scholarly journals Discrepancies in periodontitis classification among dental practitioners with different educational backgrounds

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Se-Lim Oh ◽  
Ji Seung Yang ◽  
Yoon Jeong Kim
Keyword(s):  
Risk Factor ◽  
Periodontal Disease ◽  
Educational Background ◽  
Cross Sectional ◽  
Exact Test ◽  
Educational Backgrounds ◽  
Dental Practitioners ◽  
Maryland School ◽  
Loma Linda University ◽  
School Of Dentistry

Abstract Background The 2018 classification of periodontal disease characterizes the disease with a multidimensional staging and grading system. The purpose of this multicenter study was to examine variations in periodontitis classification among dental practitioners with different postgraduate educational backgrounds at the University of Maryland School of Dentistry and the Loma Linda University School of Dentistry using the 2018 classification. Methods This cross-sectional observational study included two cohorts: dental practitioners with periodontal backgrounds (n1 = 31) and those with other educational backgrounds (n2 = 33). The survey instrument contained three periodontitis cases presented with the guideline of the 2018 classification and a questionnaire including closed and open-ended questions. The participants were asked to review each case and to fill out the questionnaire independently. Fisher’s exact test was conducted to examine the differences in responses between the two cohorts. Polychoric correlations were calculated to examine the relation between the level of familiarity with the 2018 classification and the accuracy of the classification. Results The distribution of item responses was significantly different between the two cohorts regarding only one item, grading for Case 1 (p = 0.01). No significant differences in accuracy between the two cohorts were observed except for two items, grading in Case 1 (p = 0.03) and staging in Case 3 (p = 0.04). There were no significant differences in risk factor identification for each case among the two cohorts (p = 1.00, Case 1; p = 0.22, Case 2). Staging in Case 3 ($$\widehat{\rho }$$ ρ ^ = 0.52) and risk factor identification in Case 2 ($$\widehat{\rho }$$ ρ ^ = 0.32) were significantly correlated with familiarity with the 2018 classification. Conclusion A fair level of agreement in periodontitis classification was observed among dental practitioners with different educational backgrounds when the 2018 classification was used. The periodontal cohort showed better agreement levels and partially better accuracy. Risk factor identification for periodontal disease was difficult regardless of the educational background.

scholarly journals Discrepancies in Periodontal Diagnosis and Classification Among Dental Practitioners with Different Educational Backgrounds

2020 ◽  
Author(s):  
Se-Lim Oh ◽  
Ji Seung Yang ◽  
Yoon Jeong Kim
Keyword(s):  
Risk Factor ◽  
Periodontal Disease ◽  
Educational Background ◽  
Cross Sectional ◽  
Exact Test ◽  
Educational Backgrounds ◽  
Dental Practitioners ◽  
Diagnosis And Classification ◽  
School Of Dentistry

Abstract Background: The 2017 classification of periodontal disease characterizes the disease with a multidimensional staging and grading system. The purpose of this multicenter study was to examine variations in periodontal diagnosis and classification among dental practitioners with different postgraduate educational backgrounds at the University of Maryland School of Dentistry and the Loma Linda University School of Dentistry using the 2017 classification.Methods: This cross-sectional observational study included two cohorts: dental practitioners with periodontal backgrounds (n1 = 31) and those with other educational backgrounds (n2 = 33). The survey instrument contained three periodontal cases presented with the guidelines of the 2017 classification of periodontal disease and an open-ended questionnaire. The participants were asked to review each case and to fill out the questionnaire independently. Fisher’s exact test was conducted to examine the difference and accuracy in responses between the two cohorts. Polychoric correlations were calculated to examine the relation between the level of familiarity with the 2017 classification and the accuracy of the diagnosis and classification.Results: The distribution of item responses was significantly different between the two cohorts regarding only one item, grading for Case 1 (p = 0.01). No significant differences in accuracy between the two cohorts were observed except for two items, grading in Case 1 (p = 0.03) and staging in Case 3 (p = 0.04). There were no significant differences in risk factor identification for each case among the two cohorts (p = 1.00, Case 1; p = 0.22, Case 2). Staging in Case 3 (ṕ = 0.52) and risk factor identification in Case 2 (ṕ = 0.32) were significantly correlated with familiarity with the 2017 classification.Conclusion: A fair level of agreement in periodontal diagnosis and classification was observed among dental practitioners with different educational backgrounds when the 2017 classification was used. The periodontal cohort showed better agreement levels and partially better accuracy. Risk factor identification for periodontal disease was difficult regardless of the educational background.

