Actual Practical Attitude and Knowledge of Dental Implants among Senior Dental Students and General Dentists Graduated from Some Saudi and Non-Saudi Dental Schools
Objective: To assess the actual practical attitude and knowledge of dental implants among senior dental students and general dentists graduated from some Saudi and Non-Saudi dental schools. Methods: A total of 300 senior dental students and general dentists participated in the study. Hard copies of the self-designed, multiple-choice questionnaires were distributed to all participants. The questionnaire consisted of 31 questions in five parts. Data were collected and analyzed using Chi-square test and t-test, where p < 0.05 was calculated to be statistically significant and p < 0.001 to be statistically highly significant. Results: There is a statistically significant relationship between the participants’ answers, and their dental schools. Participants’ general knowledge, training, and teaching of dental implants, as well as information about restorations retained for the dental implants, were higher among participants from Saudi dental schools than participants from non-Saudi dental schools, while the information about dental implants was higher among participants from non-Saudi dental schools than participants from Saudi dental schools. Conclusion: We conclude that the actual practical attitude and knowledge of dental implants among participants in the current study was insufficient. Therefore, dental implant education in the undergraduate curricula of dental schools surveyed should be updated to include teaching, laboratory training, and preclinical and clinical training.
References
[1]
Al Kindi, M., Ramalingam, S., Abuhaimed, A. and Alkharan, H. (2018) Undergraduate Implant Dentistry Training in Saudi Dental Schools. Journal of Ayub Medical College Abbottabad, 30, 217-222.
[2]
Young, M.P., Carter, D.H., Sloan, P. and Quayle, A.A. (1999) A Survey of Oral Implantology Teaching in the University Dental Hospitals and Schools of the United Kingdom and Eire. British Dental Journal, 187, 671-675. https://doi.org/10.1038/sj.bdj.4800364
[3]
Brunski, J.B. (1999) In Vivo Bone Response to Biomechanical Loading at the Bone/Dental-Implant Interface. Advances in Dental Research, 13, 99-119. https://doi.org/10.1177/08959374990130012301
[4]
Feine, J.S., Carlsson, G.E., Awad, M.A., et al. (2002) The McGill Consensus Statement on Overdentures, Montreal, Quebec, Canada, May 24-25, 2002. International Journal of Prosthodontics, 15, 413-414.
[5]
Wang, H.-L., Shotwell, J.L., Itose, T. and Neiva, R.F. (2005) Multidisciplinary Treatment Approach for Enhancement of Implant Esthetics. Implant Dentistry, 14, 21-29. https://doi.org/10.1097/01.id.0000154802.20125.b9
[6]
Palmer, R. (1999) Introduction to Dental Implants. British Dental Journal, 187, 127-132. https://doi.org/10.1038/sj.bdj.4800222a
[7]
Zarb, G.A. (1983) The Edentulous Milieu. Journal of Prosthetic Dentistry, 49, 825-831. https://doi.org/10.1016/0022-3913(83)90358-X
[8]
Jivraj, S. and Chee, W. (2006) Rationale for Dental Implants. British Dental Journal, 200, 661-665. https://doi.org/10.1038/sj.bdj.4813718
[9]
Tsirlis, A. (2005) Clinical Evaluation of Immediate Loaded Upper Anterior Single Implants. Implant Dentistry, 14, 94-103. https://doi.org/10.1097/01.id.0000156386.27897.7d
[10]
Derks, J., Schaller, D., Håkansson, J., Wennström, J.L., Tomasi, C. and Berglundh, T. (2016) Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-Implantitis. Journal of Dental Research, 95, 43-49. https://doi.org/10.1177/0022034515608832
[11]
Geckili, O., Bilhan, H., Geckili, E., Cilingir, A., Mumcu, E. and Bural, C. (2014) Evaluation of Possible Prognostic Factors for the Success, Survival, and Failure of Dental Implants. Implant Dentistry, 23, 44-50. https://doi.org/10.1097/ID.0b013e3182a5d430
[12]
Vohra, F., Al-Rifaiy, M.Q., Almas, K. and Javed, F. (2014) Efficacy of Systemic Bisphosphonate Delivery on Osseointegration of Implants under Osteoporotic Conditions: Lessons from Animal Studies. Archives of Oral Biology, 59, 912-920. https://doi.org/10.1016/j.archoralbio.2014.05.016
[13]
Diz, P., Scully, C. and Sanz, M. (2013) Dental Implants in the Medically Compromised Patient. Journal of Dentistry, 41, 195-206. https://doi.org/10.1016/j.jdent.2012.12.008
[14]
da Rocha, P.V.B., Freitas, M.A. and de Morais Alves da Cunha, T. (2013) Influence of Screw Access on the Retention of Cementretained Implant Prostheses. The Journal of Prosthetic Dentistry, 109, 264-268. https://doi.org/10.1016/S0022-3913(13)60055-4
[15]
Michalakis, K.X., Hirayama, H. and Garefis, P.D. (2003) Cement-Retained Versusscrew-Retained Implant Restorations: A Critical Review. International Journal of Oral & Maxillofacial Implants, 18, 719-728.
