Belgium; Consensus; General Practice, Dental; Humans; Periodontal Diseases/diagnosis; Practice Patterns, Dentists'/statistics & numerical data; Referral and Consultation/statistics & numerical data; Surveys and Questionnaires; Dutch periodontal screening index (DPSI); Periodontitis; Referral behaviour; Screening
Abstract :
[en] OBJECTIVES: The objective of this study was to investigate the screening and referral behaviour of Flemish dentists concerning periodontitis and more specific, the use of the Dutch Periodontal Screening Index (DPSI). MATERIALS AND METHODS: An online questionnaire was electronically distributed through the different professional dental societies. It consisted of two parts: the first aimed at describing the profile of the dentist. The second part inquired the screening method, when this was applied, periodontal risk factors and referral behaviour. RESULTS: One thousand fifty dentists attended to the questionnaire. One hundred fifty-nine questionnaires were excluded since they did not match the target audience. Sixty-four percent of Flemish dentists used DPSI as a periodontal screening method, 28% screened based on probing pocket depth, 4% used solely radiographs and 4% had no screening method at all. The usage of DPSI is influenced by the year of graduation: the longer the dentists were graduated, the less they used DPSI. No influence of sex, education centre and location was found. Referral behaviour is influenced by different patient- and dentist-related factors. CONCLUSIONS: Regarding the screening behaviour, there seems a consensus among Flemish dentists that a periodontal probe should be used. For referral, there is no consensus about if and when to refer to a specialist. CLINICAL RELEVANCE: It is encouraging that 92% of the Flemish general dental practitioners use a probe when screening for periodontitis. However, DPSI is mainly used by younger dentists. An effort should be made to encourage all dentists to use this, so that in every patient, periodontitis can be detected timely, securing the best treatment outcome.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
Meers, E; Section of Periodontology, Department of Oral Health Sciences, KU Leuven and
Dekeyser, C; Section of Periodontology, Department of Oral Health Sciences, KU Leuven and
Favril, C; Section of Periodontology, Department of Oral Health Sciences, KU Leuven and
Teughels, W; Section of Periodontology, Department of Oral Health Sciences, KU Leuven and
Quirynen, M; Section of Periodontology, Department of Oral Health Sciences, KU Leuven and
Laleman, Isabelle ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire ; Section of Periodontology, Department of Oral Health Sciences, KU Leuven
Language :
English
Title :
Periodontal screening and referral behaviour of general dental practitioners in Flanders.
Kassebaum NJ, Bernabé E, Dahiya M et al (2014) Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res 93:1045–1053. https://doi.org/10.1177/0022034514552491
Frencken JE, Sharma P, Stenhouse L et al (2017) Global epidemiology of dental caries and severe periodontitis—a comprehensive review. J Clin Periodontol 44(Suppl 18):S94–S105. https://doi.org/10.1111/jcpe.12677
Ziebolz D, Szabadi I, Rinke S et al (2011) Initial periodontal screening and radiographic findings—a comparison of two methods to evaluate the periodontal situation. BMC Oral Health 11:3. https://doi.org/10.1186/1472-6831-11-3
Cobb CM, Carrara A, El-Annan E et al (2003) Periodontal referral patterns, 1980 versus 2000: a preliminary study. J Periodontol 74:1470–1474. https://doi.org/10.1902/jop.2003.74.10.1470
Van der Velden U (2009) The Dutch periodontal screening index validation and its application in The Netherlands. J Clin Periodontol 36:1018–1024. https://doi.org/10.1111/j.1600-051X.2009.01495.x
Garcia RI, Compton R, Dietrich T (2016) Risk assessment and periodontal prevention in primary care. Periodontol 2000 71:10–21. https://doi.org/10.1111/prd.12124
Glicksman MA (2001) Referral of the periodontal patient to the periodontist. Periodontol 2000 25:110–113
Ghiabi E, Weerasinghe S (2011) The periodontal examination profile of general dentists in Nova Scotia, Canada. J Periodontol 82:33–40. https://doi.org/10.1902/jop.2010.100348
Corbet EF (1998) Practical periodontal screening and diagnosis. Int Dent J 48:268–274
Lee JH, Bennett DE, Richards PS, Inglehart MR (2009) Periodontal referral patterns of general dentists: lessons for dental education. J Dent Educ 73:199–210
McGuire MK, Scheyer ET (2003) A referral-based periodontal practice—yesterday, today, and tomorrow. J Periodontol 74:1542–1544. https://doi.org/10.1902/jop.2003.74.10.1542
Ainamo J, Barmes D, Beagrie G et al (1982) Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J 32:281–291
Periodontal screening & recording an early detection system. J N J Dent Assoc Spring; 64(2):7–9, 11
British Society of Periodontology (2001) Periodontology in general dental practice. A policy statement. https://www.bsperio.org.uk/publications/downloads/64_144208_periodontology-in-general-dental-practicein-the-uk.pdf
van der Velden U (2005) Purpose and problems of periodontal disease classification. Periodontol 2000 39:13–21. https://doi.org/10.1111/j.1600-0757.2005.00127.x
Veerle Vivet, Pieter-Jan Miermans (2015) Algemene tandartsen op de arbeidsmarkt, 2012 - Resultaten van de PlanCAD Gegevenskoppeling FOD VVVL - Datawarehouse AM&SB - RIZIV
Linden GJ, Stevenson M, Burke FJ (1999) Variation in periodontal referral in 2 regions in the UK. J Clin Periodontol 26:590–595
Tugnait A, Clerehugh V, Hirschmann PN (2004) Use of the basic periodontal examination and radiographs in the assessment of periodontal diseases in general dental practice. J Dent 32:17–25
Darby IB, Angkasa F, Duong C et al (2005) Factors influencing the diagnosis and treatment of periodontal disease by dental practitioners in Victoria. Aust Dent J 50:37–41
Ghiabi E, Taylor KL (2010) Teaching methods and surgical training in North American graduate periodontics programs: exploring the landscape. J Dent Educ 74:618–627
Akesson L, Håkansson J, Rohlin M (1992) Comparison of panoramic and intraoral radiography and pocket probing for the measurement of the marginal bone level. J Clin Periodontol 19:326–332
Kim T-S, Obst C, Zehaczek S, Geenen C (2008) Detection of bone loss with different X-ray techniques in periodontal patients. J Periodontol 79:1141–1149. https://doi.org/10.1902/jop.2008.070578
Ercan E, Uysal C, Uzun C, Yılmaz M (2015) Periodontal examination profiles and treatment approaches of a group of Turkish general dentists. Oral Health Prev Dent 13:275–280. https://doi.org/10.3290/j.ohpd.a32670
