title: Factors influencing the diagnosis and management of periodontal disease by general dental practitioners.
abstract: OBJECTIVE
  To identify factors influencing the diagnosis and management of periodontal disease by general dental practitioners.
  
  
  METHODS
  The study was conducted in two stages. 1. Analysis of returns to the Scottish Dental Practice Board. 2. Data collection via a postal questionnaire distributed to 500 general dental practitioners (27% of Scottish practitioners).
  
  
  RESULTS
  374 (75%) questionnaires were completed and returned. Analysis revealed the majority of treatment provided was in the form of simple scale and polishes, with multi-visit periodontal therapy comprising less than 0.2% of all non-surgical periodontal treatment. While the majority of respondents were confident in their ability to diagnose periodontal disease, only 40% were confident in treating it. Patient related factors were seen as the major hindrance to disease management, although time factors and the low level of fees were viewed by at least one half of respondents as major constraints.
  
  
  CONCLUSIONS
  Greater efforts are required to motivate and inform patients of the necessity for and benefits of periodontal treatment, as is emphasis on appropriate treatment of early to moderate forms of disease. There is also a need for the development of appropriate, evidence-based clinical guidelines and fiscal arrangements to facilitate such provision.
authors.affiliation: Department of Dental Public Health, Lanarkshire Health Board, Hamilton.
authors.forename: I G
authors.initials: IG
authors.lastname: Chestnutt
authors.forename: D F
authors.initials: DF
authors.lastname: Kinane
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002983:Clinical Competence / Q000706:statistics & numerical data; D005260:Female; D005792:General Practice, Dental / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010510:Periodontal Diseases / Q000175:diagnosis* / Q000628:therapy; D010517:Periodontics / Q000706:statistics & numerical data; D012606:Scotland; D011795:Surveys and Questionnaires