Exploring Clinical Decision-Making in Static Computer-Assisted Guided Implant Placement: A Survey of Clinicians in Australia and New Zealand.
Static computer-assisted guided implant placement (sCAIP) has been shown to enhance accuracy and predictability; however, little is known about the multifactorial decision-making processes impacting use among clinicians. An exploratory cross-sectional electronic survey was distributed to implant practitioners across Australia and New Zealand, including general dentists and specialists (periodontists, prosthodontists, oral surgeons, and oral and maxillofacial surgeons) involved in implant placement. Items covered demographics, training profiles, clinical experience, utilisation patterns, and attitudes towards sCAIP, with free-text reflections. Quantitative data were analysed using descriptive statistics, factor analysis, and t-tests; qualitative data underwent thematic analysis. Thirty-three respondents completed the survey, with 90.9% reporting current use of sCAIP. Sixteen respondents (48.5%) were classified as analytical decision-makers and 17 (51.5%) as intuitive. Factor analysis identified seven components that explained 84.2% of the variance in decision-making, including surgical complexity and soft tissue conditions, case timing, aesthetic site sensitivity, cost, anatomical risk, training exposure, and clinical experience. Internal consistency across items was high (Cronbach's alpha, α = 0.95). Analytical decision-makers placed significantly more weight on anatomical risk and bone quality compared to intuitive decision-makers (p = 0.038, d = 0.93). Intuitive decision-makers reported higher levels of training exposure (p = 0.04, d = 0.80). Thematic analysis revealed three key influences on sCAIP use: clinician capability, surgical planning and risk mitigation, and restorative outcomes. In addition, several barriers were identified including financial cost, workflow integration, and attitudinal factors. Clinicians with an analytical decision-making style placed greater emphasis on anatomical risk and were more likely to adopt sCAIP in complex or high-risk cases. Because intuitive clinicians reported higher training exposure, education alone did not explain these patterns, indicating that cognitive style and risk appraisal are central determinants of sCAIP adoption.
- Discussion
12
- 10.1016/j.tripleo.2011.05.041
- Aug 26, 2011
- Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Two-stage split-crest technique with ultrasonic bone surgery for controlled ridge expansion: a novel modified technique
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27
- 10.1111/j.2041-1626.2010.00024.x
- Nov 1, 2010
- Journal of Investigative and Clinical Dentistry
This survey evaluates the awareness of bisphosphonate-related osteonecrosis of the jaws among Korean dentists. We prepared a questionnaire based on bisphosphonate-related osteonecrosis of the jaw guidelines, suggested by The American Association of Oral Maxillofacial Surgeons. Among 13,405 dentists, we randomly selected 264 (2%) practitioners. A total of 56.5% of respondents had heard of bisphosphonates as medication related to osteonecrosis, but only 31.4% routinely recorded bisphosphonate medication history. The cross-sectional analysis demonstrated that most dentists were unaware of The American Association of Oral Maxillofacial Surgeons' guidelines. Dentists with <5 years' clinical experience were significantly more aware than those with >5 years' experience. Experience with treating osteonecrosis of the jaw patients and recording medication histories were significantly greater in dental hospitals with >300 beds or university hospitals. Awareness of the severity of bisphosphonate-related osteonecrosis of the jaws was greatest among oral surgeons. Dentists should thoroughly check patients' medical histories, including bisphosphonate intake. With the exception of oral surgeons, most Korean dentists were not adequately aware of bisphosphonate-related osteonecrosis of the jaws and its seriousness, making it a potential risk in Korean dentistry. Therefore, it is important to educate clinicians regarding the potential risk of bisphosphonate medication in dentistry through education programs.
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25
- 10.1016/j.joms.2011.05.014
- Aug 6, 2011
- Journal of Oral and Maxillofacial Surgery
Dental Student Perceptions of Oral and Maxillofacial Surgery as a Specialty
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9
- 10.1016/j.joms.2015.10.020
- Oct 28, 2015
- Journal of Oral and Maxillofacial Surgery
Are Oral and Maxillofacial Surgery Residents Trained Adequately in Alloplastic Total Temporomandibular Joint Replacement?