scholarly journals Relationship between NAFLD and Periodontal Disease from the View of Clinical and Basic Research, and Immunological Response

2021 ◽  
Vol 22 (7) ◽  
pp. 3728
Author(s):  
Masahiro Hatasa ◽  
Sumiko Yoshida ◽  
Hirokazu Takahashi ◽  
Kenichi Tanaka ◽  
Yoshihito Kubotsu ◽  
...  
Keyword(s):  
Risk Factor ◽  
Periodontal Disease ◽  
Alveolar Bone ◽  
Basic Research ◽  
Epidemiological Studies ◽  
Cross Sectional ◽  
Periodontopathic Bacteria ◽  
In Vivo Animal Model ◽  
The Relationship

Periodontal disease is an inflammatory disease caused by pathogenic oral microorganisms that leads to the destruction of alveolar bone and connective tissues around the teeth. Although many studies have shown that periodontal disease is a risk factor for systemic diseases, such as type 2 diabetes and cardiovascular diseases, the relationship between nonalcoholic fatty liver disease (NAFLD) and periodontal disease has not yet been clarified. Thus, the purpose of this review was to reveal the relationship between NAFLD and periodontal disease based on epidemiological studies, basic research, and immunology. Many cross-sectional and prospective epidemiological studies have indicated that periodontal disease is a risk factor for NAFLD. An in vivo animal model revealed that infection with periodontopathic bacteria accelerates the progression of NAFLD accompanied by enhanced steatosis. Moreover, the detection of periodontopathic bacteria in the liver may demonstrate that the bacteria have a direct impact on NAFLD. Furthermore, Porphyromonas gingivalis lipopolysaccharide induces inflammation and accumulation of intracellular lipids in hepatocytes. Th17 may be a key molecule for explaining the relationship between periodontal disease and NAFLD. In this review, we attempted to establish that oral health is essential for systemic health, especially in patients with NAFLD.

The influence of varying maxillary central incisor vertical dimension on perceived smile aesthetics

2019 ◽  
Vol 46 (2) ◽  
pp. 137-142
Author(s):  
Elis Janaina Lira dos Santos ◽  
Alana Moura Xavier Dantas ◽  
Raíssa Marçal Vilela ◽  
Karina Jerônimo Rodrigues Santiago de Lima ◽  
Rejane Targino Soares Beltrão
Keyword(s):  
Age Groups ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Central Incisor ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Maxillary Central Incisor ◽  
Significant Difference ◽  
Chi Square Test

Objective: To evaluate patient perception of the smile focused on analysis of the upper incisors. Design: Cross-sectional study. Setting: Department of Clinical and Social Dentistry at Federal University of Paraíba, João Pessoa, Brazil. Participants: The sample consisted of 135 individuals (73 women and 62 men). Methods: Images with different characteristics associated with the incisal edges were shown at random and analysed using a Likert scale. Data were analysed using the Chi-square test or Fisher’s exact test with a statistically significant difference ( P < 0.05). Results: Smile I (difference of 1.5 mm in relation to the central incisor and lateral) was considered the most aesthetic, while Smile III (no difference in height between the central and lateral incisors) was the least aesthetic. A significant difference was found between perception of smile II (difference of 1 mm in relation to the central incisor and lateral) and age groups ( P < 0.005), with 31% (n = 13) of individuals aged 45–64 years considering smile II as not pleasant, 4.4% (n = 2) aged 15–24 years and 8.3% (n=4) aged 25–44 years and 4.4% (n = 2) aged 15–24 years considering the same. A significant difference was also found in relation to educational background of the assessor and smile perception, with smile III ( P = 0.0441) and smile IV ( P = 0.0053) considered the most aesthetic ( P = 0.0116). Conclusion: The smile considered most attractive among the sample was that with 1.5 mm steepness between the central and lateral incisors, while a flat smile arc was considered least attractive.

