Implant recommendation as a replacement option after tooth loss for periodontal reasons.
OBJECTIVE
The aim of this study was to examine the frequency of implant recommendation by general dental practitioners to patients who had extractions as a result of periodontal disease and factors that influenced their decisions.


METHODS
Dentists in each of 20 general dental practice centers in Kuwait were asked to document replacement options given to patients after all tooth extractions performed for periodontal reasons within a 30-day period. The association of demographic and medical/dental history variables with the decision to recommend an implant was statistically tested.


RESULTS
A total of 711 patients with a mean age +/- of 47.34 +/- 0.45 years (range 18-96) had 2202 teeth extracted for periodontal reasons during the study period. Only 21 implants for 12 patients were offered as a replacement option (1.7%). Factors significantly associated with a less likelihood of implant recommendation included older age, male gender, diabetes mellitus, inadequate compliance with regular periodontal maintenance visits, inadequate oral hygiene practices, and anterior tooth types (P < 0.05; chi test).


CONCLUSIONS
Dental implants were rarely recommended to patients losing their teeth for periodontal reasons by general dentists in Kuwait.
Specialized Center for the Advancement of Dental Services, Ministry of Health, Salmiyah, Kuwait. khalsham@hotmail.com
Khalaf F
KF
Al-Shammari
Areej K
AK
Al-Khabbaz
Mohammad H
MH
Akar
Jassem M
JM
Al-Ansari
Hom-Lay
HL
Wang
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003657:Decision Making; D015921:Dental Implants; D003824:Denture, Complete; D003829:Denture, Partial; D048909:Diabetes Complications; D005260:Female; D005792:General Practice, Dental; D006801:Humans; D007730:Kuwait; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000150:complications* / Q000517:prevention & control; D011446:Prospective Studies; D012737:Sex Factors; D016388:Tooth Loss / Q000209:etiology / Q000534:rehabilitation*; D016312:Treatment Refusal
D015921:Dental Implants