Methods: A survey questionnaire was mailed to all 443 general dentists practicing in the province of Nova Scotia in the summer of 2009. The dentists were presented with a number of clinical scenarios and were asked whether they would treat each scenario in office, or refer to the specialist. Logistic regression analyses were performed to analyze the data.
Results: Of the 279 (63%) responses received, 272 (61% of total) were eligible to be included in the analysis. The majority of the dentists reported rendering non-surgical periodontal therapy, including scaling (98.5%), periodontal maintenance (95.9%) and treatment for bruxism (95.1%). The most common surgical procedures performed by the dentists were frenectomy (29.4%), gingivectomy (29.3%) and crown-lengthening procedures (17%). Eleven factors were identified that significantly influenced the dentist’s decision to treat in his/her office or to refer out. The most common criteria used by the dentists in selecting a periodontist were previous patient satisfaction, previous success (with treatment), personality of and good communications with the periodontist.
Conclusions: Dentists in our study reported rendering non-surgical periodontal therapy on a wide scale, whereas their involvement in oral/periodontal and implant surgical therapies was limited.
Keywords: Periodontics, Practice Profile and Providers
See more of: Behavioral, Epidemiologic, and Health Services Research