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The provision of dental implants in the National Health Service Hospital dental services--a national questionnaire.

Abstract：

OBJECTIVE:To assess the activity of consultants in restorative dentistry in the United Kingdom in the provision of osseointegrated dental implants within the National Health Service Hospital service and to evaluate their attitudes concerning the relevant medical and oral factors considered in patient selection for implant treatment. DESIGN/SETTING:Anonymous postal questionnaire in the United Kingdom. SUBJECTS:Consultants in restorative dentistry. RESULTS:Out of the sample of 145, 109 consultants (75%) completed the questionnaire in 1999. 54 of the 109 consultants (49.5%) are involved in the provision of osseointegrated implant treatment, treating an average of 29 cases/year (range 2-150). However, over one third of the respondents treated 10 or less cases/year. 89% worked with oral surgeons as an implant team. 68% used Branemark (Nobel Biocare) implants as their main system. The majority of consultants felt that smoking, psychoses and previous irradiation were the most important medical factors that contra-indicated implant retained restorations whilst untreated periodontitis, poor oral hygiene and uncontrolled caries were the most important oral contra-indications. Many centres were experiencing significant problems with the funding of implant treatment with one centre receiving no funding. The implications for patient care and specialist training are discussed. CONCLUSIONS:There is a marked variation in the number of patients treated with endosseous dental implants within the United Kingdom National Health Service hospitals. Many consultants treat 10 or fewer patients each year. In the main, there is agreement about the factors that contra-indicate implant treatment; these are in line with national guidelines.

journal_name

Br Dent J

journal_title

British dental journal

authors

Butterworth CJ,Baxter AM,Shaw MJ,Bradnock G

doi

10.1038/sj.bdj.4800892

subject

Has Abstract

pub_date

2001-01-27 00:00:00

pages

93-6

issue

2

eissn

0007-0610

issn

1476-5373

journal_volume

190

pub_type

杂志文章

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