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![]() ALEKSEJUNIENE, Jolanta, PURIENE, Alina, RIMKERVICIUS, Arunas, AMARIEI, Corneliu I., OANCEA, Roxana, POROSENCOVA, Tatiana, POROSENCOV, Egor, NIKOLOVSKA, Julijana, MIRNAYA, Elena, SEROVA-PAPAKUL, Aleksandra, EATON, Kenneth A.. Knowledge, dentist confidence and management of periodontal patients among general dentists from Belarus, Lithuania, Macedonia, Moldova and Romania. In: BMC Oral Health, 2020, nr. 1(20), p. 0. ISSN 1472-6831. DOI: https://doi.org/10.1186/s12903-020-1033-9 |
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BMC Oral Health | |
Numărul 1(20) / 2020 / ISSN 1472-6831 /ISSNe 1472-6831 | |
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DOI:https://doi.org/10.1186/s12903-020-1033-9 | |
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Background: Evidence concerning periodontal practice in Eastern European countries is scarce. The aim of the present study was to investigate periodontal risk knowledge, patient management and self-perceived confidence among General Dentists (GDs) from five Eastern European regarding their provision of periodontal care. Methods: GDs from Belarus, Lithuania, Macedonia, Moldova and Romania participated in a questionnaire survey. Power calculations were used to identify the sample size for each country. The structured questionnaire included several domains of inquiry. The socio-demographic domain inquired about dentist's age, gender and years of clinical experience. The dental practice domain inquired about practice location, practising or not practising in a group practice and having or not having a periodontist or a dental hygienist in the practice. The distributions of answers across-countries were compared employing one way ANOVA (comparison of means) or Chi square test (comparison of proportions). For each country, the predictors of the study outcomes: a summative knowledge score for periodontal risks and dentist's confidence level were identified employing either linear or logistic multiple regression models. Results: The sample comprised 390 Belarussian, 488 Lithuanian, 349 Macedonian, 316 Moldovan, and 401 Romanian GDs. The majority of GDs (~ 80%) practiced in urban areas. Age and gender distributions differed significantly among countries. Significant across-country differences were found regarding working/not working in a group practice, having/not having access to a periodontist/dental hygienist and in proportions of patients receiving periodontal treatments or being referred to specialists. None of Macedonian patients nor the majority of Moldovan patients (78%) were referred to periodontists. There were also significant across-country differences in diagnosis, patient management and periodontal knowledge. Only in the Lithuanian cohort were dentists' confidence levels associated significantly with their knowledge. In all countries, taking a medical history was a consistent and significant predictor of having higher periodontal knowledge score. Except in Belarus, periodontal risk assessment was a significantly consistent predictor of certainty levels associated with the provision of periodontal treatments. Conclusions: There were substantial differences among GDs in the five countries regarding diagnosis, dentist's confidence and management of periodontal patients. |
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Cuvinte-cheie confidence, General dentists, patient management, Periodontal patients |
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Cyril and Methodius University in Skopje, Macedonia</affiliation> </creator> <creator> <creatorName>Mirnaya, E.</creatorName> <affiliation>Белорусский государственный медицинский университет МЗ РБ, Belarus</affiliation> </creator> <creator> <creatorName>Serova-Papakul, A.</creatorName> <affiliation>Белорусский государственный медицинский университет МЗ РБ, Belarus</affiliation> </creator> <creator> <creatorName>Eaton, K.</creatorName> <affiliation>University College London, Marea Britanie</affiliation> </creator> </creators> <titles> <title xml:lang='en'>Knowledge, dentist confidence and management of periodontal patients among general dentists from Belarus, Lithuania, Macedonia, Moldova and Romania</title> </titles> <publisher>Instrumentul Bibliometric National</publisher> <publicationYear>2020</publicationYear> <relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1472-6831</relatedIdentifier> <subjects> <subject>confidence</subject> <subject>General dentists</subject> <subject>patient management</subject> <subject>Periodontal patients</subject> </subjects> <dates> <date dateType='Issued'>2020-02-01</date> </dates> <resourceType resourceTypeGeneral='Text'>Journal article</resourceType> <descriptions> <description xml:lang='en' descriptionType='Abstract'><p>Background: Evidence concerning periodontal practice in Eastern European countries is scarce. The aim of the present study was to investigate periodontal risk knowledge, patient management and self-perceived confidence among General Dentists (GDs) from five Eastern European regarding their provision of periodontal care. Methods: GDs from Belarus, Lithuania, Macedonia, Moldova and Romania participated in a questionnaire survey. Power calculations were used to identify the sample size for each country. The structured questionnaire included several domains of inquiry. The socio-demographic domain inquired about dentist's age, gender and years of clinical experience. The dental practice domain inquired about practice location, practising or not practising in a group practice and having or not having a periodontist or a dental hygienist in the practice. The distributions of answers across-countries were compared employing one way ANOVA (comparison of means) or Chi square test (comparison of proportions). For each country, the predictors of the study outcomes: a summative knowledge score for periodontal risks and dentist's confidence level were identified employing either linear or logistic multiple regression models. Results: The sample comprised 390 Belarussian, 488 Lithuanian, 349 Macedonian, 316 Moldovan, and 401 Romanian GDs. The majority of GDs (~ 80%) practiced in urban areas. Age and gender distributions differed significantly among countries. Significant across-country differences were found regarding working/not working in a group practice, having/not having access to a periodontist/dental hygienist and in proportions of patients receiving periodontal treatments or being referred to specialists. None of Macedonian patients nor the majority of Moldovan patients (78%) were referred to periodontists. There were also significant across-country differences in diagnosis, patient management and periodontal knowledge. Only in the Lithuanian cohort were dentists' confidence levels associated significantly with their knowledge. In all countries, taking a medical history was a consistent and significant predictor of having higher periodontal knowledge score. Except in Belarus, periodontal risk assessment was a significantly consistent predictor of certainty levels associated with the provision of periodontal treatments. Conclusions: There were substantial differences among GDs in the five countries regarding diagnosis, dentist's confidence and management of periodontal patients.</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>