Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery

Objectives. The aim of this study was to assess appropriateness of diagnostic exams, treatments, and procedures among Italian dental practitioners. Materials and Methods. A questionnaire with multiple responses on topics of dentistry and oral medicine was administered to a sample of 198 Italian dent...

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Main Authors: Giacomo Oteri, Vera Panzarella, Antonia Marcianò, Olga Di Fede, Laura Maniscalco, Matteo Peditto, Giuseppina Campisi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2018/3245324
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author Giacomo Oteri
Vera Panzarella
Antonia Marcianò
Olga Di Fede
Laura Maniscalco
Matteo Peditto
Giuseppina Campisi
author_facet Giacomo Oteri
Vera Panzarella
Antonia Marcianò
Olga Di Fede
Laura Maniscalco
Matteo Peditto
Giuseppina Campisi
author_sort Giacomo Oteri
collection DOAJ
description Objectives. The aim of this study was to assess appropriateness of diagnostic exams, treatments, and procedures among Italian dental practitioners. Materials and Methods. A questionnaire with multiple responses on topics of dentistry and oral medicine was administered to a sample of 198 Italian dental practitioners. Information on characteristics of the respondents was also collected. Descriptive statistics and multiple correspondence analysis (MCA) were applied. Data were analyzed using R software (version 3.3.2). Results. The survey respondents included Doctors of Medicine (MD) (54/198 = 27%) with or without specialty in dentistry (33% versus 67%), Doctors of Dental Surgery (DDS) (144/198 = 73%), DDS with specialty in orthodontics (7%), and DDS with specialty in oral surgery (4%). Mandatory procedures in dental and oral medicine education and training include (a) prescription of antibiotics before/after oral surgery procedures; (b) prevention strategies for oral cancer, and (c) prescription of dental X-ray examinations (41%, 52%, and 48%, resp.). Conclusion. On examining the results of the survey, it is evident that information and implementation of the above mentioned procedures are crucially needed. Our results confirm the necessity to reduce inappropriate practices in dentistry, implementing formation and information, leading to correct prescriptions, and optimizing patients’ oral health. This coincides with the Italian Slow Medicine program entitled “Fare di più non significa fare meglio–Choosing Wisely Italy,” which has also motivated this study.
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spelling doaj-art-97f562f02ab24e1c9a188da95bf990e42025-02-03T05:58:59ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/32453243245324Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and SurgeryGiacomo Oteri0Vera Panzarella1Antonia Marcianò2Olga Di Fede3Laura Maniscalco4Matteo Peditto5Giuseppina Campisi6Department of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, via Consolare Valeria University Hospital “Gaetano Martino”, 98124 Messina, ItalyDepartment of Sensorineural and Movement Surgery, Oral Medicine and Dentistry for Patients with Special Needs, University of Palermo, via del Vespro 129, 90127 Palermo, ItalyDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, via Consolare Valeria University Hospital “Gaetano Martino”, 98124 Messina, ItalyDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, via Liborio Giuffrè 5, 90123 Palermo, ItalyDepartment of Sensorineural and Movement Surgery, Oral Medicine and Dentistry for Patients with Special Needs, University of Palermo, via del Vespro 129, 90127 Palermo, ItalyDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, via Consolare Valeria University Hospital “Gaetano Martino”, 98124 Messina, ItalyDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, via Liborio Giuffrè 5, 90123 Palermo, ItalyObjectives. The aim of this study was to assess appropriateness of diagnostic exams, treatments, and procedures among Italian dental practitioners. Materials and Methods. A questionnaire with multiple responses on topics of dentistry and oral medicine was administered to a sample of 198 Italian dental practitioners. Information on characteristics of the respondents was also collected. Descriptive statistics and multiple correspondence analysis (MCA) were applied. Data were analyzed using R software (version 3.3.2). Results. The survey respondents included Doctors of Medicine (MD) (54/198 = 27%) with or without specialty in dentistry (33% versus 67%), Doctors of Dental Surgery (DDS) (144/198 = 73%), DDS with specialty in orthodontics (7%), and DDS with specialty in oral surgery (4%). Mandatory procedures in dental and oral medicine education and training include (a) prescription of antibiotics before/after oral surgery procedures; (b) prevention strategies for oral cancer, and (c) prescription of dental X-ray examinations (41%, 52%, and 48%, resp.). Conclusion. On examining the results of the survey, it is evident that information and implementation of the above mentioned procedures are crucially needed. Our results confirm the necessity to reduce inappropriate practices in dentistry, implementing formation and information, leading to correct prescriptions, and optimizing patients’ oral health. This coincides with the Italian Slow Medicine program entitled “Fare di più non significa fare meglio–Choosing Wisely Italy,” which has also motivated this study.http://dx.doi.org/10.1155/2018/3245324
spellingShingle Giacomo Oteri
Vera Panzarella
Antonia Marcianò
Olga Di Fede
Laura Maniscalco
Matteo Peditto
Giuseppina Campisi
Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
International Journal of Dentistry
title Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
title_full Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
title_fullStr Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
title_full_unstemmed Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
title_short Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery
title_sort appropriateness in dentistry a survey discovers improper procedures in oral medicine and surgery
url http://dx.doi.org/10.1155/2018/3245324
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