Factors influencing treatment decision‐making for maintaining or extracting compromised teeth
Identifieur interne : 005B86 ( Istex/Corpus ); précédent : 005B85; suivant : 005B87Factors influencing treatment decision‐making for maintaining or extracting compromised teeth
Auteurs : Bich Hue Lang-Hua ; Colman P. J. Mcgrath ; Edward C. M. Lo ; Niklaus P. LangSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2014-01.
Abstract
To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.
Url:
DOI: 10.1111/clr.12142
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ISTEX:B84D520C9AFFD32458590231A770AA261D59597ALe document en format XML
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Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, ChinaTel.: +852 6127 1532Fax: +852 2858 6114e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: mcgrathc@hku.hk</mods:affiliation></affiliation></author><author><name sortKey="Lo, Edward C M" sort="Lo, Edward C M" uniqKey="Lo E" first="Edward C. M." last="Lo">Edward C. M. Lo</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation></author><author><name sortKey="Lang, Niklaus P" sort="Lang, Niklaus P" uniqKey="Lang N" first="Niklaus P." last="Lang">Niklaus P. Lang</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B84D520C9AFFD32458590231A770AA261D59597A</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/clr.12142</idno><idno type="url">https://api.istex.fr/document/B84D520C9AFFD32458590231A770AA261D59597A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">005B86</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">005B86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title><author><name sortKey="Lang Ua, Bich Hue" sort="Lang Ua, Bich Hue" uniqKey="Lang Ua B" first="Bich Hue" last="Lang-Hua">Bich Hue Lang-Hua</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation></author><author><name sortKey="Mcgrath, Colman P J" sort="Mcgrath, Colman P J" uniqKey="Mcgrath C" first="Colman P. J." last="Mcgrath">Colman P. J. Mcgrath</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation><affiliation><mods:affiliation>. Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, ChinaTel.: +852 6127 1532Fax: +852 2858 6114e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: mcgrathc@hku.hk</mods:affiliation></affiliation></author><author><name sortKey="Lo, Edward C M" sort="Lo, Edward C M" uniqKey="Lo E" first="Edward C. M." last="Lo">Edward C. M. Lo</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation></author><author><name sortKey="Lang, Niklaus P" sort="Lang, Niklaus P" uniqKey="Lang N" first="Niklaus P." last="Lang">Niklaus P. Lang</name><affiliation><mods:affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="59">59</biblScope><biblScope unit="page" to="66">66</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-01">2014-01</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Bich Hue Lang‐Hua</name><affiliations><json:string>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</json:string></affiliations></json:item><json:item><name>Colman P. J. McGrath</name><affiliations><json:string>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</json:string><json:string>. Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, ChinaTel.: +852 6127 1532Fax: +852 2858 6114e‐mail:</json:string><json:string>E-mail: mcgrathc@hku.hk</json:string></affiliations></json:item><json:item><name>Edward C. M. Lo</name><affiliations><json:string>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</json:string></affiliations></json:item><json:item><name>Niklaus P. Lang</name><affiliations><json:string>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>treatment planning</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>decision‐making</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental education</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>implant dentistry</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>public health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>extraction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>compromised teeth</value></json:item></subject><articleId><json:string>CLR12142</json:string></articleId><arkIstex>ark:/67375/WNG-MJFMQX3Z-H</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.</abstract><qualityIndicators><score>7.192</score><pdfWordCount>4940</pdfWordCount><pdfCharCount>33140</pdfCharCount><pdfVersion>1.7</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>21</abstractWordCount><abstractCharCount>178</abstractCharCount><keywordCount>7</keywordCount></qualityIndicators><title>Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>25</volume><issue>1</issue><pages><first>59</first><last>66</last><total>8</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Original Article</value></json:item></subject></host><ark><json:string>ark:/67375/WNG-MJFMQX3Z-H</json:string></ark><publicationDate>2014</publicationDate><copyrightDate>2014</copyrightDate><doi><json:string>10.1111/clr.12142</json:string></doi><id>B84D520C9AFFD32458590231A770AA261D59597A</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/B84D520C9AFFD32458590231A770AA261D59597A/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/B84D520C9AFFD32458590231A770AA261D59597A/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/B84D520C9AFFD32458590231A770AA261D59597A/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd</licence></availability><date