种植体周围炎:种植临床医生对疾病管理的认识和态度:种植体周围炎知识。

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE International journal of dental hygiene Pub Date : 2024-03-10 DOI:10.1111/idh.12797
Lucca Gomes de Paula, Jeniffer Lima Vieira, Débora Rafaella Mendes dos Santos, Patrícia Helena Costa Mendes, Victoria Lopes Abdo, Samuel Victor Pereira Barbosa Duraes, Martinna Bertolini, João Gabriel Silva Souza
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引用次数: 0

摘要

研究目的:由于种植体周围炎是临床实践中日益普遍的问题,而最佳治疗方案尚未达成共识,因此本研究评估了从事种植牙工作的牙医对种植体相关感染调节因素和用于治疗种植体周围炎的治疗方案的认识和行为:对 86 名巴西种植临床医生进行了横断面研究。采用结构化在线问卷收集数据,评估社会经济特征、教育程度、工作/临床实践、对种植体周围炎的风险因素和管理的认识和态度。问卷的可靠性通过重测技术进行了评估。该问卷是根据最近一次关于种植体周围疾病的共识(2018 年)以及与种植体相关感染有关的现有证据编制的。采用 5%的显著性水平进行了描述性分析、双变量分析和逻辑回归分析:在这项研究中,89.5%的牙医表示已经治疗过种植体周围炎患者。约 80% 的牙医在治疗过程中使用抗生素和漱口水,而外科手术似乎是牙医治疗种植体周围炎的主要选择(91.8%)。作为一种预防方法,94.2% 的牙医表示在种植体植入后的随访中会对生物膜的积累情况进行常规评估。逻辑回归结果显示,自我报告的治疗种植体周围炎的能力在统计学上(P 结论:种植体周围炎是一种常见的口腔疾病:从事种植工作的牙医在处理种植体周围炎方面具有良好的知识和行为水平。然而,由于接受评估的临床医生采用了不同的治疗方案,因此在最佳治疗方案方面缺乏共识,这可能反映了牙医的行为。
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Peri-implantitis: Knowledge and attitudes of implantology clinicians regarding the disease management

Objectives

Since peri-implantitis is an increasing and prevalent concern in clinical practice and there is no consensus regarding the best therapeutic protocol, this study evaluated the knowledge and behaviours of dentists working in Implantology regarding implant-related infections modulating factors and therapeutic protocols used in the management of peri-implantitis.

Methods

Cross-sectional study was conducted with 86 Brazilian Implantology clinicians. Data were collected using a structured and online questionnaire evaluating socioeconomic characteristics, education, work/clinical practice, knowledge and attitudes regarding the risk factors and management of peri-implantitis. The reliability of the questionnaire was evaluated by test–retest technique. The questionnaire was developed based on the last consensus on peri-implant diseases (2018) and the current evidence related to implant-related infections. Descriptive, bivariate and logistic regression analyses were conducted adopting a significance level of 5%.

Results

In this study, 89.5% of included dentists reported that already treated patients with peri-implantitis. Approximately 80% of dentists use antibiotics and mouth rinses during the treatment, and surgical procedures seem the main choice to treat peri-implantitis (91.8%) by dentists. As a preventive approach, 94.2% of dentists reported that routinely assessed biofilm accumulation in the follow-up visits after implant placement. Logistic regression showed that the self-reported ability to treat peri-implantitis was statistically (p < 0.05) higher among dentists who reported abilities to diagnose the disease and use laser for peri-implantitis treatment.

Conclusion

Dentists working in Implantology have a good level of knowledge and behaviors in the management of peri-implantitis. However, the lack of consensus regarding the best treatment protocols may reflect dentist's behaviours because different treatment protocols have been used by evaluated clinicians.

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来源期刊
International journal of dental hygiene
International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.00
自引率
8.30%
发文量
78
审稿时长
>12 weeks
期刊介绍: International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.
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