Longevity of direct restorations in Dutch dental practices. Descriptive study out of a practice based research network

Abstract Objectives The aim of this study is to determine the feasibility of conducting clinical research using electronic dental record (EDR) data from U.S. solo and small-group general dental practices in the National Dental Practice-Based Research Network (network) and evaluate the data completeness and correctness before performing survival analyses of root canal treatment (RCT) and posterior composite restorations (PCR). Methods Ninety-nine network general dentistry practices that used Dentrix or EagleSoft EDR shared de-identified data of patients who received PCR and/or RCT on permanent teeth through October 31, 2015. We evaluated the data completeness and correctness, summarized practice, and patient characteristics and summarized the two treatments by tooth type and arch location. Results Eighty-two percent of practitioners were male, with a mean age of 49 and 22.4 years of clinical experience. The final dataset comprised 217,887 patients and 11,289,594 observations, with the observation period ranging from 0 to 37 years. Most patients (73%) were 18 to 64 years old; 56% were female. The data were nearly 100% complete. Eight percent of observations had incorrect data, such as incorrect tooth number or surface, primary teeth, supernumerary teeth, and tooth ranges, indicating multitooth procedures instead of PCR or RCT. Seventy-three percent of patients had dental insurance information; 27% lacked any insurance information. While gender was documented for all patients, race/ethnicity was missing in the dataset. Conclusion This study established the feasibility of using EDR data integrated from multiple distinct solo and small-group network practices for longitudinal studies to assess treatment outcomes. The results laid the groundwork for a learning health system that enables practitioners to learn about their patients' outcomes by using data from their own practice.

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Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

10.21203/rs.3.rs-15507/v4 ◽

2020 ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Research Networks ◽

Postgraduate Students ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research ◽

Dental Practices

Abstract Background: Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.Results: In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p<0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p<0.001).Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.Trial registration: The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept

BMC Oral Health ◽

10.1186/s12903-020-01284-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Research Networks ◽

Postgraduate Students ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research ◽

Dental Practices

Abstract Background Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes. Methods Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre. Results In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153,163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p < 0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p < 0.001). Conclusion The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level. Trial registration The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept

10.21203/rs.3.rs-15507/v3 ◽

2020 ◽

Author(s):

Stefanie Anna Peikert ◽

Felix Mittelhamm ◽

Eberhard Frisch ◽

Kirstin Vach ◽

Petra Ratka-Krüger ◽

...

Keyword(s):

Treatment Outcomes ◽

Study Data ◽

Periodontal Treatment ◽

Research Network ◽

Research Networks ◽

Postgraduate Students ◽

Supportive Periodontal Therapy ◽

Study Centre ◽

Practice Based Research ◽

Dental Practices

Abstract Background: Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.Results: In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p<0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p<0.001).Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.Trial registration: The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448

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Random plasma glucose values measured in community dental practices: findings from The Dental Practice-Based Research Network

Clinical Oral Investigations ◽

10.1007/s00784-012-0825-y ◽

2012 ◽

Vol 17 (5) ◽

pp. 1383-1388 ◽

Cited By ~ 16

Author(s):

Andrei Barasch ◽

◽

Gregg H. Gilbert ◽

Noel Spurlock ◽

Ellen Funkhouser ◽

...

Keyword(s):

Plasma Glucose ◽

Research Network ◽

Dental Practice ◽

Practice Based Research ◽

Dental Practices

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Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Antibiotics ◽

10.3390/antibiotics10030303 ◽

2021 ◽

Vol 10 (3) ◽

pp. 303

Author(s):

Kevimy Agossa ◽

Kadiatou Sy ◽

Théo Mainville ◽

Marjolaine Gosset ◽

Sylvie Jeanne ◽

...

Keyword(s):

Antibiotic Use ◽

Aggressive Periodontitis ◽

Periodontal Therapy ◽

Research Network ◽

Prescribing Practices ◽

French Society ◽

Private Practitioners ◽

First Line Therapy ◽

Practice Based Research ◽

Systemic Antibiotics

The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.

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