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Table of Contents
ORIGINAL ARTICLE
Year : 2020  |  Volume : 7  |  Issue : 2  |  Page : 30-32

Knowledge, attitude, and practice of dentists toward immediate dental implant


1 Senior Resident, Department of Dentistry, College and Hospital, Patliputra Medical College and Hospital, Dhanbad, Jharkhand, India
2 Senior Lecturer, Department of Periodontology and Oral Implantology, College and Hospital, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India
3 Private Practitioner, Singh Dental Care, Department of Oral and Maxillofacial Surgery, Sidgora, Jamshedpur, Jharkhand, India
4 Post Graduate Student, Department of Oral and Maxillofacial Surgery, College and Hospital, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India
5 Professor and HOD, Department of Dentistry, College and Hospital, Patliputra Medical College and Hospital, Dhanbad, Jharkhand, India
6 Post Graduate Student, Department of Prosthodontics, College and Hospital, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India

Date of Submission01-Jun-2020
Date of Acceptance08-Jun-2020
Date of Web Publication27-Jun-2020

Correspondence Address:
Dr. Ujjwal Priyadarsi
K5-14, Jhelum Apartment, Siroman Nagar, Near MGM Medical College, Dimna, Jamshedpur - 831 012, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INPC.INPC_21_20

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  Abstract 


Background: With the advent of immediate single-stage implant placement, the edentulous patient can receive replacement in the same surgical visit, thereby reducing the time that has elapsed between tooth extraction and implant placement. There is a scarcity of literature that assesses patient's knowledge, attitude, and practice (KAP) of dental students toward immediate implant placement, therefore the need of the study.
Materials and Methods: A multiple-choice questionnaire consisting of 12 questions was framed and distributed to dentists between January 2019 and June 2019 from all the dental clinics in Dhanbad, Jharkhand, India, who have entered their clinical practice with the primary objective to determine their KAP toward loading protocols of immediate and delayed implants.
Results: Thirty-one percent of the respondents are aware of loading protocols of immediate implants and delayed loading and 69% were not aware of immediate implant procedures.
Conclusion: Although dental implants have changed the outlook of dentistry in the past few decades, the knowledge and practice of implants by dental practitioners in Dhanbad is still limited, and there is a need to improve the same.

Keywords: Dental implants, dentistry, immediate dental implants


How to cite this article:
Priyadarsi U, Alam MS, Singh PK, Sen D, Azam F, N. Minz RS. Knowledge, attitude, and practice of dentists toward immediate dental implant. Int J Prev Clin Dent Res 2020;7:30-2

How to cite this URL:
Priyadarsi U, Alam MS, Singh PK, Sen D, Azam F, N. Minz RS. Knowledge, attitude, and practice of dentists toward immediate dental implant. Int J Prev Clin Dent Res [serial online] 2020 [cited 2020 Nov 29];7:30-2. Available from: https://www.ijpcdr.org/text.asp?2020/7/2/30/288188




  Introduction Top


A dental implant is an increasingly popular treatment option with a high success rate. Immediate implants, delayed loading, and conventional loading are three main loading protocols in implants. With the advent of immediate single-stage implant placement, the edentulous patient can receive replacement in the same surgical visit, thereby reducing the time that has elapsed between tooth extraction and implant placement.[1],[2],[3] However, these benefits come at the cost of associated risk factors including increased risk of infection, the need for bone augmentation procedure to solve disturbances between the implant surface and alveolar bone, esthetic complications, and mucosal recession which occurs due to the paucity of the facial bone wall to support the facial soft tissues.[4],[5],[6] It also requires more chairside time for both dentists and patients at the time of implant placement. There is a scarcity of literature, which assesses patient's knowledge, attitude, and practice (KAP) of dental students toward immediate implant placement, therefore the need of the study.


  Materials and Methods Top


A multiple-choice questionnaire consisting of 12 questions was framed and distributed to dentists between January 2019 and June 2019 from all the dental clinics in Dhanbad, Jharkhand, India, who have entered their clinical practice with the primary objective to determine their KAP toward loading protocols of immediate and delayed implants. A total of 100 dentists participated in the study. A self-administered questionnaire was distributed to the participants and collected in the same visit.