type="published" when="2014-01"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title><author xml:id="author-0000"><persName><forename type="first">Bich Hue</forename><surname>Lang‐Hua</surname></persName><affiliation><orgName>Prince Philip Dental Hospital</orgName><orgName>The University of Hong Kong</orgName><address><settlement type="city">Hong Kong</settlement><region>SAR</region><country key="CN">China</country></address></affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Colman P. J.</forename><surname>McGrath</surname></persName><affiliation><orgName>Prince Philip Dental Hospital</orgName><orgName>The University of Hong Kong</orgName><address><settlement type="city">Hong Kong</settlement><region>SAR</region><country key="CN">China</country></address></affiliation><affiliation>Corresponding author: Prof. Colman McGrath Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China Tel.: +852 6127 1532 Fax: +852 2858 6114 e‐mail: mcgrathc@hku.hk</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Edward C. M.</forename><surname>Lo</surname></persName><affiliation><orgName>Prince Philip Dental Hospital</orgName><orgName>The University of Hong Kong</orgName><address><settlement type="city">Hong Kong</settlement><region>SAR</region><country key="CN">China</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Niklaus P.</forename><surname>Lang</surname></persName><affiliation><orgName>Prince Philip Dental Hospital</orgName><orgName>The University of Hong Kong</orgName><address><settlement type="city">Hong Kong</settlement><region>SAR</region><country key="CN">China</country></address></affiliation></author><idno type="istex">B84D520C9AFFD32458590231A770AA261D59597A</idno><idno type="ark">ark:/67375/WNG-MJFMQX3Z-H</idno><idno type="DOI">10.1111/clr.12142</idno><idno type="unit">CLR12142</idno><idno type="toTypesetVersion">file:CLR.CLR12142.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2013.25.issue-1</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="59">59</biblScope><biblScope unit="page" to="66">66</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main" xml:id="clr12142-abs-0001"><head>Abstract</head>
Aims
<p>To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.</p>
Material and methods
<p>A series of patient scenarios with varying degrees of periodontal disease levels was presented to dental practitioners. Practitioners' decision‐making outcome was determined, and intention to retain the compromised teeth was analyzed in bivariate and regression analyses (accounting for postgraduate implant training, gender, years in dental practice, and implant placement experience).</p>
Results
<p>This study involved 30 dental practitioners with postgraduate implant qualifications (<hi rend="fc">GDPP</hi>), 33 dental practitioners without postgraduate implant qualifications (<hi rend="fc">GDP</hi>), and 27 practitioners undergoing training for postgraduate implant qualifications (<hi rend="fc">GDPT</hi>). Variations in treatment decision‐making were evident between the three groups. Differences in treatment approaches to retaining compromised teeth were apparent. Furthermore, variations in rehabilitation of extracted scenarios existed in terms of use of implant and number of implants need for rehabilitation. Accounting for dentist and practice factors in regression analyses, <hi rend="fc">GDPP</hi>/<hi rend="fc">GDPT</hi> were three times as likely to retain periodontally compromised upper molar, with or without pain, compared to <hi rend="fc">GDP</hi> (without pain <hi rend="fc">OR</hi> 3.10, 95%<hi rend="fc">CI</hi> 1.04, 10.62 <hi rend="italic">P</hi> = 0.04; with pain <hi rend="fc">OR</hi> 3.08, 95%<hi rend="fc">CI</hi> 1.09, 8.14 <hi rend="italic">P</hi> = 0.03).</p>
Conclusion
<p>Variations in treatment decision‐making with respect to retaining periodontally compromised teeth exist between dental practitioners with and those without postgraduate training in implant dentistry. Furthermore differences in management approaches in how they would retain the teeth or rehabilitate the dental arch were apparent.