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Influence of clinician gender, age, and geographic work location on the relative rankings of risk factors for biological complications with dental implant therapy
The Journal of Prosthetic Dentistry ( IF 4.6 ) Pub Date : 2021-08-04 , DOI: 10.1016/j.prosdent.2021.06.027
Sreenivas Koka 1 , Jonathan Bensoussan 2 , Donald Curtis 3
Affiliation  

Statement of problem

Clinician perceptions of risk factors influencing biologic complications with dental implants are poorly understood but are relevant to how clinicians manage conversations with patients seeking dental implant therapy.

Purpose

The purpose of this clinician survey was to assess the relative ranking of biologic risk factors with dental implants identified via the history, clinical examination, and clinical decisions and postimplant placement findings.

Materials and methods

A 10-item survey instrument was tested, refined, and distributed to past participants of the Future Leaders in Prosthodontics (FLIP) workshop series asking for their opinion on the relative ranking of commonly identified risk factors in the areas of patient history, clinical examination, and clinical decisions and postimplant placement findings. Descriptive statistics and frequency tables were developed to identify age groupings, geographic work location, and gender. Group differences with respect to risk factor rankings were identified by using Kruskal-Wallis H tests, and, if significant, paired comparisons were conducted using the Mann-Whitney U test with adjustments for Type I error (α=.05).

Results

Significant differences were found by gender, age, and geographic work location. Women viewed “implant placement in site of previous implant loss” (P=.013) and “treated moderate or severe chronic periodontitis” (P=.021) as having significantly greater relative importance than did men, yet men ranked “implant position closer than 1.5 mm from adjacent tooth” (P=.023), “currently using selective serotonin reuptake inhibitor drugs (SSRI)” (P=.001), and “heavy plaque index (PI>50%)” (P=.023) as having significantly greater relative importance than did women. Significant differences were found by geographic work location of practice with respondents from Australasia viewing “treatment plan includes prostheses that limit access for cleaning resulting in an increase in bacterial load” as having greater relative importance than did respondents from Africa (P<.001) and from South America (P<.001). Respondents from South America viewed “implant lacks 2.0 mm of attached tissue around implants” as having greater relative importance than did respondents from Australasia (P<.002) or Asia (P<.001).

Conclusions

Clinicians viewed the relative importance of risk factors for biologic complications with dental implants differently, and those differences varied by clinicians' age, gender, and geographic location of practice.



中文翻译:

临床医生性别、年龄和地理工作地点对牙种植治疗生物并发症危险因素相对排名的影响

问题陈述

临床医生对影响牙种植体生物并发症的风险因素的认识知之甚少,但与临床医生如何管理与寻求牙种植体治疗的患者的对话有关。

目的

这项临床医生调查的目的是评估通过病史、临床检查、临床决策和植入后发现确定的牙种植体的生物学风险因素的相对排名。

材料和方法

对 10 项调查工具进行了测试、改进,并分发给了修复学未来领导者 (FLIP) 研讨会系列的过去参与者,征求他们对患者病史、临床检查、以及临床决策和植入后放置结果。开发了描述性统计数据和频率表来识别年龄分组、地理工作地点和性别。通过使用 Kruskal-Wallis H 检验确定关于风险因素排名的组别差异,如果显着,则使用 Mann-Whitney U 检验进行配对比较,并针对 I 类错误进行调整 (α=.05)。

结果

性别、年龄和工作地理位置存在显着差异。女性认为“种植体放置在先前种植体缺失的部位”(P =.013)和“治疗中度或重度慢性牙周炎”(P =.021)比男性具有显着更高的相对重要性,但男性认为“种植体位置更近”距邻牙 1.5 毫米以内”( P =.023),“目前正在使用选择性 5-羟色胺再摄取抑制剂药物 (SSRI)”( P =.001),以及“重度牙菌斑指数 (PI>50%)”( P=.023) 的相对重要性明显高于女性。实践的地理工作地点存在显着差异,澳大利亚受访者认为“治疗计划包括限制清洁通道的假肢导致细菌负荷增加”比非洲受访者具有更大的相对重要性 (P <.001 )和来自南美洲 ( P <.001)。来自南美洲的受访者认为“植入物周围缺少 2.0 毫米的附着组织”比来自澳大拉西亚 ( P <.002) 或亚洲 ( P <.001) 的受访者具有更大的相对重要性。

结论

临床医生对牙种植体生物并发症风险因素的相对重要性有不同的看法,这些差异因临床医生的年龄、性别和执业地理位置而异。

更新日期:2021-08-04
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