Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process

Objectives: To investigate the professional aspects and clinical and radiographic evidence that influences the decision for the extraction of teeth among periodontologists and general dentists. Material and methods: The sample consisted of 150 (n=106 females and 44 males) dentists (n=103 general den...

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Main Authors: Pedro Henrique Moreira Paulo Tolentino, Lívia Graziele Rodrigues, Érica Miranda de Torres, Ademir Franco, Rhonan Ferreira Silva
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2019-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/322487
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author Pedro Henrique Moreira Paulo Tolentino
Lívia Graziele Rodrigues
Érica Miranda de Torres
Ademir Franco
Rhonan Ferreira Silva
author_facet Pedro Henrique Moreira Paulo Tolentino
Lívia Graziele Rodrigues
Érica Miranda de Torres
Ademir Franco
Rhonan Ferreira Silva
author_sort Pedro Henrique Moreira Paulo Tolentino
collection DOAJ
description Objectives: To investigate the professional aspects and clinical and radiographic evidence that influences the decision for the extraction of teeth among periodontologists and general dentists. Material and methods: The sample consisted of 150 (n=106 females and 44 males) dentists (n=103 general dentists and 47 periodontologists) that responded to a questionnaire designed to retrieve crosssectional information related mainly to their level of training and time of experience in practice, as well as their personal decision for managing four patients with periodontal disease. Bivariate analyses were performed to test the association between the clinical decisions and the professional information collected from the dentists. Results: In specific cases, periodontologists decided to maintain more teeth than general dentists (p<0.05). In other cases, dentists with more years of experience in practice decided to opt for more extractions (p<0.05). The level of periodontal disease (50-92%), poor oral hygiene (42.6-67.3%) and lack of alveolar bone structure (43.2-79.3%) were the most prevalent reasons behind the decision for extractions. Conclusions: An advanced level of training in Dentistry, especially Periodontology, and more years of experience in practice may lead to more wellfounded decisions on whether extracting teeth or not in case-specific scenarios.
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spelling doaj.art-5cfdd5b919094ada990644b709ba3e572024-04-15T15:33:42ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102019-01-0153214114910.15644/asc53/2/6Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making ProcessPedro Henrique Moreira Paulo Tolentino0Lívia Graziele Rodrigues1Érica Miranda de Torres2Ademir Franco3Rhonan Ferreira Silva4Department of Dentistry, Federal University of Goias, Goiania, BrazilDepartment of Dentistry, Federal University of Goias, Goiania, BrazilDepartment of Dentistry, Federal University of Goias, Goiania, BrazilDepartment of Therapeutic Stomatology, Institute of Dentistry, I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationDepartment of Dentistry, Federal University of Goias, Goiania, Brazil; Department of Legal Dentistry and Forensic Anthropology, Scientific Police of Goias, Goiania, BrazilObjectives: To investigate the professional aspects and clinical and radiographic evidence that influences the decision for the extraction of teeth among periodontologists and general dentists. Material and methods: The sample consisted of 150 (n=106 females and 44 males) dentists (n=103 general dentists and 47 periodontologists) that responded to a questionnaire designed to retrieve crosssectional information related mainly to their level of training and time of experience in practice, as well as their personal decision for managing four patients with periodontal disease. Bivariate analyses were performed to test the association between the clinical decisions and the professional information collected from the dentists. Results: In specific cases, periodontologists decided to maintain more teeth than general dentists (p<0.05). In other cases, dentists with more years of experience in practice decided to opt for more extractions (p<0.05). The level of periodontal disease (50-92%), poor oral hygiene (42.6-67.3%) and lack of alveolar bone structure (43.2-79.3%) were the most prevalent reasons behind the decision for extractions. Conclusions: An advanced level of training in Dentistry, especially Periodontology, and more years of experience in practice may lead to more wellfounded decisions on whether extracting teeth or not in case-specific scenarios.https://hrcak.srce.hr/file/322487Clinical Decision-makingPeriodonticsRadiologyTooth Extraction
spellingShingle Pedro Henrique Moreira Paulo Tolentino
Lívia Graziele Rodrigues
Érica Miranda de Torres
Ademir Franco
Rhonan Ferreira Silva
Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
Acta Stomatologica Croatica
Clinical Decision-making
Periodontics
Radiology
Tooth Extraction
title Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
title_full Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
title_fullStr Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
title_full_unstemmed Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
title_short Tooth Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process
title_sort tooth extractions in patients with periodontal diseases and clinical decision making process
topic Clinical Decision-making
Periodontics
Radiology
Tooth Extraction
url https://hrcak.srce.hr/file/322487
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