</p></abstract><textClass><keywords><term xml:id="clr12142-kwd-0001">treatment planning</term><term xml:id="clr12142-kwd-0002">decision‐making</term><term xml:id="clr12142-kwd-0003">dental education</term><term xml:id="clr12142-kwd-0004">implant dentistry</term><term xml:id="clr12142-kwd-0005">public health</term><term xml:id="clr12142-kwd-0006">extraction</term><term xml:id="clr12142-kwd-0007">compromised teeth</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr12142" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/clr.2013.25.issue-1</doi><copyright ownership="publisher">Copyright © 2014 John Wiley & Sons Ltd</copyright><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2014-01">January 2014</coverDate></publicationMeta><publicationMeta level="unit" position="110" status="forIssue" type="article"><doi>10.1111/clr.12142</doi><idGroup><id type="unit" value="CLR12142"></id></idGroup><countGroup><count number="8" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd</copyright><eventGroup><event date="2013-02-09" type="manuscriptAccepted"></event><event agent="SPS" date="2013-02-19" type="xmlCreated"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.7 mode:FullText" date="2013-12-17"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-03-21"></event><event type="firstOnline" date="2013-03-21"></event><event type="publishedOnlineFinalForm" date="2013-12-17"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">59</numbering><numbering type="pageLast">66</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>Prof</i>. <i>Colman McGrath</i></line><line>Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, China</line><line>Tel.: +852 6127 1532</line><line>Fax: +852 2858 6114</line><line>e‐mail: <email>mcgrathc@hku.hk</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr12142-cit-1001"><author><familyName>Lang‐Hua</familyName> <givenNames>BH</givenNames></author>, <author><familyName>McGrath</familyName> <givenNames>CPJ</givenNames></author>, <author><familyName>Lo</familyName> <givenNames>ECM</givenNames></author>, <author><familyName>Lang</familyName> <givenNames>NP</givenNames></author>. <articleTitle>Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</articleTitle>. <journalTitle>Clin. Oral Impl. Res.</journalTitle> <vol>25</vol>, <pubYear year="2014">2014</pubYear>, <pageFirst>59</pageFirst>–<pageLast>66</pageLast></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR12142.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title><title type="shortAuthors">Lang‐Hua et al</title></titleGroup><creators><creator affiliationRef="#clr12142-aff-0001" creatorRole="author" xml:id="clr12142-cr-0001"><personName><givenNames>Bich Hue</givenNames> <familyName>Lang‐Hua</familyName></personName></creator><creator affiliationRef="#clr12142-aff-0001" corresponding="yes" creatorRole="author" xml:id="clr12142-cr-0002"><personName><givenNames>Colman P. J.</givenNames> <familyName>McGrath</familyName></personName></creator><creator affiliationRef="#clr12142-aff-0001" creatorRole="author" xml:id="clr12142-cr-0003"><personName><givenNames>Edward C. M.</givenNames> <familyName>Lo</familyName></personName></creator><creator affiliationRef="#clr12142-aff-0001" creatorRole="author" xml:id="clr12142-cr-0004"><personName><givenNames>Niklaus P.</givenNames> <familyName>Lang</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="CN" type="organization" xml:id="clr12142-aff-0001"> <orgName>Prince Philip Dental Hospital</orgName> <orgName>The University of Hong Kong</orgName> <address><city>Hong Kong</city> <countryPart>SAR</countryPart> <country>China</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr12142-kwd-0001">treatment planning</keyword><keyword xml:id="clr12142-kwd-0002">decision‐making</keyword><keyword xml:id="clr12142-kwd-0003">dental education</keyword><keyword xml:id="clr12142-kwd-0004">implant dentistry</keyword><keyword xml:id="clr12142-kwd-0005">public health</keyword><keyword xml:id="clr12142-kwd-0006">extraction</keyword><keyword xml:id="clr12142-kwd-0007">compromised teeth</keyword></keywordGroup><fundingInfo><fundingAgency>Faculty of Dentistry</fundingAgency></fundingInfo><fundingInfo><fundingAgency>The University of Hong Kong</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Clinical Research Foundation (CRF)</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:id="clr12142-abs-0001" xml:lang="en"><title type="main">Abstract</title><section xml:id="clr12142-sec-0001"><title type="main">Aims</title><p>To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.</p></section><section xml:id="clr12142-sec-0002"><title type="main">Material and methods</title><p>A series of patient scenarios with varying degrees of periodontal disease levels was presented to dental practitioners. Practitioners' decision‐making outcome was determined, and intention to retain the compromised teeth was analyzed in bivariate and regression analyses (accounting for postgraduate implant training, gender, years in dental practice, and implant placement experience).</p></section><section xml:id="clr12142-sec-0003"><title type="main">Results</title><p>This study involved 30 dental practitioners with postgraduate implant qualifications (<fc>GDPP</fc>), 33 dental practitioners without postgraduate implant qualifications (<fc>GDP</fc>), and 27 practitioners undergoing training for postgraduate implant qualifications (<fc>GDPT</fc>). Variations in treatment decision‐making were evident between the three groups. Differences in treatment approaches to retaining compromised teeth were apparent. Furthermore, variations in rehabilitation of extracted scenarios existed in terms of use of implant and number of implants need for rehabilitation. Accounting for dentist and practice factors in regression analyses, <fc>GDPP</fc>/<fc>GDPT</fc> were three times as likely to retain periodontally compromised upper molar, with or without pain, compared to <fc>GDP</fc> (without pain <fc>OR</fc> 3.10, 95%<fc>CI</fc> 1.04, 10.62 <i>P</i> = 0.04; with pain <fc>OR</fc> 3.08, 95%<fc>CI</fc> 1.09, 8.14 <i>P</i> = 0.03).