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

Identifieur interne : 000F44 ( PubMed/Checkpoint ); précédent : 000F43; suivant : 000F45

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

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

Source :

RBID : pubmed:22092723

Descripteurs français

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.

DOI: 10.1111/j.1600-051X.2011.01804.x
PubMed: 22092723


Affiliations:


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pubmed:22092723

Le document en format XML

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<name sortKey="Cosyn, Jan" sort="Cosyn, Jan" uniqKey="Cosyn J" first="Jan" last="Cosyn">Jan Cosyn</name>
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<nlm:affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium. jan.cosyn@ugent.be</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent</wicri:regionArea>
<wicri:noRegion>Ghent</wicri:noRegion>
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<name sortKey="Raes, Stefanie" sort="Raes, Stefanie" uniqKey="Raes S" first="Stefanie" last="Raes">Stefanie Raes</name>
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<name sortKey="De Meyer, Stefanie" sort="De Meyer, Stefanie" uniqKey="De Meyer S" first="Stefanie" last="De Meyer">Stefanie De Meyer</name>
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<name sortKey="Raes, Filiep" sort="Raes, Filiep" uniqKey="Raes F" first="Filiep" last="Raes">Filiep Raes</name>
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<name sortKey="Buyl, Ronald" sort="Buyl, Ronald" uniqKey="Buyl R" first="Ronald" last="Buyl">Ronald Buyl</name>
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<name sortKey="Coomans, Danny" sort="Coomans, Danny" uniqKey="Coomans D" first="Danny" last="Coomans">Danny Coomans</name>
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<name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
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<name sortKey="De Meyer, Stefanie" sort="De Meyer, Stefanie" uniqKey="De Meyer S" first="Stefanie" last="De Meyer">Stefanie De Meyer</name>
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<name sortKey="Buyl, Ronald" sort="Buyl, Ronald" uniqKey="Buyl R" first="Ronald" last="Buyl">Ronald Buyl</name>
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<title level="j">Journal of clinical periodontology</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Decision Making</term>
<term>Dental Implants, Single-Tooth (statistics & numerical data)</term>
<term>Dental Restoration, Permanent (methods)</term>
<term>Dental Restoration, Permanent (statistics & numerical data)</term>
<term>Denture, Partial (statistics & numerical data)</term>
<term>Female</term>
<term>General Practice, Dental (statistics & numerical data)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Practice Patterns, Dentists' (statistics & numerical data)</term>
<term>Tooth Extraction</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires unitaires ()</term>
<term>Jeune adulte</term>
<term>Modèles de pratique odontologique ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Odontologie générale ()</term>
<term>Planification des soins du patient</term>
<term>Prise de décision</term>
<term>Prothèse partielle conjointe ()</term>
<term>Restaurations dentaires permanentes ()</term>
<term>Sujet âgé</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Restoration, Permanent</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Dental Implants, Single-Tooth</term>
<term>Dental Restoration, Permanent</term>
<term>Denture, Partial</term>
<term>General Practice, Dental</term>
<term>Practice Patterns, Dentists'</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Decision Making</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Tooth Extraction</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Jeune adulte</term>
<term>Modèles de pratique odontologique</term>
<term>Mâle</term>
<term>Odontologie générale</term>
<term>Planification des soins du patient</term>
<term>Prise de décision</term>
<term>Prothèse partielle conjointe</term>
<term>Restaurations dentaires permanentes</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">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>
</front>
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<DateCompleted>
<Year>2012</Year>
<Month>09</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1600-051X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>39</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2012</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Journal of clinical periodontology</Title>
<ISOAbbreviation>J. Clin. Periodontol.</ISOAbbreviation>
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<ArticleTitle>An analysis of the decision-making process for single implant treatment in general practice.</ArticleTitle>
<Pagination>
<MedlinePgn>166-72</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">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.</AbstractText>
<CopyrightInformation>© 2011 John Wiley & Sons A/S.</CopyrightInformation>
</Abstract>
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<LastName>Cosyn</LastName>
<ForeName>Jan</ForeName>
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<Affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium. jan.cosyn@ugent.be</Affiliation>
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<Language>eng</Language>
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<Month>10</Month>
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<DescriptorName UI="D003793" MajorTopicYN="N">Dental Restoration, Permanent</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
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<DescriptorName UI="D014081" MajorTopicYN="N">Tooth Extraction</DescriptorName>
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<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
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<name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
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