scholarly journals Asthma and Keratoconus: An analysis of the risk factors association with the severity of keratoconus

2020 ◽  
Author(s):  
Srujana Sahebjada ◽  
Elsie Chan ◽  
Jing Xie ◽  
Grant Snibson ◽  
Mark Daniel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Risk Factor ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Wide Range ◽  
Multivariable Regression

Abstract Background: A cross-sectional study was undertaken in Australia to explore a wide range of risk factors associated with keratoconus. A questionnaire addressing age, gender, educational background, ocular and medical history, smoking and alcohol consumption, and physical examination comprising anthropometric measurements was collected; eye examination was undertaken. The associations between a range of risk factors and keratoconus was determined using univariate and multivariable linear regression analyses.Main Text: A total of 260 keratoconus subjects were included in this study. Mean age of subject was 35.5 (SD= 14.8) years and the majority of the subjects were European 171 (68.2%). Initial univariate regression analysis identified the following risk factors at the p<0.1 level with keratoconus: higher body mass index, smoking cigarettes, diabetes, rheumatoid arthritis and asthma were associated with increased severity of keratoconus, whereas eczema was associated with less severe keratoconus. Following multivariable regression analysis, only asthma remained as a significant risk factor associated with 2.2 diopters (D) steeper average mean keratometry compared to keratoconus subjects having no asthma [p = 0.03; β= 2.18; 95% confidence intervals: 1.22, 4.14].Conclusion: Our study describes the comprehensive assessment of all the known risk factors in a large keratoconus cohort recruited in Australia. Our study has reported asthma as the only risk factor found to be significantly associated with keratoconus. The results of this study allow us to better understand the aetiology of keratoconus and such a knowledge could be useful in instigate systemic management of patients to slow or prevent keratoconus.

scholarly journals Placement of Posterior Composite Restorations: A Cross-Sectional Study of Dental Practitioners in Al-Kharj, Saudi Arabia

2021 ◽  
Vol 18 (23) ◽  
pp. 12408
Author(s):  
Mohamed Awad ◽  
Mansour Alradan ◽  
Nawaf Alshalan ◽  
Ali Alqahtani ◽  
Feras Alhalabi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Private Sector ◽  
Cross Sectional Study ◽  
Operative Field ◽  
Related Factors ◽  
Cross Sectional ◽  
Exact Test ◽  
Composite Restorations ◽  
Dental Practitioners ◽  
Significant Difference

Dental practitioner-related factors can affect the quality of composite restorations. This study aimed to investigate the clinical techniques used by dental practitioners (DPs) while placing direct posterior composite restorations. Methods: A questionnaire survey that sought information related to the placement of posterior composite restorations was delivered to 161 DPs working in the Al-Kharj area, Saudi Arabia. The collected data were statistically analyzed using Pearson’s Chi-square test and Fisher’s exact test considering the DP’s working sector and the answered questions. Results: A total of 123 DPs completed the survey (76.4% response rate). There was a statistically significant difference between DPs working in the private sector and those working in the governmental sector in 7 out of 17 questionnaire items namely: preparing a minimum depth of 2 mm, (p = 0.001); mechanical means of retention, (p = 0.003); operative field isolation, (p = 0.004); adhesive strategy, (p < 0.001); light-curing unit used, (p = 0.013); the use of radiometer, (p = 0.023), and dental matrix selection, (p < 0.001). Conclusion: The clinical techniques applied by DPs working in the private sector in Al-Kharj, Saudi Arabia when placing posterior composite restorations, including the specifications of cavity preparation, operative field isolation, and selection of the dental matrix system, may be substandard compared to those applied by DPs working in the governmental sector.

