Referral patterns of general dental practitioners for bone grafting and implant placement
Abstract
Background: Dental implant rehabilitation is a well‐established procedure often conducted in the general dental practise setting. The outcomes for implant placement are reliable when the recipient site is favourable. The goal of this study was to assess the accuracy with which general dental practitioners (GDP) assess the bone volume available for implant placement and their referral patterns for implant sites, which may require bone grafting. Methods: Fifty‐three GDP were surveyed and asked to assess five different scenarios and cone‐beam scans for difficulty (0, ‘no difficulty’; 5, ‘the most difficult’), and bone grafting requirements (‘yes’/‘no’ and ‘who to perform’), prior to implant placement. Results: The GDP assessment of difficulty for the cases was: no graft required, 1.88; aesthetic zone involvement, 3.25; vertical deficiency, 2.8; sinus lift required, 3.68; and horizontal deficiency, 4.4. GDP seemed to have some difficulty identifying which cases required a bone graft, occasionally grafting a site with sufficient bone (12.5%), or not grafting a site with insufficient bone (45–75%). Conclusions: These results show that GDP are accurate in assessing the difficulty of an implant case and conservative when it comes to attempting these complex cases. GDP are less confident when it comes to recognizing cases that require bone grafting, and what options are available.
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Studies examining GDP knowledge of peri-implant disease have similarly identified low levels of awareness and limited clinical experience.
“Studies examining GDP knowledge of peri-implant disease have similarly identified low levels of awareness and limited clinical experience [15, 16].”
From Confidence of primary care dental practitioners in the assessment, referral and maintenance of dental implants: a cross-sectional survey in Yorkshire (2026) · cites this paper as [16]
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- Authors
- Gupta, B., Shadbolt, B., & Hyam, D.
- Affiliations
- Canberra Hospital (AU)
- Corresponding author
- Gupta, B
- Venue
- Australian Dental Journal
- Publisher
- Wiley
- Published
- 2017-05-22
- Volume
- 62
- Issue
- 3
- Pages
- 311-316
- ISSN
- 0045-0421 (ISSN-L)
- 1834-7819
- OpenAlex
- W2591693682
- Cited by
- 4
- References
- 9
- Citations by year
- 2026: 1 · 2024: 1 · 2020: 1 · 2018: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Dental Journal (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Oral Surgery › Dental Radiography and Imaging
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Keywords
- dental implant surgery, bone grafting, general dentists, referral patterns, cone-beam computed tomography, maxillary sinus floor elevation, esthetic zone
- MeSH terms
- Adult, Dental Implantation, Endosseous, Female, General Practice, Dental, Humans, Male, Middle Aged, Referral and Consultation, Dental Implants, Bone Transplantation, Practice Patterns, Dentists', Cone-Beam Computed Tomography, Young Adult
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