  Results Top


The results were reported by summarizing responses to each of the 12 questions. The participants consist of 90% of male respondents and 10% of female respondents. [Figure 1] shows that 31% of the respondents are aware of loading protocols of immediate implants and delayed loading and 69% were not aware. [Figure 2] shows that most of the respondents quote esthetics (56%) as an important reason for immediate placement in the anterior teeth region, followed by the preservation of soft tissue (34%) and absence of anatomical constraints (10%).
Figure 1: Knowledge of dentists toward immediate and conventional loading of implants

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Figure 2: Response toward reasons for immediate implant placement in the anterior teeth

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  Discussion Top


The results obtained reported that immediate implants are gaining more popularity in replacing the anterior missing teeth because keratinized mucosa width in patients treated by immediate implants combined with subepithelial connective tissue grafts had values >3 mm at the end of follow-up. Also, when asked about the difference in crestal bone resorption between immediate and delayed implants, most of the respondents (56%) agreed that there is a difference in crestal bone resorption between immediate and delayed implants. However, in a study, it was found that the mean and standard deviation of crestal bone resorption with immediate loading and delayed loading is 0.14 ± 0.314 and 0.187 ± 0.09, which shows that there is a statistical significance in the crestal bone resorption between immediate and delayed implants.[7] The study suggests that there is a need to raise awareness regarding implant loading protocols among dentists.[8] The study also suggested the availability of many single-implant systems in India, as a hindrance for dentists not practicing implant dentistry, and 95% of these suggested some need of standardization of implant systems because they believed that it will reduce the cost of the treatment and make the procedure simpler.[9]


  Conclusion Top


From the present study, it can be concluded that there are limited KAP about loading single-implant protocols and clinical criteria for immediate and delayed implants among dentists of this institution, though their knowledge and awareness about implants are appreciable. Although dental implants have changed the outlook of dentistry in the past few decades, the knowledge and practice of implants by dental practitioners in Dhanbad is still limited, and there is a need to improve the same. Despite the increasing number of dental practitioners practicing implant dentistry, it can be found that cost and lack of skills were the predominant factors preventing dentists from practicing implantology. One of the inhibitions for not going for implant treatment is cost, so an effort should be made to educate the patient about the advantages of doing dental implants over other treatment modalities and that the cost is justified. The patient should also be made aware that dentistry is not expensive, neglect is.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Schultz W, Heimke G. Outcomes of immediate implants. Quests Senz 1976;27:17-23.  Back to cited text no. 1
    
2.
Niklai JA, Zarb GA. Immediate and early implant loading protocols: A literature review of clinical studies. J Prosthet Dent 2005;94:242-58.  Back to cited text no. 2
    
3.
Anil S, Preethanath RS, AlMoharib HS, Kamath KP, Anand PS. Impact of osteoporosis and its treatment on oral health. Am J Med Sci 2013;346:396-401.  Back to cited text no. 3
    
4.
Attard NJ, Zarb GA. Immediate and early implant loading protocols: A literature review of clinical studies. J Prosthet Dent 2005;94:242-58.  Back to cited text no. 4
    
5.
Esposito M, Felicle P, Worthigton HV. Intervention for replacing missing teeth: Dental implants in fresh extraction sockets. Aust Dent J 2011;56:100-2.  Back to cited text no. 5
    
6.
Barzilay I. Immediate implants: Their current status. Int J Prosthodont 1993;6:169-75.  Back to cited text no. 6
    
7.
Chen ST, Darby IB, Reynolds EC. A prospective clinical study of non-submerged immediate implants: Clinical outcomes and esthetic results. Clin Oral Implants Res 2007;18:552-62.  Back to cited text no. 7
    
8.
Block MS, Mercante DE, Irette LD, Mohamed W, Ryser M, Castellon P. Prospective evaluation of immediate and delayed provisional single tooth restoration. J Oral Maxillofac Surg 2009;67 Suppl 3:89-107.  Back to cited text no. 8
    
9.
Waasdorp JA, Evian CI, Mandracchia M. Immediate placement of implants into infected sites: A systemic review. J Periodontal 2010;81:801-8.  Back to cited text no. 9
    


    Figures

  [Figure 1], [Figure 2]



 

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   Abstract
  Introduction
   Materials and Me...
  Results
  Discussion
  Conclusion
   References
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