Frequency of Adjunctive Treatments Requiring Referrals among Patients at Prosthodontics Department in Pakistan
DOI:
https://doi.org/10.51253/pafmj.v74i6.12440Keywords:
Adjunctive States/Treatment, Interdisciplinary Team Approach, Oral Hygiene, Prosthesis, Prosthodontics Treatment, Referral, Socioeconomic Status.Abstract
Objective: To report the frequency and types of adjunctive treatments requiring referral for patients in the Prosthodontics Department in Pakistan.
Study Design: Cross-sectional study.
Place and duration of study: The study was conducted in Prosthodontics Department, Peshawar Dental College, Peshawar from April 2020 to October 2020.
Methodology: The study involved 218 patients reporting to the outpatient department of the Prosthodontics department, both genders, with no prior prosthodontic experience. Following the establishment of the diagnosis, and treatment plan via history taking and examination, a decision for referral for adjunctive treatment required was made and noted in the patients’ record file, and this data was collected in a pre-structured proforma.
Results: In total, 218 patients who attended the Department of Prosthodontics were evaluated. The referrals made to the Departments of Operative Dentistry and Endodontics were of 97(44.49%) patients, Oral and maxillofacial Surgery (OMFS) were 61(27.98%) patients, followed by Periodontology were 58(26.60%) patients, while Orthodontics for only 2(0.92%) patients. A statistically significant association of these referrals was observed with the gender as well as the oral hygiene status of the patients with a p-value of 0.001 and 0.021. However, the association of these referrals with the socioeconomic status of the patients was statistically insignificant with a p- value of 0.604.
Conclusion: Referrals needed to the Operative/Endodontics Department were more followed by Oral And Maxillofacial and Periodontics Department. The least referrals were those of Orthodontics.
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References
Layton DM. The Glossary of Prosthodontic Terms 2023: Tenth Edition. J Prosthet Dent 2023; 130(4 Suppl 1): e1-e3.
https://doi. Org/10.1016/j.prosdent.2023.03.003
Knoernschild KL. Parameters of Care for the Specialty of Prosthodontics. J Prosthodont 2020; 29(S1): 3-147.
https://doi. org/10.1111/jopr.13176. PMID: 32681591
Allen Z, Richardson J, Nassar M, Moles D. Dentists' perceptions of their professional roles regarding referrals within primary dental care in England: a qualitative study. Community Dent Health. 2020 Aug 31; 37(3): 229-234.
https://doi.org/ 10.1922/CDH_00016Allen06
Rashid H, Naseem M, Vohra F, Shah SU, Shehzad A. Prosthodontic services provided by the Dental Practitioners of Karachi, Pakistan. J Pak Dent Assoc 2014; 23(4): 159-163.
Javali MA, Alkanad AMA, Saquib SA, Nagate RR, Khader MA, Khalid I, et al. Periodontal Treatment Practice and Referral Profile of General Dentists – A Cross-sectional Questionnaire Survey. Open Access Maced J Med Sci [Internet] 2021; 9(D): 8-13. https://oamjms.eu/index.php/mjms/article/view/4745
Ghiabi E, Matthews DC. Periodontal practice and referral profile of general dentists in Nova Scotia, Canada. J Can Dent Assoc 2012; 78: c55. https://doi.org/jcda.ca/article/c55
Doulkeridou C, Vouros I, Petridis A, Athanasia-Eirini A, Theodoridis C. Interdisciplinary Approach in Periodontology - A Mini-Review and A Report of Two Complex Cases. Dental Research and Oral Health 2020: 107-120.
https://doi.org/10.26502/droh.0025
Vaziri1 F, Zarifpour L. The referral pattern of patients to periodontists by general dentists. Brazilian Dental Science 2022; 25(2): 1-8.
https://doi.org/10.4322/bds.2022.e2761
Ghani F, Salim I. Comprehensive dental care teaching clinics: a concept for inculcating general dental practice skills in BDS students. Journal of Pakistan Dental Association 2010; 19(2): 75-77.
