implant treatment was more likely in patients with intact adjacent teeth and when the tooth was extracted by a female dentist. Experience in implant prosthetics was positively associated with single implant treatment in all analyses.</p>


Conclusions
<p>Single implant treatment is not the most common procedure in daily practice to restore a single tooth gap. Patient's education, oral factors and clinician‐related factors may affect the decision‐making process, whereas medical factors may not.</p>
</abstract>
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<keywords rend="articleCategory"><term>Implant Therapy</term>
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<line><i>De Pintelaan 185</i>
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 <address><city>Brussels</city>
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<section xml:id="jcpe1804-sec-0001"><title type="main">Purpose</title>
<p>To study the frequency of and factors associated with the decision to perform single implant treatment after tooth extraction by general practitioners in a private, fee‐for‐service setting.</p>
</section>
<section xml:id="jcpe1804-sec-0002"><title type="main">Material and methods</title>
<p>One hundred practitioners with a general dental practice in Ghent were randomly selected. Clinicians were asked to fill in a study form for every single extraction they performed during an 8‐week period. The form related to the treatment decision and a number of patient‐ and clinician‐related factors.</p>
</section>
<section xml:id="jcpe1804-sec-0003"><title type="main">Results</title>
<p>Ninety‐four general dentists (52 men, 42 women; mean age 49; range 24–68) agreed to participate and extracted 1180 single teeth. After exclusion of third molars and cases where the reason for tooth loss would generally prohibit replacement, 900 cases were identified. In 24% of these patients, there was no treatment decision and in 18% replacement was deemed unnecessary. When replacement was necessary (<i>n</i>
 = 526), removable partial denture (<fc>RPD</fc>
), fixed partial denture (<fc>FPD</fc>
), single implant treatment and resin‐bonded bridge were chosen in 54%, 24%, 21% and 1% of the patients, respectively. Multinomial logistic regression was used to evaluate the decision‐making process for single implant treatment against <fc>RPD</fc>
 and <fc>FPD</fc>
. In relation to <fc>RPD</fc>
, single implant treatment was more likely in highly educated patients with few missing teeth and no bone loss at adjacent teeth. In relation to <fc>FPD</fc>
, single implant treatment was more likely in patients with intact adjacent teeth and when the tooth was extracted by a female dentist. Experience in implant prosthetics was positively associated with single implant treatment in all analyses.</p>
</section>
<section xml:id="jcpe1804-sec-0004"><title type="main">Conclusions</title>
<p>Single implant treatment is not the most common procedure in daily practice to restore a single tooth gap. Patient's education, oral factors and clinician‐related factors may affect the decision‐making process, whereas medical factors may not.</p>
</section>
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<noteGroup xml:id="jcpe1804-ntgp-0001"><note numbered="no" xml:id="jcpe1804-note-0001"><p><b>Conflict of interests and source of funding</b>
 The authors declare that they have no conflict of interests. The study was supported by the Department of Periodontology and Oral Implantology of the University of Ghent.</p>
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<abstract>To study the frequency of and factors associated with the decision to perform single implant treatment after tooth extraction by general practitioners in a private, fee‐for‐service setting.</abstract>
<abstract>One hundred practitioners with a general dental practice in Ghent were randomly selected. Clinicians were asked to fill in a study form for every single extraction they performed during an 8‐week period. The form related to the treatment decision and a number of patient‐ and clinician‐related factors.</abstract>
<abstract>Ninety‐four general dentists (52 men, 42 women; mean age 49; range 24–68) agreed to participate and extracted 1180 single teeth. After exclusion of third molars and cases where the reason for tooth loss would generally prohibit replacement, 900 cases were identified. In 24% of these patients, there was no treatment decision and in 18% replacement was deemed unnecessary. When replacement was necessary (n = 526), removable partial denture (RPD), fixed partial denture (FPD), single implant treatment and resin‐bonded bridge were chosen in 54%, 24%, 21% and 1% of the patients, respectively. Multinomial logistic regression was used to evaluate the decision‐making process for single implant treatment against RPD and FPD. In relation to RPD, single implant treatment was more likely in highly educated patients with few missing teeth and no bone loss at adjacent teeth. In relation to FPD, single implant treatment was more likely in patients with intact adjacent teeth and when the tooth was extracted by a female dentist. Experience in implant prosthetics was positively associated with single implant treatment in all analyses.</abstract>
<abstract>Single implant treatment is not the most common procedure in daily practice to restore a single tooth gap. Patient's education, oral factors and clinician‐related factors may affect the decision‐making process, whereas medical factors may not.</abstract>
<subject><genre>keywords</genre>
<topic>decision‐making</topic>
<topic>dental implant</topic>
<topic>extraction</topic>
<topic>general practice</topic>
<topic>single tooth</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title>
</titleInfo>
<titleInfo type="abbreviated"><title>J Clin Periodontol</title>
</titleInfo>
<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<subject><genre>article-category</genre>
<topic>Implant Therapy</topic>
</subject>
<identifier type="ISSN">0303-6979</identifier>
<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
<identifier type="PublisherID">JCPE</identifier>
<part><date>2012</date>
<detail type="volume"><caption>vol.</caption>
<number>39</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages"><start>166</start>
<end>172</end>
<total>7</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">494DFC24FC13126C1FC3979BB6DF0B83752E86F7</identifier>
<identifier type="ark">ark:/67375/WNG-0J8KQ41T-T</identifier>
<identifier type="DOI">10.1111/j.1600-051X.2011.01804.x</identifier>
<identifier type="ArticleID">JCPE1804</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2011 John Wiley & Sons A/S</accessCondition>
<recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource>
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An analysis of the decision‐making process for single implant treatment in general practice

An analysis of the decision‐making process for single implant treatment in general practice

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