[16]
Korsch, M., Obst, U. and Walther, W. (2014) Cement-Associated Peri-Implantitis: A Retrospective Clinical Observational Study of Fixed Implant-Supported Restorations Using a Methacrylate Cement. Clinical Oral Implants Research, 25, 797-802. https://doi.org/10.1111/clr.12173
[17]
Hebel, K.S. and Gajjar, R.C. (1997) Cement-Retained versus Screw-Retained Implant Restorations: Achieving Optimal Occlusion and Esthetics in Implant Dentistry. Journal of Prosthetic Dentistry, 77, 28-35. https://doi.org/10.1016/S0022-3913(97)70203-8
[18]
Pietrabissa, R., Gionso, L., Quaglini, V., Di Martino, E. and Simion, M. (2000) An in Vitro Study on Compensation of Mismatch of Screw versus Cement-Retained Implant Supported Fixed Prostheses. Clinical Oral Implants Research, 11, 448-457. https://doi.org/10.1034/j.1600-0501.2000.011005448.x
[19]
McGlumphy, E.A., Mendel, D.A. and Holloway, J.A. (1998) Implant Screw Mechanics. Dental Clinics of North America, 42, 71-89. https://doi.org/10.1016/S0011-8532(22)00606-1
[20]
Zarone, F., Sorrentino, R., Traini, T., Di lorio, D. and Caputi, S. (2007) Fracture Resistance of Implant-Supported Screw-versus Cement-Retained Porcelain Fused to Metal Single Crowns: SEM Fractographic Analysis. Dental Materials, 23, 296-301. https://doi.org/10.1016/j.dental.2005.10.013
[21]
Misch, C.E. (1995) Screw-Retained versus Cement-Retained Implant-Supported Prostheses. Practical Periodontics and Aesthetic Dentistry, 7, 15-18.
[22]
Guichet, D.L., Caputo, A.A., Choi, H. and Sorensen, J.A. (2000) Passivity of Fit and Marginal Opening in Screw-or Cement-Retained Implant Fixed Partial Denture Designs. International Journal of Oral & Maxillofacial Implants, 15, 239-246.
[23]
Taylor, T.D. and Agar, J.R. (2002) Twenty Years of Progress in Implant Prosthodontics. Journal of Prosthetic Dentistry, 88, 89-95. https://doi.org/10.1067/mpr.2002.126818
[24]
Chee, W.W., Duncan, J., Afshar, M. and Moshaverinia, A. (2013) Evaluation of the Amount of Excess Cement around the Margins of Cement-Retained Dental Implant Restorations: The Effect of the Cement Application Method. Journal of Prosthetic Dentistry, 109, 216-221. https://doi.org/10.1016/S0022-3913(13)60047-5
[25]
Agar, J.R., Cameron, S.M., Hughbanks, J.C. and Parker, M.H. (1997) Cement Removal from Restorations Luted to Titanium Abutments with Simulated Subgingival Margins. Journal of Prosthetic Dentistry, 78, 43-47. https://doi.org/10.1016/S0022-3913(97)70086-6
[26]
Aljohani, H.A. and Alghamdi, A.S.T. (2009) Predoctoral Dental Implant Education at King Abdulaziz University. The Saudi Dental Journal, 21, 135-138. https://doi.org/10.1016/j.sdentj.2009.10.005
[27]
Lim, M.V., Afsharzand, Z., Rashedi, B. and Petropoulos, V.C. (2005) Predoctoral Implant Education in U.S. Dental Schools. Journal of Prosthodontics, 14, 46-56. https://doi.org/10.1111/j.1532-849X.2004.04047.x
[28]
Atashrazm, P., Vallaie, N., Rahnema, R., Ansari, H. and Shahab, M.P. (2011) Worldwide Predoctoral Dental Implant Curriculum Survey. Journal of Dentistry of Tehran University of Medical Sciences, 8, 12-18.