Ghani F Salim I. Referral trends and adjunctive treatments among prosthodontic patients. J Pak Dent Assoc 2010; 19(4): 191-197. https://www.researchgate.net/publication/310424849_referral_trends_and_adjunctive_treatments_among_prosthodontic_patients
Lyons KM, Darby I. Interdisciplinary periodontics: the multidisciplinary approach to the planning and treatment of complex cases. Periodontol 2017; 74(1): 7-10.
https://doi.org/10.1111/prd.12187
Zemanovich MR, Bogacki RE, Abbott DM, Maynard JG Jr, Lanning SK. Demographic variables affecting patient referrals from general practice dentists to periodontists. J Periodontol 2006; 77(3): 341-9.
https://doi.org/10.1902/jop.2006.050125. PMID: 16512747
Haripriya C, Shaik KV. Preprosthetic Surgery : Review of Literature, IJSS Case Reports & Reviews 2016; 3(4): 9-16.
https://api.semanticscholar.org/CorpusID:3840999
Rosa Bd, Barkert KA, Menegazzo GR, Pihan SA, Giordani. JMdA. Analysis of referrals determined by the screening processes in relation to the access to the clinics in the School of Dentistty at the Federal University of Santa Maria. Revista da ABENO 2020; 20(1): 91-101.
https://doi.org/10.30979/rev.abeno.v20i1.863
Rajeh. MT. Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia. Clinical, Cosmetic and Investigational Dentistry. Clinical, Cosmetic and Investigational Dentistry 2022; 14(4): 235-244.
https://doi.org/10.2147/CCIDE.S379171
O Connor C, Bridges-Smith F, Docherty C, Holliday R. General dental practitioner views on the current and future provision of advanced NHS restorative dentistry services: a cross-sectional survey in England. Br Dent J 2022 Mar 4: 1–6.
https://doi.org/10.1038/s41415-022-4035-y
Agbara R, Fomete B, Omeje KU. Neurogenic Tumors of the Oral and Maxillofacial Region in a Nigerian Population. West Afr J Med. 2022; 39(6): 628-634. PMID: 35752969.
Riordain RN OKMC. Retrospective evaluation of the referral pattern to an oral medicine unit in Ireland. Community Dent Health. Community Dent Health 2011; 28(1): 107–110. PMID: 21485246
Mthethwa, SR, Ramphoma, KJ.The referral system for specialist dental services at Sefako Makgatho Oral Health Centre: a cross-sectional study. South African Dental Journal 2021; 76(10): 618-623.
https://doi.org/10.17159/2519-0105/2021/v76no10a6
Karuveettil V, Janakiram C, Krishnan V, Mathew A, Venkitachalam R, Varma B, et al. Perceptions of a comprehensive dental care teaching clinic among stakeholders in a dental teaching hospital in South India: A baseline assessment. Med J Armed Forces India 2021; 77(Suppl 1): S195-S201.
https://doi.org/10.1016/j.mjafi.2020.12.032
Chen H, Pendleton C, Caplan DJ, Xie XJ. Chairside risk assessment for first-onset temporomandibular disorders: Result from the Orofacial Pain: Prospective Evaluation and Risk Assessment data set. J Am Dent Assoc 2021; 152(7): 505-513.e2. https://doi.org/10.1016/j.adaj.2021.02.010
Armfield JM, Milgrom P. A clinician guide to patients afraid of dental injections and numbness. SAAD Dig 2011; 27: 33-9. PMID: 21323034.
Shabbira S, Shaheedb M, Ilyasc K, Zakria E. Knowledge of fresh graduates in the field of dentistry regarding interceptive orthodontics. Pakistan Orthodontic Journal (POJ). 2022; 14(1): 51-56.
https://poj.org.pk/index.php/poj/article/view/325/299
Sivarajasingam V, Athwal J, Lewis K. Oral surgery referrals at a UK dental hospital in the context of a managed clinical network: a mixed‐methods study. Oral Surgery 2020; 2020; 13: 212--220. https://doi.org/10.1111/ors.12478
Naumann M, Adali U, Rosentritt M, Happe A, Frankenberger R, Sterzenbach G, et al. Effect of apical root resection, orthodontic extrusion, and surgical crown lengthening on load capability. Clin Oral Investig 2023; 27(8): 4379-4387.
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Copyright (c) 2024 Ali Waqar Qureshi, Dr. Adnan Sunny, Sardar Waleed Babar, Areesha Ahsan, Shujaat Hasan Idris, Natasha Khan
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