Assessment of Dentists’ Referral Patterns to Endodontist in Turkey
Year 2020,
Volume: 6 Issue: 2, 220 - 226, 31.08.2020
Öznur Sarıyılmaz
,
Elif Kalyoncuoğlu
Abstract
Objective: To determine the factors of endodontic referral from general dental practitioners in Turkey.
Methods: A questionnaire containing 39 questions was designed to determine the need for referral to endodontists and the factors that influenced the decision to refer a patient to the endodontist. The survey was sent by e-mail to be registered dentists in a database of the Turkish Dental Association, and only unequivocal responses were included in calculating the percentage data. The categorical data were analyzed with a chi-square test, and the results were presented as frequency and percentage. The significance threshold for all tests was set at p<0.05.
Results: The response rate was 5.5% (655). The majority (96.8%) of the respondents performed root canal treatment by themselves, and they refer the patient to an endodontist (92.3%) when they encounter a challenging case. Statistical analyses revealed that female general dentists referred more patients to endodontists than males (p<0.05). “Limitations in mouth opening” was the most common referral reason in the patient related factors. “Difficult diagnosis” was the most common referral reason in the teeth and diagnosis-related factors. A statistically negative correlation was found between the professional experience and patient referral (p<0.05).
Conclusion: We concluded that many patient- and tooth-related factors influence the endodontic referral of patients. For a successful treatment, a general dentist should make a proper diagnosis and refer to a specialist if necessary.
References
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- Wolcott JF, Terlap HT. Follow-up Survey of General Dentists to Identify Characteristics Associated with Increased Referrals to Endodontists. J Endod. 2014;40(2):204-10.
- Zemanovich MR, Russell EB, Abbott DM, Maynard GJ Jr, Lanning SK. Demographic variables affecting patient referrals from general practice dentists to periodontists. J Periodontol. 2006;77(3):341-9.
Year 2020,
Volume: 6 Issue: 2, 220 - 226, 31.08.2020
Öznur Sarıyılmaz
,
Elif Kalyoncuoğlu
Supporting Institution
Yok
References
- Abbott JA, Wolcott JF, Gordon G, Terlap HT. Survey of general dentists to identify characteristics associated with increased referrals to endodontists. J Endod. 2011;37(9):1191-6.
- Abbott PV. Analysis of a referral-based endodontic practice: Part 1. Demographic data and reasons for referral. J Endod. 1994;20(2):93-6.
- Alley BS, Kitchens G, Alley L, Eleazer P. A comparison of survival of teeth following endodontic treatment performed by general dentists or by specialists. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(1):115-8.
- Avcıoglu GŞ. Internet survey applications in social sciences: response rate, data quality, sample problems and solutions. International Journal of Human Sciences 2014;11:89-113.
- Bader JD, Shugars DA. Agreement among dentists’ decisions for restorative treatment. J Dent Res. 1993;72(5):891-6.
- Barnes, S. Patel & F. Mannocci. Why do general dental practitioners refer to a specific specialist endodontist in practice? Int Endod J. 2011;44(1):21-32.
- Caplan DJ, Reams G, Weintraub JA (1999). Recommendations for Endodontic Referral among Practitioners in a Dental HMO. J Endod. 1999;25(5):369-75.
- Cottrell DA, Reebye UN, Blyer SM. Referral patterns of general dental practitioners for oral surgical procedures. J Oral Maxillofac Surg. 2007;65(4):686-90.
- de Cleen MJH, Schuurs AHB, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in an adult Dutch population. Int Endod J. 1993;26(2):112-9.
- deMoor RJG, Hommez GMG, De Boever JG, Delme KIM, Martens GEI. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J. 2000;33(2):113-20.
- Elderton RJ, Nuttal NM. Variation among dentists in planning treatment. Br Dent J. 1983;154(7):201-6.
- Falcon HC, Richardson P, Shaw MJ, Bulman JS, Smith BGN. Developing an index of restorative treatment need. Br Dent J. 2001;190(9):479-86.
- Friedman S, Abitbol S, Lawrence HP. Treatment outcomes in endodontics: The Toronto Study. Phase 1: Initial Treatment. J Endod. 2003;29(12):787-93.
- Gencoğlu N, Pekiner FN, Gumru B, Helvacıoğlu D. Periapical status and quality of root fillings and coronal restorations in an adult Turkish subpopulation. Eur J Dent. 2010;4(1):17-22.
- Harty FJ. A survey of endodontic procedures performed by practitioners in limited practice. Int Endod J. 1992 Jan;25(1):25-8.
- Hommez GM, De Moor RJ, Braem M. Endodontic treatment performed by Flemish dentists. Part 2. Canal filling and decision making for referrals and treatment of apical periodontitis. Int Endod J. 2003;36(5):344-51.
- Kalender A, Orhan K, Aksoy U, Basmaci F, Er F, Alankus. A Influence of the quality of endodontic treatment and coronal restorations on the prevalence of apical periodontitis in a Turkish Cypriot population. Med Princ Pract. 2013;22(2):173-7.
- Kim S. Prevalence of referral reasons and clinical symptoms for endodontic referrals. Restor Dent Endod. 2014;39(3):210-4.
- Kirkevang LL, Orstavik D, Ho Orsted-Bindslev P, Wenzel A. Frequency and distribution of endodontically treated teeth and periapical periodontitis in an urban Danish population. Int Endod J. 2001;34(3):198-205.
- Kirkevang LL, Orstavik D, Ho Orsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J. 2000;33(6):509-15.
- Maupome G, Sheiham A. Clinical decision-making in restorative dentistry. Content-analysis of diagnostic thinking processes and concurrent concepts used in an educational environment. Eur J Dent Educ. 2000;4(4):143-52.
- Messer HH. Clinical Judgement And Decision Making In Endodontics. Aust Endod J. 1999;25(3):124-32.
- Ozbas H, Aşcı S, Aydın Y. Examination of the prevalence of periapical lesions and technical quality of endodontic treatment in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(1):136-42.
- Peciuliene V, Rimkuviene J, Maneliene R, Drukteinis S. The need and reasons for referrals to specialists among Lithuanian general dentists. Medicina (Kaunas). 2010;46(9):611-5.
- Ree MH, Timmerman MF, Wesselink PR. An evaluation of the usefulness of two endodontic case assessment forms by general dentists. Int Endod J. 2003;36(8):545-55.
- Ree MH, Timmerman MF, Wesselink PR. Factors influencing referral for expert endodontic treatment among a group of Dutch general practitioners. Int Endod J 2003;36: 129-34.
- Rosenberg RJ, Goodis HE. Endodontic case selection: to treat or to refer. J Am Dent Assoc. 1992;123(12):57-63.
- Schonlau M, Fricker, RD, Elliott MN. Conducting research surveys via e-mail and the web. Santa Monica: Rand; 2002.
- Wolcott JF, Terlap HT. Follow-up Survey of General Dentists to Identify Characteristics Associated with Increased Referrals to Endodontists. J Endod. 2014;40(2):204-10.
- Zemanovich MR, Russell EB, Abbott DM, Maynard GJ Jr, Lanning SK. Demographic variables affecting patient referrals from general practice dentists to periodontists. J Periodontol. 2006;77(3):341-9.