Onclin, P. (2015) Reguliere extracties door de kaakchirurg: verschillen tussen nu en 18 jaar geleden. Een observationeel kwantitatief case-controle onderzoek naar verwijzingen van tandartsen voor reguliere en gecompliceerde gebitsextracties naar de kaakchirurg in 1996 en 2. thesis, Dentistry.
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Abstract
In dental health care in the Netherlands, as in many other countries, it is desirable that most non-complex treatments, like regular tooth extractions, are performed by general dentists. Complex tooth extractions, like removal of impacted third molars and retained roots, which cannot be performed by the dentist, are often referred to an oral and maxillofacial (OMF) surgeon. This study originates with the assumption that the amount of regular tooth extractions performed by OMF surgeons has increased. Aim of this study was to confirm or disprove this assumption. This study can be described as an observational quantitative case-control study and was performed at the department of Oral- and Maxillofacial Surgery of the University Medical Center Groningen. Based on the years 1996 and 2014, two groups were randomly selected. The groups consisted of patients that were treated poli-clinically. Patients were included in the study if they had one or more teeth extracted and were referred by a dentist. Subsequently, by using a flowchart, patients were systematically categorized into two groups, namely regular and complex tooth extractions. The results show a significant (p=0,024) increase in regular tooth extractions performed by an OMF surgeon in 2014, compared with 1996. In addition, in 2014 more non-operative extractions were performed, the number of regular extractions was higher and the average complexity of all tooth extractions was lower than in 1996. Reasons for these differences could not be established with certainty. Despite of this, there are some signs that could explain this shift in regular extractions. Examples are the risk of per-operative complications in teeth with large restorations or deep carious lesions, lack of experience with surgical treatments or financial reasons from the point of view of both the patient and the dentist. Overall, it can be concluded that nowadays, in the Netherlands, regular tooth extractions are more often referred to an OMF surgeon than 18 years ago. Subsequently, because of the increasing costs of public health care, it is recommended to investigate the cause of the found shift of regular tooth extractions. Also, guidelines may be beneficial for dentists in referring tooth extractions in general.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Minnen, dr. B. van |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:59 |
| Last Modified: | 25 Jun 2020 10:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1913 |
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