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Case Presentations Demonstrating Periodontal Treatment Variation: PEARL Network
Frederick A Curro1, Ashley C Grill2, Abigail G Matthews3
1Director, Practitioners Engaged in Applied Research and Learning (PEARL) Network, New York, New York.
Summary
Inconsistent periodontal terminology impacts diagnosis and treatment planning among dentists. Implementing standardized diagnosis codes, like ICD-10, can improve accuracy and outcomes.
Area of Science:
- Dentistry
- Periodontology
- Medical Terminology
Background:
- Variations in periodontal terminology can influence diagnosis and treatment planning for general dentists.
- Practitioners in the Practitioners Engaged in Applied Research and Learning (PEARL) Network are highly qualified but may not represent the general dentist population.
Purpose of the Study:
- To investigate the impact of periodontal terminology variation on diagnosis and treatment planning among general dentists.
- To explore the potential benefits of standardized diagnosis coding for improving periodontal care.
Main Methods:
- Ten randomized case presentations covering periodontal health to severe periodontitis were presented to dentists.
- Treatment recommendations were compared across different diagnosis groups.
Main Results:
- Dentists exhibited variability in diagnosing cases, leading to inconsistent treatment plans.
- Discrepancies in diagnosis and treatment were noted particularly for gingivitis and milder forms of periodontitis.
- Diagnoses were compared against those made by two practicing periodontists.
Conclusions:
- Lack of clarity in periodontal terminology affects diagnosis and treatment planning.
- Standardized diagnosis codes could enhance the assessment of treatment outcomes.
- The study supports the integration of dentistry and medicine using ICD-10 terminology for best practices.