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Conference Paper: Factors Influencing Decision-making for Maintaining or Extracting Compromised Teeth

TitleFactors Influencing Decision-making for Maintaining or Extracting Compromised Teeth
Authors
KeywordsBehavioral science
Decision-making
Implants
Periodontal disease and Quality of life
Issue Date2013
PublisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
The 91st General Session & Exhibition of the International Association for Dental Research (IADR), Seattle, Washington, USA, 20-23 March 2013. In Journal of Dental Research, 2013, v. 92 n. Special Issue A: abstract no. 375 How to Cite?
AbstractObjectives: to evaluate treatment decision-making with respect to maintaining compromised teeth among dentist who provide implant therapy. Methods: A series of patient scenarios with varying degrees of periodontal disease levels was presented to practitioners with and without postgraduate implant experience. Practitioners’ decision-making outcome was determined, and intention to retain compromised teeth was analysed in bivariate and regression analyses among the case and control group (accounting for postgraduate implant training, gender, years in dental practice and number of implant patients managed). Results: This study involved 30 dental practitioners with postgraduate implant qualifications, 33 practitioners without postgraduate implant qualifications and 27 practitioners undergoing training for postgraduate implant qualifications. Variations in treatment decision-making were found between the three groups. Across most scenario, differences in treatment decision was observed with respect to postgraduate implant qualifications/training. Those without postgraduate qualifications tended to opt for extraction of periodontally compromised teeth and opted to replace these with implants. In regression analyses postgraduate training emerged as the key factors associated with treatment decision-making. Those with postgraduate training were approximately three times as likely to retain an upper first molar tooth with compromised periodontal status with or without pain (OR 3.3, 95%CI 1.1-10.6, P<0.05; OR=3.0 95%CI 1.1-8.1, P<0.05). Conclusions: Variations in treatment decision making with respect to retaining periodontally compromised teeth exist. Postgraduate experience in implant dentistry is associated with increased likelihood of retaining teeth conservatively rather than replacing comprised teeth with dental implants. Student Presenter This abstract is based on research that was funded entirely or partially by an outside source: Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland
DescriptionOral Presentation
Session 82: Patient and Provider Perceptions and Roles in Health Care [Clinician Track]
Persistent Identifierhttp://hdl.handle.net/10722/183209
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714

 

DC FieldValueLanguage
dc.contributor.authorLang-Hua, BHen_US
dc.contributor.authorMcGrath, CPJen_US
dc.contributor.authorLo, ECMen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2013-05-15T01:48:16Z-
dc.date.available2013-05-15T01:48:16Z-
dc.date.issued2013en_US
dc.identifier.citationThe 91st General Session & Exhibition of the International Association for Dental Research (IADR), Seattle, Washington, USA, 20-23 March 2013. In Journal of Dental Research, 2013, v. 92 n. Special Issue A: abstract no. 375en_US
dc.identifier.issn0022-0345-
dc.identifier.urihttp://hdl.handle.net/10722/183209-
dc.descriptionOral Presentation-
dc.descriptionSession 82: Patient and Provider Perceptions and Roles in Health Care [Clinician Track]-
dc.description.abstractObjectives: to evaluate treatment decision-making with respect to maintaining compromised teeth among dentist who provide implant therapy. Methods: A series of patient scenarios with varying degrees of periodontal disease levels was presented to practitioners with and without postgraduate implant experience. Practitioners’ decision-making outcome was determined, and intention to retain compromised teeth was analysed in bivariate and regression analyses among the case and control group (accounting for postgraduate implant training, gender, years in dental practice and number of implant patients managed). Results: This study involved 30 dental practitioners with postgraduate implant qualifications, 33 practitioners without postgraduate implant qualifications and 27 practitioners undergoing training for postgraduate implant qualifications. Variations in treatment decision-making were found between the three groups. Across most scenario, differences in treatment decision was observed with respect to postgraduate implant qualifications/training. Those without postgraduate qualifications tended to opt for extraction of periodontally compromised teeth and opted to replace these with implants. In regression analyses postgraduate training emerged as the key factors associated with treatment decision-making. Those with postgraduate training were approximately three times as likely to retain an upper first molar tooth with compromised periodontal status with or without pain (OR 3.3, 95%CI 1.1-10.6, P<0.05; OR=3.0 95%CI 1.1-8.1, P<0.05). Conclusions: Variations in treatment decision making with respect to retaining periodontally compromised teeth exist. Postgraduate experience in implant dentistry is associated with increased likelihood of retaining teeth conservatively rather than replacing comprised teeth with dental implants. Student Presenter This abstract is based on research that was funded entirely or partially by an outside source: Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland-
dc.languageengen_US
dc.publisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925-
dc.relation.ispartofJournal of Dental Researchen_US
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc.-
dc.subjectBehavioral science-
dc.subjectDecision-making-
dc.subjectImplants-
dc.subjectPeriodontal disease and Quality of life-
dc.titleFactors Influencing Decision-making for Maintaining or Extracting Compromised Teethen_US
dc.typeConference_Paperen_US
dc.identifier.emailMcGrath, CPJ: mcgrathc@hkucc.hku.hken_US
dc.identifier.emailLo, ECM: hrdplcm@hkucc.hku.hken_US
dc.identifier.emailLang, NP: nplang@hkucc.hku.hken_US
dc.identifier.authorityMcGrath, CPJ=rp00037en_US
dc.identifier.authorityLo, ECM=rp00015en_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.identifier.hkuros214386en_US
dc.identifier.volume92en_US
dc.identifier.issueSpecial Issue A: abstract no. 375en_US
dc.publisher.placeUnited States-

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