</p></section><section xml:id="clr12142-sec-0004"><title type="main">Conclusion</title><p>Variations in treatment decision‐making with respect to retaining periodontally compromised teeth exist between dental practitioners with and those without postgraduate training in implant dentistry. Furthermore differences in management approaches in how they would retain the teeth or rehabilitate the dental arch were apparent.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Factors influencing treatment decision‐making for maintaining or extracting compromised teeth</title></titleInfo><name type="personal"><namePart type="given">Bich Hue</namePart><namePart type="family">Lang‐Hua</namePart><affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Colman P. J.</namePart><namePart type="family">McGrath</namePart><affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</affiliation><affiliation>. Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR, ChinaTel.: +852 6127 1532Fax: +852 2858 6114e‐mail:</affiliation><affiliation>E-mail: mcgrathc@hku.hk</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Edward C. M.</namePart><namePart type="family">Lo</namePart><affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Niklaus P.</namePart><namePart type="family">Lang</namePart><affiliation>Prince Philip Dental Hospital, The University of Hong Kong, SAR, Hong Kong, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-01</dateIssued><dateCreated encoding="w3cdtf">2013-02-19</dateCreated><dateValid encoding="w3cdtf">2013-02-09</dateValid><edition>Lang‐Hua BH, McGrath CPJ, Lo ECM, Lang NP. Factors influencing treatment decision‐making for maintaining or extracting compromised teeth. Clin. Oral Impl. Res. 25, 2014, 59–66</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>To evaluate treatment decision‐making with respect to maintaining periodontally compromised teeth among dentists with or without postgraduate qualifications in implant dentistry.</abstract><abstract>A series of patient scenarios with varying degrees of periodontal disease levels was presented to dental practitioners. Practitioners' decision‐making outcome was determined, and intention to retain the compromised teeth was analyzed in bivariate and regression analyses (accounting for postgraduate implant training, gender, years in dental practice, and implant placement experience).</abstract><abstract>This study involved 30 dental practitioners with postgraduate implant qualifications (GDPP), 33 dental practitioners without postgraduate implant qualifications (GDP), and 27 practitioners undergoing training for postgraduate implant qualifications (GDPT). Variations in treatment decision‐making were evident between the three groups. Differences in treatment approaches to retaining compromised teeth were apparent. Furthermore, variations in rehabilitation of extracted scenarios existed in terms of use of implant and number of implants need for rehabilitation. Accounting for dentist and practice factors in regression analyses, GDPP/GDPT were three times as likely to retain periodontally compromised upper molar, with or without pain, compared to GDP (without pain OR 3.10, 95%CI 1.04, 10.62 P = 0.04; with pain OR 3.08, 95%CI 1.09, 8.14 P = 0.03).</abstract><abstract>Variations in treatment decision‐making with respect to retaining periodontally compromised teeth exist between dental practitioners with and those without postgraduate training in implant dentistry. Furthermore differences in management approaches in how they would retain the teeth or rehabilitate the dental arch were apparent.</abstract><note type="funding">Faculty of Dentistry</note><note type="funding">The University of Hong Kong</note><note type="funding">Clinical Research Foundation (CRF)</note><subject><genre>keywords</genre><topic>treatment planning</topic><topic>decision‐making</topic><topic>dental education</topic><topic>implant dentistry</topic><topic>public health</topic><topic>extraction</topic><topic>compromised teeth</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. Res.</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>Original Article</topic></subject><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>59</start><end>66</end><total>8</total></extent></part></relatedItem><identifier type="istex">B84D520C9AFFD32458590231A770AA261D59597A</identifier><identifier type="ark">ark:/67375/WNG-MJFMQX3Z-H</identifier><identifier type="DOI">10.1111/clr.12142</identifier><identifier type="ArticleID">CLR12142</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons Ltd© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd</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></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/B84D520C9AFFD32458590231A770AA261D59597A/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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