Knowledge, dentist confidence and management of periodontal patients among general dentists from Belarus, Lithuania, Macedonia, Moldova and Romania
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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

Knowledge, dentist confidence and management of periodontal patients among general dentists from Belarus, Lithuania, Macedonia, Moldova and Romania

DOI:https://doi.org/10.1186/s12903-020-1033-9

Pag. 0-0

Aleksejuniene Jolanta1, Puriene Alina2, Rimkervicius Arunas2, Amariei Corneliu I.3, Oancea Roxana4, Porosencova Tatiana5, Porosencov Egor5, Nikolovska Julijana6, Mirnaya Elena7, Serova-Papakul Aleksandra7, Eaton Kenneth A.8
 
1 University of British Columbia,
2 Vilnius University,
3 Romanian Association of OroDental Public Health, Bucharest,
4 Victor Babes University of Medicine and Pharmacy, Timişoara,
5 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
6 Ss. Cyril and Methodius University in Skopje,
7 Belarusian State Medical University,
8 University College London
 
 
Disponibil în IBN: 6 martie 2020


Rezumat

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.

Cuvinte-cheie
confidence, General dentists, patient management, Periodontal patients

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<title xml:lang='en'>Knowledge, dentist confidence and management of periodontal patients among general dentists from Belarus, Lithuania, Macedonia, Moldova and Romania</title>
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<subject>General dentists</subject>
<subject>patient management</subject>
<subject>Periodontal patients</subject>
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<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&#39;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&#39;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&#39; 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&#39;s confidence and management of periodontal patients.</p></description>
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