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Periodontal Referral Patterns in Australia: 2000 Versus 2015
Leah M Brown1, Patrick Bowman1, Vincent J O'Rourke1
1School of Dentistry, University of Queensland, Brisbane, Queensland, Australia.
Journal of Periodontology
|May 19, 2017
Summary
Patients referred for periodontal care in 2015 showed increased disease severity compared to those referred in 2000. This trend indicates a rise in advanced periodontal conditions requiring specialist treatment.
Area of Science:
- Periodontology
- Dental Public Health
Background:
- Previous research identified changes in periodontal disease severity among referred patients between 1980 and 2000 in the US.
- The current study examines trends in periodontal disease severity in Australia.
Purpose of the Study:
- To investigate changes in the severity of periodontal disease in patients referred for specialist care in Australia between 2000-2001 and 2015-2016.
- To compare patient demographics and clinical data between the two time periods.
Main Methods:
- A retrospective analysis of 384 patient charts from three Australian periodontal practices.
- Data collected included age, sex, smoking status, missing teeth, planned extractions, and periodontal severity (Types I-V).
- Comparison of cases between 2000-2001 and 2015-2016.
Main Results:
- A higher percentage of Type IV and Type V periodontal disease cases were observed in 2015-2016 compared to 2000-2001.
- Significant reduction in smoking prevalence was noted between the two periods.
- No significant trends in the number of missing teeth or teeth planned for extraction were found.
Conclusions:
- Findings suggest an increasing trend in the referral of more severe periodontal disease cases to specialists.
- This trend is concerning as advanced periodontal conditions are more challenging to manage.
- The results align with previous studies indicating a worsening severity of referred periodontal cases.