Dental Awareness and Attitudes among Medical Practitioners in Chennai

2011 ◽  
Vol 5 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Navin Anand Ingle ◽  
S Srinidhi ◽  
Preetha Elizebeth Chaly ◽  
Chandrasekhara Reddy
Keyword(s):  
Risk Factor ◽  
Infective Endocarditis ◽  
Periodontal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Systemic Complications ◽  
Medical Practitioners ◽  
Dental Diseases ◽  
Structured Questionnaire

ABSTRACT There have been relatively few investigations regarding dental awareness and attitudes among medical practitioners. Aim To assess the dental awareness and attitudes of medical practitioners in Chennai. Methodology A cross sectional study was conducted using a structured questionnaire on 300 medical practitioners randomly selected. Results 85 % of undergraduates, 71 % of postgraduates, 80 % of diploma holders advised patients to visit dentist at least once in six months (P<0.05). 75 % of undergraduates, 85 % of postgraduates and 94 % of diploma holders knew that periodontal disease is a risk factor for infective endocarditis (P<0.05). 80 % of undergraduates, 77 % of postgraduates and 48 % of diploma holders were aware of systemic complications due to untreated dental diseases (P<0.01). Conclusion Dental awareness and attitudes was found to be good among medical practitioners in Chennai.

scholarly journals Perception, knowledge, and attitudes towards molar incisor hypomineralization among Spanish dentists: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Clara Serna-Muñoz ◽  
Yolanda Martínez-Beneyto ◽  
Amparo Pérez-Silva ◽  
Andrea Poza-Pascual ◽  
Francisco Javier Ibáñez-López ◽  
...  
Keyword(s):  
Environmental Pollutants ◽  
Cross Sectional Study ◽  
Glass Ionomer ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Dental Practitioners ◽  
Molar Incisor Hypomineralization ◽  
Chi Square Test

Abstract Background Molar incisor hypomineralization (MIH) is a growing health problem, and its treatment is a challenge. The purpose of the present study was to evaluate and compare the perceptions, knowledge, and clinical experiences of MIH in general dental practitioners (GDPs) and paediatric dentists (PDs) in Spain. Methods All dentists belonging to the College of Dentists of the Region of Murcia, in the South-East of Spain, were invited to participate in a cross-sectional survey. They were asked to complete a two-part questionnaire including sociodemographic profiles and knowledge, experience, and perceptions of MIH. Data were analysed using Pearson’s chi-square test, Fisher’s exact test and Cramer’s V test. Results The overall response rate was 18.6% (214/1147). Most respondents were aged 31–40 years (44.86%), with more than 15 years of professional experience (39.72%). They worked mainly in the private sector (84.58%) and were licensed in dentistry (74.30%): 95.45% of PDs had detected an increase in the incidence of MIH in recent years (p <  0.001). Only 23.80% of GDPs claimed to have made a training course on MIH. With respect to the aetiology, chronic medical conditions (p = 0.029) and environmental pollutants (p = 0.008) were the only factors that showed significant between-group differences. Durability (p = 0.009) and remineralization potential (p = 0.018) were the factors where there was a between-group difference in the choice of the restoration material. In the case of post-eruptive fractures and opacities, the preferred material for both groups was resin-modified glass ionomer (RMGIC). However, in incisor lesions, composite was the material of choice for both groups, with significant differences (p = 0.032) in the use of glass ionomer. Most respondents expressed a need for continuing education on MIH. Conclusion Spanish dentists perceived an increase in the incidence of MIH. The material of choice was RMGIC for non-aesthetic sectors and composite for incisors. Dentists believe it is difficult or very difficult to manage MIH, since the long-term success of restorations of MIH lesions is compromised because resin adhesion is not good. Both GDPs and PDs believe they need more training on the aetiology, diagnosis, and treatment of MIH.

