Clinical decision‐making and management of stage IV periodontitis: A survey
Objective To investigate the clinical management of stage IV periodontitis patients among clinicians within the Italian Society of Periodontology and Implantology. Methods A cross‐sectional study was designed on a web‐based anonymous survey. Comparison between ordinary members (OMs) versus active an...
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| Veröffentlicht in: | Oral diseases 2024-03, Vol.30 (2), p.729-742 |
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| creator | Merli, Mauro Fratini, Adriano Sforza, Nicola Marco Landi, Luca Pagliaro, Umberto Franchi, Lorenzo Nieri, Michele |
| description | Objective
To investigate the clinical management of stage IV periodontitis patients among clinicians within the Italian Society of Periodontology and Implantology.
Methods
A cross‐sectional study was designed on a web‐based anonymous survey. Comparison between ordinary members (OMs) versus active and certified members (ACMs) and comparison between members with at least 10 years of experience in periodontology (Ov10) and members with less than 10 years of experience in periodontology (Un10) were performed.
Results
A total of 324 out of 1362 members (response rate of 24%) responded to the questionnaire. ACMs and Ov10 more often reported their teams hold adequate skills to manage cases. Step I and II periodontal therapy took more time in the ACMs and Ov10 groups. ACMs used different strategies to perform step I‐II therapy, and antibiotics were used less frequently than OMs. Unresponsive sites were treated more often with surgery by ACMs compared to OMs. ACMs adopted different treatment sequences compared to OMs. Ov10 group used more often CBCT, lateral cephalogram, and wax‐up while Un10 group tend to avoid orthodontic therapy.
Conclusions
More experienced members spent more time in step I and II of periodontal therapy, used more diagnostic tools, and performed more often surgery and orthodontics in the treatment of stage IV periodontitis patients. |
| doi_str_mv | 10.1111/odi.14366 |
| format | Article |
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To investigate the clinical management of stage IV periodontitis patients among clinicians within the Italian Society of Periodontology and Implantology.
Methods
A cross‐sectional study was designed on a web‐based anonymous survey. Comparison between ordinary members (OMs) versus active and certified members (ACMs) and comparison between members with at least 10 years of experience in periodontology (Ov10) and members with less than 10 years of experience in periodontology (Un10) were performed.
Results
A total of 324 out of 1362 members (response rate of 24%) responded to the questionnaire. ACMs and Ov10 more often reported their teams hold adequate skills to manage cases. Step I and II periodontal therapy took more time in the ACMs and Ov10 groups. ACMs used different strategies to perform step I‐II therapy, and antibiotics were used less frequently than OMs. Unresponsive sites were treated more often with surgery by ACMs compared to OMs. ACMs adopted different treatment sequences compared to OMs. Ov10 group used more often CBCT, lateral cephalogram, and wax‐up while Un10 group tend to avoid orthodontic therapy.
Conclusions
More experienced members spent more time in step I and II of periodontal therapy, used more diagnostic tools, and performed more often surgery and orthodontics in the treatment of stage IV periodontitis patients.</description><identifier>ISSN: 1354-523X</identifier><identifier>EISSN: 1601-0825</identifier><identifier>DOI: 10.1111/odi.14366</identifier><identifier>PMID: 36055972</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Antibiotics ; Clinical decision making ; Cross-sectional studies ; Decision making ; dental implants ; dental prosthesis ; Gum disease ; Medical diagnosis ; Oral hygiene ; Orthodontics ; Patients ; Periodontics ; Periodontitis ; stage IV periodontitis ; Surgery ; survey ; Surveys ; tooth loss</subject><ispartof>Oral diseases, 2024-03, Vol.30 (2), p.729-742</ispartof><rights>2022 Wiley Periodicals LLC.</rights><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-9a3a287cc7accffac79646a6c95c3bf6eadd2b135fc11dde5abbd2792a0e98403</citedby><cites>FETCH-LOGICAL-c3536-9a3a287cc7accffac79646a6c95c3bf6eadd2b135fc11dde5abbd2792a0e98403</cites><orcidid>0000-0001-8770-4622</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fodi.14366$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fodi.14366$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36055972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Merli, Mauro</creatorcontrib><creatorcontrib>Fratini, Adriano</creatorcontrib><creatorcontrib>Sforza, Nicola Marco</creatorcontrib><creatorcontrib>Landi, Luca</creatorcontrib><creatorcontrib>Pagliaro, Umberto</creatorcontrib><creatorcontrib>Franchi, Lorenzo</creatorcontrib><creatorcontrib>Nieri, Michele</creatorcontrib><title>Clinical decision‐making and management of stage IV periodontitis: A survey</title><title>Oral diseases</title><addtitle>Oral Dis</addtitle><description>Objective
To investigate the clinical management of stage IV periodontitis patients among clinicians within the Italian Society of Periodontology and Implantology.
Methods
A cross‐sectional study was designed on a web‐based anonymous survey. Comparison between ordinary members (OMs) versus active and certified members (ACMs) and comparison between members with at least 10 years of experience in periodontology (Ov10) and members with less than 10 years of experience in periodontology (Un10) were performed.
Results
A total of 324 out of 1362 members (response rate of 24%) responded to the questionnaire. ACMs and Ov10 more often reported their teams hold adequate skills to manage cases. Step I and II periodontal therapy took more time in the ACMs and Ov10 groups. ACMs used different strategies to perform step I‐II therapy, and antibiotics were used less frequently than OMs. Unresponsive sites were treated more often with surgery by ACMs compared to OMs. ACMs adopted different treatment sequences compared to OMs. Ov10 group used more often CBCT, lateral cephalogram, and wax‐up while Un10 group tend to avoid orthodontic therapy.
