Awareness of patients’ orthodontic problems and referral practices among general dental practitioners and non-orthodontic specialists

  • Muhammad Abdullah Kamran King Khalid University, College of Dentistry, Department of Orthodontics, Abha, Kingdom of Saudi Arabia
  • Rawan Ahmed Saddah King Khalid University, College of Dentistry, Dental Interns, Abha, Kingdom of Saudi Arabia
  • Afnan Mohammed Alasmari King Khalid University, College of Dentistry, Dental Interns, Abha, Kingdom of Saudi Arabia
  • Salem Almoammar King Khalid University, College of Dentistry, Department of Orthodontics, Abha, Kingdom of Saudi Arabia
  • Abdullah A Alnazeh King Khalid University, College of Dentistry, Department of Orthodontics, Abha, Kingdom of Saudi Arabia
  • Ibrahim Alshahrani King Khalid University, College of Dentistry, Department of Orthodontics, Abha, Kingdom of Saudi Arabia
Keywords: dentists, knowledge, orthodontics, referral and consultation, surveys and questionnaires

Abstract


Background/Aim. Dentists and particularly general dental practitioners (GDPs) should be able to identify problems such as malocclusions and refer patients with such problems to orthodontics. The aim of the study was to evaluate the awareness of orthodontic problems and referral practices among GDPs and non-orthodontic specialists practicing in the Kingdom of Saudi Arabia. Methods. A cross-sectional prospective study included GDP and specialists/consultants of both genders, aged between 22–60 years, practicing general dentistry and specialists other than orthodontics who had worked in their field for two or more years. Non-practicing dentists and nonregistered dentists were excluded. Data was analyzed on SPSS version 21.00. Results. Among the respondents, 55.5% were men, and 44% were GDPs. Out of the total number of respondents, 107 (53.5%) GDPs and 66 (33%) non-orthodontic specialists practiced orthodontic referral in their practices. By using the χ2 test, statistical analysis of different variables depending on the participants’ gender and specialty was performed. It revealed that variables with significant p-value were: orthodontist referral, the recommendation of orthodontic treatment only after the eruption of all permanent teeth, awareness of tooth extraction for alignment of irregular teeth, and awareness regarding worsening of temporomandibular joint problems by orthodontic treatment. Conclusion. The referral practices of dentists practicing in the Kingdom of Saudi Arabia concerning orthodontic patients were satisfactory, although awareness regarding orthodontic problems requires continuous learning and considerate positive progression toward basic orthodontics.

References

Malik V, Grover S, Sidhu MS, Yadav P, Chaudhary P. Evalua-tion of orthodontic treatment need and its correlation with the perception, awareness and satisfaction of personal dental appearance among dental students. J Orofac Res 2013; 3(1): 5‒11.

Albarakati SF. Self-perception of malocclusion of Saudi pa-tients using the aesthetic component of the IOTN index. Pak Oral Dent J 2007; 27(1): 45‒51.

Jayaprakash PK, Modi P, Sapawat P, Thakur RS, Choudhari T, Chandrakar J. A survey on orthodontic services provided by general dental practitioners. J Family Med Prim Care 2019; 8(7): 2490‒5.

Wolsky SL, McNamara JA Jr. Orthodontic services provided by general dentists. Am J Orthod Dentofacial Orthop 1996; 110(2): 211‒7.

Jacobs RM, Bishara SE, Jakobsen JR. Profiling providers of or-thodontic services in general dental practice. Am J Orthod Dentofac Orthop 1991; 99(3): 269–75.

Bondt B, Aartman IH, Zentner A. Referral patterns of Dutch general dental practitioners to orthodontic specialists. Eur J Orthod 2010; 32(5): 548–54.

Sharma R, Kumar S, Singla A, Kumar D, Chowdhary S. Knowledge, attitude and practices of pediatricians regarding malocclusion in Haryana, India. J Indian Assoc Public Health Dent 2016; 14(2): 197‒201.

Aldrees AM, Tashkandi NE, AlWanis AA, AlSanouni MS, Al-Hamlan NH. Orthodontic treatment and referral patterns: A survey of pediatric dentists, general practitioners, and ortho-dontists. Saudi Dent J 2015; 27(1): 30‒9.

Kapoor D, Bhatia S, Garg D. Assessment of the Attitude and Knowledge of the Principles and Practices of Orthodontic Treatment Among the Non-Orthodontic Specialists and Gen-eral Practitioner Dentists. JNMA J Nepal Med Assoc 2018; 56(212): 766‒9.

Acharya A, Mishra P, Shrestha RM, Shah P. Orthodontic Treatment Knowledge among General Dentists and Non-Orthodontic Specialists. Orthodon J Nepal 2019; 9(1): 40‒4.

Alnusayri MO, KuraymAlenazi KK, Patil SR, Aileni KR, Rao KA. Knowledge and attitude regarding principles and practices of orthodontic treatment among general dental practitioners and non-orthodontic specialists of Saudi Arabia: A preliminary study. J Res Med Dent Sci 2017; 5(3): 59‒62.

AlBaker AM, Al-Ruthia YS, AlShehri M, Alshuwairikh S. The characteristics and distribution of dentist workforce in Saudi Arabia: a descriptive cross-sectional study. Saudi Pharm J 2017; 25(8): 1208‒16.

Reddy S, Derringer KA, Rennie L. Orthodontic referrals: why do GDPs get it wrong? Br Dent J 2016; 221(9): 583‒7.

Eskeli R, Lösönen M, Ikävalko T, Myllykangas R, Lakka T, Laine-Alava MT. Secular trends affect timing of emergence of permanent teeth. Angle Orthod 2016; 86(1): 53‒8.

Seema K L, Kapil B L, Ashok M K, Akhil GR. Orthodontics or surgery? – what to do first. Orthod Update 2016; 9(3): 105‒8.

Sastri MR, Tanpure VR, Palagi FB, Shinde SK, Ladhe K, Polepalle T. Study of the Knowledge and Attitude about Principles and Practices of Orthodontic Treatment among General Dental Practitioners and Non-Orthodontic Specialties. J Int Oral Health 2015; 7(3): 44‒8.

Jenkins PM, Feldman BS, Stirrups DR. The effect of social class and dental features on referrals for orthodontic advice and treatment. Br J Orthod 1984; 11(4): 185‒8.

Hassan AH, Turkistani AA, Hassan MH. Skeletal and dental characteristics of subjects with incompetent lips. Saudi Med J 2014; 35(8): 849‒54.

Al-Zubair NM. Perception of occlusion and reasons for not seeking orthodontic treatment among Yemeni children. J Or-thod Res 2014; 2(2): 68‒73.

Yule PL, Durham J, Wassell RW. Pain part 6: temporomandib-ular disorders. Dent Update 2016; 43(1): 39‒42, 45‒8.

Silvola AS, Tolvanen M, Rusanen J, Sipilä K, Lahti S, Pirttiniemi P. Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion? Acta Odontol Scand 2016; 74(1): 44‒50.

Published
2022/09/21
Section
Original Paper