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<title xml:lang="en">A questionnaire study to investigate custom and practice of imaging methods for the anterior region of the mandible prior to dental implant placement</title>
<author>
<name sortKey="Shelley, Am" sort="Shelley, Am" uniqKey="Shelley A" first="Am" last="Shelley">Am Shelley</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wardle, L" sort="Wardle, L" uniqKey="Wardle L" first="L" last="Wardle">L. Wardle</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Goodwin, M" sort="Goodwin, M" uniqKey="Goodwin M" first="M" last="Goodwin">M. Goodwin</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brunton, P" sort="Brunton, P" uniqKey="Brunton P" first="P" last="Brunton">P. Brunton</name>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">23439687</idno>
<idno type="pmc">3667538</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667538</idno>
<idno type="RBID">PMC:3667538</idno>
<idno type="doi">10.1259/dmfr.20120179</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">002305</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002305</idno>
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<title xml:lang="en" level="a" type="main">A questionnaire study to investigate custom and practice of imaging methods for the anterior region of the mandible prior to dental implant placement</title>
<author>
<name sortKey="Shelley, Am" sort="Shelley, Am" uniqKey="Shelley A" first="Am" last="Shelley">Am Shelley</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wardle, L" sort="Wardle, L" uniqKey="Wardle L" first="L" last="Wardle">L. Wardle</name>
<affiliation>
<nlm:aff id="aff1">
<addr-line>Dental Practice, Denton, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Goodwin, M" sort="Goodwin, M" uniqKey="Goodwin M" first="M" last="Goodwin">M. Goodwin</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brunton, P" sort="Brunton, P" uniqKey="Brunton P" first="P" last="Brunton">P. Brunton</name>
<affiliation>
<nlm:aff id="aff2">
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
<affiliation>
<nlm:aff id="aff3">
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Dentomaxillofacial Radiology</title>
<idno type="ISSN">0250-832X</idno>
<idno type="eISSN">1476-542X</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objectives:</title>
<p>To investigate the custom and practice of private dental implant practitioners in the north-west of England when planning imaging methods prior to implant placement in the symphyseal region of the edentulous mandible. To gain an understanding of decision-making when prescribing imaging methods.</p>
</sec>
<sec>
<title>Methods:</title>
<p>A web-based questionnaire presented two realistic clinical scenarios. Both were of edentulous patients for whom implant-retained lower complete dentures were planned. A mixed mode survey methodology was employed.</p>
</sec>
<sec>
<title>Results:</title>
<p>169 dentists were surveyed with an 80% response rate. The results showed no agreement on prescription of imaging methods. Those in the 0–10 years qualified group were significantly associated with the prescription of three-dimensional (3D) imaging. Implant practitioners who place more than 100 implants per year were significantly associated with the non-use of imaging guides and prescription of the same view for both cases. The sample as a whole, however, changed their prescription according to the case difficulty. Those who have a cone beam CT machine available were more likely to use 3D imaging regardless of the difficulty of the case.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Existing guidelines are open to interpretation and could be construed to support a range of imaging choices. Training in dental implantology may leave dentists to make their own judgements about selection criteria. The idiosyncratic nature of independent dental practice may be an important factor in the chaotic pattern of prescriptions. There is a need for widely disseminated, evidence-based selection criteria for imaging prior to dental implantology which are clear and specific.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Dentomaxillofac Radiol</journal-id>
<journal-id journal-id-type="hwp">dmfr</journal-id>
<journal-id journal-id-type="publisher-id">dmf</journal-id>
<journal-title-group>
<journal-title>Dentomaxillofacial Radiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0250-832X</issn>
<issn pub-type="epub">1476-542X</issn>
<publisher>
<publisher-name>The British Institute of Radiology.</publisher-name>
<publisher-loc>48–50 St John Street, London EC1M 4DG, UK</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23439687</article-id>
<article-id pub-id-type="pmc">3667538</article-id>
<article-id pub-id-type="publisher-id">dmfr12179</article-id>
<article-id pub-id-type="doi">10.1259/dmfr.20120179</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A questionnaire study to investigate custom and practice of imaging methods for the anterior region of the mandible prior to dental implant placement</article-title>
<alt-title alt-title-type="left-running-head">Imaging questionnaire</alt-title>
<alt-title alt-title-type="right-running-head">AM Shelley
<italic>et al</italic>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Shelley</surname>
<given-names>AM</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wardle</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Goodwin</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brunton</surname>
<given-names>P</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Horner</surname>
<given-names>K</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Dental Practice, Denton, Manchester, UK</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>The Leeds Dental Institute, University of Leeds, Leeds, UK</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>School of Dentistry, University of Manchester, Manchester, UK</addr-line>
</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Correspondence to: Mr Andrew Shelley, 117 Stockport Road, Denton, Manchester M34 6DH, UK. E-mail:
<email>andrew@andrewshelley.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2013</year>
</pub-date>
<volume>42</volume>
<issue>3</issue>
<elocation-id>20120179</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>5</month>
<year>2012</year>
</date>
<date date-type="rev-recd">
<day>16</day>
<month>6</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>6</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© 2013 The British Institute of Radiology</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract>
<sec>
<title>Objectives:</title>
<p>To investigate the custom and practice of private dental implant practitioners in the north-west of England when planning imaging methods prior to implant placement in the symphyseal region of the edentulous mandible. To gain an understanding of decision-making when prescribing imaging methods.</p>
</sec>
<sec>
<title>Methods:</title>
<p>A web-based questionnaire presented two realistic clinical scenarios. Both were of edentulous patients for whom implant-retained lower complete dentures were planned. A mixed mode survey methodology was employed.</p>
</sec>
<sec>
<title>Results:</title>
<p>169 dentists were surveyed with an 80% response rate. The results showed no agreement on prescription of imaging methods. Those in the 0–10 years qualified group were significantly associated with the prescription of three-dimensional (3D) imaging. Implant practitioners who place more than 100 implants per year were significantly associated with the non-use of imaging guides and prescription of the same view for both cases. The sample as a whole, however, changed their prescription according to the case difficulty. Those who have a cone beam CT machine available were more likely to use 3D imaging regardless of the difficulty of the case.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Existing guidelines are open to interpretation and could be construed to support a range of imaging choices. Training in dental implantology may leave dentists to make their own judgements about selection criteria. The idiosyncratic nature of independent dental practice may be an important factor in the chaotic pattern of prescriptions. There is a need for widely disseminated, evidence-based selection criteria for imaging prior to dental implantology which are clear and specific.</p>
</sec>
</abstract>
<kwd-group>
<kwd>dental implants</kwd>
<kwd>radiography</kwd>
<kwd>dental</kwd>
<kwd>questionnaires</kwd>
<kwd>demography</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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