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Objectives: To evaluate the type of "periodontal treatment" performed by general dental practitioners and the referral patterns of periodontists in Iraq. Material and methods: A total of 201 general dentists were asked to complete a self-administered questionnaire consisting of nine questions regarding periodontal treatment and the referral patterns of periodontists. Results: The study showed that 91.1% of general dental practitioners (GDPs) performed "phase-I therapy", and most of them done "scaling". Regarding surgical periodontal therapy, only 12.9% of them performed surgical periodontal therapy, half of the GDPs did gingivectomy, and less than 30% performed crown lengthening. When evaluating maintenance therapy after periodontal treatment, it was found that 77.9% of the GDPs scheduled appointments for patients in the maintenance phase, 49.4% of them after one month, 24.7% after three months, and 15.6% after six months. Using TRUF analysis, most general dentists believed that the patient and periodontal factors were responsible for the recurrence of periodontal disease. Conclusions: There is still a lack of awareness of periodontal surgical procedures among the "general dental practitioners". Thus, it is essential to increase the comprehension of periodontal treatment among general dentists. (AU)
Objetivo: Avaliar o tipo de "tratamento periodontal" realizado por dentistas generalistas e os padrões de encaminhamento aos periodontistas, no Iraque. Material e métodos: Um total de 201 dentistas generalistas preencheram um questionário autoaplicável que consistiu em nove perguntas sobre o tratamento periodontal e os padrões de encaminhamento para periodontistas. Resultados: O estudo mostrou que 91,1% dos dentistas gerais (DG) realizavam "terapia fase I" e a maioria realizava "raspagem". Em relação à terapia periodontal cirúrgica, apenas 12,9% deles realizavam, sendo que metade dos DG realizavam gengivectomia e menos de 30% realizavam aumento de coroa clínica. Ao avaliar a terapia de manutenção após o tratamento periodontal, constatou-se que 77,9% dos DGs agendaram consultas para pacientes em fase de manutenção, sendo 49,4% após um mês, 24,7% após três meses e 15,6% após seis meses. Usando a análise TRUF, a maioria dos dentistas gerais acredita que o paciente e os fatores periodontais são responsáveis pela recorrência da doença periodontal. Conclusões: Ainda existe um desconhecimento dos procedimentos cirúrgicos periodontais entre os "dentistas generalistas". Assim, é essencial aumentar a compreensão do tratamento periodontal entre os cirurgiões-dentistas gerais (AU)
Assuntos
Humanos , Periodontia , Raspagem Dentária , Odontólogos , GengivectomiaRESUMO
Context: Traumatic dental injuries (TDIs) leading to dental avulsion occur very frequently in society. Management of avulsion is critical for the dentist, as it requires appropriate knowledge. Aim: The study was conducted to evaluate the knowledge of the general dental practitioners (GDPs) regarding the emergency management of TDI leading to avulsion in children. Setting and Design: Questionnaire-based cross-sectional survey design was utilized to assess the knowledge. Subjects and Methods: Data for this cross-sectional survey were collected through questionnaires from July to September 2014. A total of 278 GDP were contacted and requested to fill a pretested questionnaire to assess the knowledge regarding tooth avulsion. The GDPs were grouped on the basis of their educational qualification and years of clinical experience. Statistical Analysis Used: Chi-square test was used for intra- and inter-group comparison. Results: A total of 224 (80.57%) GDPs consented to participate in the survey. Markedly low knowledge levels were noted in the sample irrespective of educational qualification and years of experience with respect to replantation of the avulsed primary tooth, holding the root instead of the crown, choice of appropriate storage medium for transportation of avulsed teeth, use of medications, and splinting type and time. Clinical experience and higher educational qualification of GDPs revealed statistical significant difference in the methods of management for TDI leading to avulsion. Conclusion: Higher professional education and added clinical experience were associated with better knowledge in the management of TDI leading to avulsion. The finding warrants the need for informative educational programs to update and boost the knowledge of practicing dentists regarding emergency management of avulsed teeth.
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Aim: A cross-sectional questionnaire survey was conducted to obtain information on the use of rotary nickel titanium endodontic instruments was conducted among General Dental Practioner A two sectioned questionnaire was mailed to 200 randomly general practioners to obtain information on usage of Nickel Titanium endodontic instrument and data was collected. Results: Forty-six percent of the general practioners had used rotary NiTi instruments. 76% dentists use NiTi files for five or more times a week. Most of the dentist used NiTi file coronally &apically. General dentists experienced more file fracture at size 20 and 25 with 0.02 and 0.04 taper. Conclusions: Dentists are familiar with limitations of NiTi instruments and techniques. Current study showed the awareness of dentists about benefits of NiTi rotary instruments application comparing to traditional techniques and also the high percent usage of these instruments among general dentists.
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A survey was conducted to gather information on methods, materials and attitudes employed in root canal treatment by Dentists and in order to evaluate and improve the quality of current practice. Questionnaire comprising of 35 questions on Endodontic practice and root canal treatment i.e. case selection for treatment, planning, equipment & materials used was mailed to 230 randomly selected General Dental Practitioners. Reply rate was 67%. Result demonstrated that few dentists used rubber dam. Variety of instruments were used for root canal preparation; stainless-steel hand files being the most popular (56%) and technique of choice was step back (59.66%). Sodium hypochlorite irrigation and calcium hydroxide dressing was used by 52% and 23% respectively. Most practitioners (91%) obturated root canals with lateral compaction of gutta-percha. Only 14% of respondents used apex locators for determining the working length, whilst 19% did not take any pre-operative radiograph. Practicing dentists do not comply with international quality standards and do not use recently introduced techniques.