scholarly journals The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019

2021 ◽  
Vol 18 (8) ◽  
pp. 4153
Author(s):  
Dima Nassar ◽  
Nirit Tagger-Green ◽  
Haim Tal ◽  
Carlos Nemcovsky ◽  
Eitan Mijiritsky ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Dental Treatment ◽  
Categorical Variables ◽  
P Value ◽  
Fisher Exact Test ◽  
Final Decision ◽  
Chi Square ◽  
Exact Test ◽  
Malpractice Claims ◽  
Dental Practitioners

Background: In recent years, worldwide dental malpractice claims have dramatically increased. The purpose of the present study is to analyze periodontal therapy related claims in Israel that led to legal decisions. Methods: This retrospective cohort study includes malpractice claims against dental practitioners related to periodontology between 2005 and 2019. Only closed cases where a final decision was made were included. The chi-square test or Fisher exact test for categorical variables were performed and a p value of <0.05 was considered statistically significant. Results: During the study period there were 508 legal claims related to periodontal disease. Most plaintiffs were women (63.4%), and 71.3% of the patients were >35 years old. Most claims (82.8%) were settled out of court and ended in compromise. Claims concerning the treatment of periodontal disease by periodontists accounted only for 4.5% (23/508) of the cases while 95.5% (485/508) of the claims were for complications secondary to another treatment. Prosthodontic treatment was involved with the highest number 54.5%, followed by dental implants 17.7%, and endodontics 11.6%. The allegations were related to pain and distress (84.8%), aggravation of existent periodontal disease (83.3%), tooth loss (78.1%), and violation of autonomy (47%). Conclusions: The main cause for lawsuits was related to aggravation of periodontal disease during prosthetic or implant therapy and related to suspected faulty or inexistent preoperative diagnosis and planning. Practical implications: Periodontal consultation before dental treatment may reduce malpractice risks, adverse events, and un-necessary changes of treatment plans.

Knowledge and societal perceptions regarding autopsy amongst different educational backgrounds in Karachi, Pakistan

2021 ◽  
pp. 1-12
Author(s):  
Marvi Masood Farooqui ◽  
Muhammad Ikram Ali ◽  
Qudsia Hassan ◽  
Rabbia Mahrukh ◽  
Nasibullah Ahmed
Keyword(s):  
Educational Level ◽  
General Public ◽  
Educational Background ◽  
High Educational Level ◽  
Sample Population ◽  
Cross Sectional ◽  
Educational Backgrounds ◽  
Organ Removal ◽  
N 93 ◽  
Age Range

Abstract Objective: The purpose of this study is to find out awareness levels about legislation/authorization and objectives of autopsy amongst the general public, in addition to their opinions about the topic based on the different levels of education. Methods: A cross-sectional questionnaire-based study design was implemented to collect data on their knowledge, perceptions and concerns regarding autopsy from a sample population of 260 citizens aged 18 and above from all educational backgrounds of District South Karachi, Pakistan. Results: Out of total respondents 47.1% (n=122) fell within the age range of 18-25. Males were 41.7% (n=106) and females were 56.3% (n=143) in the study. Out of the 82% (n=208) who marked “Yes” to knowing the meaning of autopsy, 55.3% (n=115) of the respondents belonged to high educational level, 44.7% (n=93) belonged to low educational level. Only 44.7% (n=93) participants correctly knew the purpose for conducting an autopsy. For concerns regarding autopsy a vast majority of respondents marked “Organ removal” (21.7%, n=135) and “Disfigurement of body” (18.3%, n=114) as the top two concerns across regardless of educational level. Conclusion: Although most people held positive perception of autopsy, in depth questioning revealed a clear lack of correct information amongst the general public regarding autopsies. This has led to many falsely held beliefs including fear of body disfigurement and organ removal and less faith in the medicolegal system, irrespective of educational background. Continuous....

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