[29]
Sharma, A., Shrestha, B., Chaudhari, B.K., Suwal, P. and Singh, R.K. (2018) Knowledge, Awareness, and Attitude Regarding Dental Implants among Dental Interns. Journal of Nepal Medical Association, 56, 607-615. https://doi.org/10.31729/jnma.3440
[30]
Vohra, F. and Habib, R. (2015) Knowledge and Attitude of Dentists toward Implant Retained Restorations in Saudi Arabia. Nigerian Journal of Clinical Practice, 18, 312-317. https://doi.org/10.4103/1119-3077.151788
[31]
Dhami, B., Shrestha, P., Lamichhane, B., Sharma, A.K. and Gupta, S. (2017) Dental Implants and General Dental Practitioners of Nepal: A Study of Existing Knowledge and Need for Further Education. Journal of College of Medical Sciences-Nepal, 13, 212-215. https://doi.org/10.3126/jcmsn.v13i1.16668
[32]
Nagpal, D., Prakash, S., Kalra, D.D. and Singh, G. (2018) Knowledge, Attitude, and Practice of Dental Implants among Dental Postgraduates and Practitioners in Davangere City, Karnataka: A Cross-Sectional Study. Indian Journal of Dental Research, 29, 575-582. https://doi.org/10.4103/ijdr.IJDR_500_15
[33]
Slavkin, H.C. (1998) Science, Technology and Health Literacy for the 21st Century: A Future for Dentistry. New York State Dental Journal, 64, 25-28.
[34]
Vohra, F., Shah, A.H., Zafar, M.S. and Kola, Z. (2015) Knowledge and Practice of Implant-Retained Restorations among Dental Students in Saudi Arabia. Pakistan Journal of Medical Sciences, 31, 848-853. https://doi.org/10.12669/pjms.314.7384
[35]
Petropoulos, V.C., Arbree, N.S., Tarnow, D., Rethman, M., Malmquist, J., Valachovic, R., et al. (2006) Teaching implant Dentistry in the Predoctoral Curriculum: A Report from the ADEA Implant Workshop’s Survey of Deans. Journal of Dental Education, 70, 580-588. https://doi.org/10.1002/j.0022-0337.2006.70.5.tb04114.x
[36]
Mattheos, N., Albrektsson, T., Buser, D., De Bruyn, H., Donos, N., Hjorting Hansen, E., et al. (2009) Teaching and Assessment of Implant Dentistry in Undergraduate and Postgraduate Education: A European Consensus. European Journal of Dental Education, 13, 11-17. https://doi.org/10.1111/j.1600-0579.2008.00556.x
[37]
Alghamdi, M., Aboalshamat, K., Alghamdi, D., Abed, S., Almahlawi, H., AlKathiri, S., Abu Thiraa, A., Alsulami, A. and Alzughaibi, M. (2020) Knowledge and Attitudes of Dental Interns and Dentists on Implants and Implant-Retained Restorations in Jeddah, Saudi Arabia. The Open Dentistry Journal, 14, 329-336 https://doi.org/10.2174/1874210602014010329
[38]
Maalhagh-Fard, A., Nimmo, A., Lepczyk, J.W. and Pink, F.E. (2002) Implant Dentistry in Predoctoral Education: The Elective Approach. Journal of Prosthodontics, 11, 202-207. https://doi.org/10.1053/jopr.2002.126726
[39]
Afsharzand, Z., Lim, M.V., Rashedi, B. and Petropoulos, V.C. (2005) Predoctoral Implant Dentistry Curriculum Survey: European Dental Schools. European Journal of Dental Education, 9, 37-45. https://doi.org/10.1111/j.1600-0579.2004.00363.x
[40]
Chee, W., Felton, D.A., Johnson, P.F. and Sullivan, D.Y. (1999) Cemented versus Screw-Retained Implant Prostheses: Which Is Better? International Journal of Oral & Maxillofacial Implants, 14, 137-141.
[41]
Heckmann, S.M., Karl, M., Wichmann, M.G., Winter, W., Graef, F. and Taylor, T.D. (2004) Cement Fixation and Screw Retention: Parameters of Passive Fit: An in Vitro Study of Three-Unit Implant-Supported Fixed Partial Dentures. Clinical Oral Implants Research, 15, 466-473. https://doi.org/10.1111/j.1600-0501.2004.01027.x
