Albugami Rajaa Abdullah, Smith Steph, Hassan Mohammed Al-Sheikh, Almas Khalid
Department of Periodontics, Riyadh Dental Center, King Saud Medical City, Riyadh, Saudi Arabia.
Division of Periodontology, Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Dent Med Probl. 2019 Jul-Sep;56(3):223-230. doi: 10.17219/dmp/108659.
BACKGROUND: Patients who are partially dentate or edentulous can receive both conventional and implantsupported fixed prostheses, which leads to improvement in function, esthetics and self-esteem. Currently, implant dentistry is one of the fastest-growing disciplines in dentistry. OBJECTIVES: The aim of the study was to assess the education and training of dentists practicing implant therapy in the Riyadh region of Saudi Arabia, including their preferred dental implant systems, the clinical complications experienced as well as the barriers to implant therapy they encounter. MATERIAL AND METHODS: A self-administered questionnaire was distributed among dentists in Riyadh performing dental implants in both the state and private sectors. The questionnaire included demographic data, such as nationality, the practitioner's affiliated specialist category and their respective qualifications. Other data included their main sources of education pertaining to implant dentistry, the most commonly used implant systems, common clinical complications, and barriers to implant therapy. A descriptive statistical analysis of the data was carried out. RESULTS: A significant majority of non-Saudi dental practitioners were employed in the private sector (p = 0.001), whereas a significant majority of Saudi dental practitioners were employed in the state sector (p = 0.001). The largest group of practitioners performing implants were general dentists (48.1%). The 3iTM implant system was the most widely utilized (35.4%). Failed osseointegration (12.6%) and peri-implantitis (12%) were the most common clinical complications. The biggest barrier to placing implants was the cost of implants to patients (59.1%). CONCLUSIONS: Fundamental to implant practice is the clinical practitioner and patient selection. The utilization of implant systems should preferably be based on the chemical properties of implant surfaces which promote early osseointegration. Comparative studies investigating the reasons for failed osseointegration and other clinical complications are needed locally and internationally. Further research, together with advanced clinical specialist training, can lead to improvement in the quality of implant therapy for the benefit of patients.
背景：部分牙齿缺失或无牙的患者可以接受传统固定义齿和种植支持的固定义齿修复，这能改善功能、美观和自尊。目前，种植牙科学是牙科领域发展最快的学科之一。 目的：本研究旨在评估沙特阿拉伯利雅得地区从事种植治疗的牙医的教育和培训情况，包括他们偏爱的牙种植系统、经历的临床并发症以及他们在种植治疗中遇到的障碍。 材料与方法：向利雅得地区公立和私立部门中进行牙种植的牙医发放一份自填式问卷。问卷包括人口统计学数据，如国籍、从业者所属专科类别及其各自的资质。其他数据包括他们种植牙科学的主要教育来源、最常用的种植系统、常见临床并发症以及种植治疗的障碍。对数据进行描述性统计分析。 结果：绝大多数非沙特牙医受雇于私立部门（p = 0.001），而绝大多数沙特牙医受雇于公立部门（p = 0.001）。进行种植的最大群体是普通牙医（48.1%）。3iTM种植系统使用最为广泛（35.4%）。骨结合失败（12.6%）和种植体周围炎（12%）是最常见的临床并发症。种植的最大障碍是患者的种植体费用（59.1%）。 结论：种植实践的基础是临床医生的选择和患者的选择。种植系统的使用最好基于促进早期骨结合的种植体表面化学特性。需要在本地和国际上开展比较研究，探究骨结合失败及其他临床并发症的原因。进一步的研究以及高级临床专科培训能够提高种植治疗质量，造福患者。
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