Conclusions
More experienced members spent more time in step I and II of periodontal therapy, used more diagnostic tools, and performed more often surgery and orthodontics in the treatment of stage IV periodontitis patients.</description><subject>Antibiotics</subject><subject>Clinical decision making</subject><subject>Cross-sectional studies</subject><subject>Decision making</subject><subject>dental implants</subject><subject>dental prosthesis</subject><subject>Gum disease</subject><subject>Medical diagnosis</subject><subject>Oral hygiene</subject><subject>Orthodontics</subject><subject>Patients</subject><subject>Periodontics</subject><subject>Periodontitis</subject><subject>stage IV periodontitis</subject><subject>Surgery</subject><subject>survey</subject><subject>Surveys</subject><subject>tooth loss</subject><issn>1354-523X</issn><issn>1601-0825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kEtOwzAQhi0EoqWw4ALIEisWaf2I7ZpdVV6ViroBxM5ybKdyaZISJ6DuOAJn5CQYAuzwZjzSp39mPgCOMRri-EaV9UOcUs53QB9zhBM0Jmw3_ilLE0boYw8chLBCCAtJyT7oUY4Yk4L0we107Utv9BpaZ3zwVfnx9l7oJ18uoS4tLHSpl65wZQOrHIYmNnD2ADeu9pWtysY3PpzDCQxt_eK2h2Av1-vgjn7qANxfXd5Nb5L54no2ncwTQxnlidRUk7EwRmhj8lwbIXnKNTeSGZrl3GlrSRa3zw3G1jqms8wSIYlGTo5TRAfgtMvd1NVz60KjVlVbl3GkIvFCKQRjIlJnHWXqKoTa5WpT-0LXW4WR-hKnojj1LS6yJz-JbVY4-0f-morAqANe_dpt_09Si4tZF_kJQad4-w</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Merli, Mauro</creator><creator>Fratini, Adriano</creator><creator>Sforza, Nicola Marco</creator><creator>Landi, Luca</creator><creator>Pagliaro, Umberto</creator><creator>Franchi, Lorenzo</creator><creator>Nieri, Michele</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0001-8770-4622</orcidid></search><sort><creationdate>202403</creationdate><title>Clinical decision‐making and management of stage IV periodontitis: A survey</title><author>Merli, Mauro ; Fratini, Adriano ; Sforza, Nicola Marco ; Landi, Luca ; Pagliaro, Umberto ; Franchi, Lorenzo ; Nieri, Michele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3536-9a3a287cc7accffac79646a6c95c3bf6eadd2b135fc11dde5abbd2792a0e98403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antibiotics</topic><topic>Clinical decision making</topic><topic>Cross-sectional studies</topic><topic>Decision making</topic><topic>dental implants</topic><topic>dental prosthesis</topic><topic>Gum disease</topic><topic>Medical diagnosis</topic><topic>Oral hygiene</topic><topic>Orthodontics</topic><topic>Patients</topic><topic>Periodontics</topic><topic>Periodontitis</topic><topic>stage IV periodontitis</topic><topic>Surgery</topic><topic>survey</topic><topic>Surveys</topic><topic>tooth loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Merli, Mauro</creatorcontrib><creatorcontrib>Fratini, Adriano</creatorcontrib><creatorcontrib>Sforza, Nicola Marco</creatorcontrib><creatorcontrib>Landi, Luca</creatorcontrib><creatorcontrib>Pagliaro, Umberto</creatorcontrib><creatorcontrib>Franchi, Lorenzo</creatorcontrib><creatorcontrib>Nieri, Michele</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Oral diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Merli, Mauro</au><au>Fratini, Adriano</au><au>Sforza, Nicola Marco</au><au>Landi, Luca</au><au>Pagliaro, Umberto</au><au>Franchi, Lorenzo</au><au>Nieri, Michele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical decision‐making and management of stage IV periodontitis: A survey</atitle><jtitle>Oral diseases</jtitle><addtitle>Oral Dis</addtitle><date>2024-03</date><risdate>2024</risdate><volume>30</volume><issue>2</issue><spage>729</spage><epage>742</epage><pages>729-742</pages><issn>1354-523X</issn><eissn>1601-0825</eissn><abstract>Objective
To investigate the clinical management of stage IV periodontitis patients among clinicians within the Italian Society of Periodontology and Implantology.
Methods
A cross‐sectional study was designed on a web‐based anonymous survey. Comparison between ordinary members (OMs) versus active and certified members (ACMs) and comparison between members with at least 10 years of experience in periodontology (Ov10) and members with less than 10 years of experience in periodontology (Un10) were performed.
Results
A total of 324 out of 1362 members (response rate of 24%) responded to the questionnaire. ACMs and Ov10 more often reported their teams hold adequate skills to manage cases. Step I and II periodontal therapy took more time in the ACMs and Ov10 groups. ACMs used different strategies to perform step I‐II therapy, and antibiotics were used less frequently than OMs. Unresponsive sites were treated more often with surgery by ACMs compared to OMs. ACMs adopted different treatment sequences compared to OMs. Ov10 group used more often CBCT, lateral cephalogram, and wax‐up while Un10 group tend to avoid orthodontic therapy.
Conclusions
More experienced members spent more time in step I and II of periodontal therapy, used more diagnostic tools, and performed more often surgery and orthodontics in the treatment of stage IV periodontitis patients.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36055972</pmid><doi>10.1111/odi.14366</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-8770-4622</orcidid></addata></record> |
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| subjects | Antibiotics Clinical decision making Cross-sectional studies Decision making dental implants dental prosthesis Gum disease Medical diagnosis Oral hygiene Orthodontics Patients Periodontics Periodontitis stage IV periodontitis Surgery survey Surveys tooth loss |
| title | Clinical decision‐making and management of stage IV periodontitis: A survey |
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