Loeffen Anouk W M, Van Swaaij Bregje W M, Saminsky Michael, Slot Dagmar Else
Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Dental Hygiene, Hogeschool Arnhem Nijmegen (HAN), University of Applied Sciences, Nijmegen, The Netherlands.
Int J Dent Hyg. 2025 Feb;23(1):14-25. doi: 10.1111/idh.12841. Epub 2024 Jul 28.
Dental implant maintenance is crucial to obtain and maintain a healthy peri-implant situation. Although it is part of a dental hygienists (DH) scope of practice, the knowledge and common practices among DHs in the Netherlands are unclear.
A web-based survey was distributed by the Dutch Association of DHs, by spreading survey QR codes and snowballing. The role of the different DH curricula 2- or 3-year diploma and a 4-year bachelor's degree is evaluated.
In total, 165 (diploma: 73, bachelor: 92) DHs responded. Peri-implant diseases were well known (98%), indices and clinical symptoms were used to assess peri-implant tissues. A periodontal probe (97%) was used and bone loss was evaluated on radiographs (89%). Treatment was performed supra- and subgingivally (69%), mostly by titanium (45%) or plastic hand instruments (42%). Ultrasonic (52%) and air-abrasive (52%) devices were often used. The recall interval for maintenance was based on a risk-adjusted protocol (70%). DHs with a bachelor's received significantly more training compared to DHs with a diploma during primary education (p < 0.001). Diploma DHs mainly obtained their knowledge from continuing education (p = 0.04). In general, there was no significant difference in knowledge or common practices.
The primary education of DHs with a 2- or 3-year diploma and a 4-year bachelor's varies. Due to the continuing education of diploma DHs, knowledge and common practices generally do not differ. Most DHs in the Netherlands perform implant maintenance. A periodontal probe and radiographs are used for examination. Instrumentation is performed supra- and subgingivally, usually with titanium or plastic hand instruments. The recall interval is based on a patient's risk assessment.
牙种植体维护对于获得并维持健康的种植体周围状况至关重要。尽管这是牙科保健员（DH）执业范围的一部分，但荷兰牙科保健员的知识和常见做法尚不清楚。
荷兰牙科保健员协会通过传播调查二维码和滚雪球的方式进行了一项基于网络的调查。评估了不同的牙科保健员课程（2年或3年文凭课程以及4年学士学位课程）的作用。
共有165名牙科保健员（文凭课程：73名，学士学位课程：92名）做出回应。种植体周围疾病广为人知（98%），使用指数和临床症状来评估种植体周围组织。使用了牙周探针（97%），并通过X光片评估骨吸收情况（89%）。治疗在龈上和龈下进行（69%），主要使用钛制（45%）或塑料手动器械（42%）。经常使用超声波（52%）和气磨（52%）设备。维护的复诊间隔基于风险调整方案（70%）。与文凭课程的牙科保健员相比，学士学位课程的牙科保健员在初级教育期间接受的培训明显更多（p<0.001）。文凭课程的牙科保健员主要通过继续教育获取知识（p=0.04）。总体而言，知识和常见做法没有显著差异。
2年或3年文凭课程以及4年学士学位课程的牙科保健员的初级教育有所不同。由于文凭课程牙科保健员的继续教育，知识和常见做法总体上没有差异。荷兰的大多数牙科保健员进行种植体维护。使用牙周探针和X光片进行检查。器械操作在龈上和龈下进行，通常使用钛制或塑料手动器械。复诊间隔基于患者的风险评估。