- Abstract
- 10.1016/j.joms.2021.08.140
- Oct 1, 2021
- Journal of Oral and Maxillofacial Surgery
Importance of Submental Diversion and Tracheostomy for the Oral and Maxillofacial Surgeon
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3
- 10.1053/joms.2000.9068
- Sep 1, 2000
- Journal of Oral and Maxillofacial Surgery
A double standard in double degree
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21
- 10.1016/j.bjoms.2016.11.312
- Nov 30, 2016
- British Journal of Oral and Maxillofacial Surgery
Medical students’ understanding of oral and maxillofacial surgery: an Irish perspective
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2
- 10.1016/j.bjoms.2022.12.001
- Dec 15, 2022
- British Journal of Oral and Maxillofacial Surgery
What are the concerns of second-degree medical students entering specialty OMFS training?
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6
- 10.1016/s0266-4356(02)00162-6
- Aug 1, 2002
- British Journal of Oral and Maxillofacial Surgery
Update on dental graduates entering medicine 1986–1991
- Research Article
62
- 10.1053/joms.2003.50134
- Jun 1, 2003
- Journal of Oral and Maxillofacial Surgery
A comparative study of 2 imaging techniques for the diagnosis of condylar fractures in children
- Research Article
1
- 10.5037/jomr.2024.15203
- Jun 30, 2024
- Journal of oral & maxillofacial research
This cross-sectional study aimed to evaluate the factors that determine the choice of oral surgeons and periodontists to perform immediate dental implant placement. An anonymous survey was carried out from January 6, 2024 to February 29, 2024. The questionnaire was distributed online to Lithuanian specialists - oral surgeons and periodontists, who perform implantation procedures. A total of 186 professionals were included in this survey. Chi-square test, its degrees of freedom was used for the analysis of variables. The main reason for refusing immediate implant placement is a periapical lesion greater than 5 mm, reported by 91.7% of oral surgeons and 96.9% of periodontists. Good aesthetics and preservation of anatomical structures are identified as an advantage by 99.2% of oral surgeons and 92.3% of periodontists. In the aesthetic zone, for periodontists, the main criterion for choosing a method is the quantitative and qualitative indicators of the soft tissue of the extraction socket 96.9%, and for oral surgeons - the morphology of the bone walls of the socket 87.6%. Only 43.1% of periodontists and 33.9% of oral surgeons are familiar with and use extraction socket morphology assessment classifications for immediate dental implant placement. Taking into account study's results, it is recommended to adjust the teaching programs at Universities and to increase the knowledge of specialists performing dental implantation procedures, by carrying out continuous educational programs.
- Research Article
4
- 10.1016/j.sdentj.2018.11.009
- Dec 3, 2018
- The Saudi Dental Journal
Preoperative informed consent for mandibular third molar surgeries: A survey analysis in a subset of dentists and oral surgeons in Saudi Arabia
- Research Article
- 10.1080/08869634.2025.2589724
- Nov 25, 2025
- CRANIO®
Background Undiagnosed obstructive sleep apnoea (OSA) presents risks in oral and maxillofacial surgery (OMFS), yet tools such as STOP-Bang often underperform in non-obese patients with craniofacial anomalies. This study aimed to develop and preliminarily assess the Jain’s Obstructive Sleep Apnoea Questionnaire (JOSAQ), a craniofacial-focused screening tool tailored for OMFS practice. Methods JOSAQ, a two-stage, 20-item instrument combining patient-reported symptoms and clinician-assessed craniofacial features, underwent Delphi consensus and vignette-based comparison with STOP-Bang. Fifteen experts participated in the Delphi process, and 20 clinicians rated 25 standardized clinical vignettes. Results Content validity was high (S-CVI = 0.89). JOSAQ identified more high-risk cases than STOP-Bang (62% vs 44%, p < .01) with higher Inter-rater reliability (κ = 0.72 vs 0.64), and better clarity scores. Completion times were similar. Conclusion JOSAQ enhances screening sensitivity and inter-rater reliability without increasing assessment time, particulary benefiting non-obese patients with craniofacial anomalies. Multicentre validation against polysomnography is recommended.
- Research Article
5
- 10.1016/j.joms.2017.04.020
- Apr 26, 2017
- Journal of Oral and Maxillofacial Surgery
Postural Preference and Musculoskeletal Complaints in Oral and Maxillofacial Surgeons
- Research Article
- 10.6566/jfd/2008.3(3).20
- Dec 1, 2008
Patients first diagnosed with osteoporosis are often prescribed a oral bisphosphonate. Bisphosphonates inhibit osteoclastic activity and as a result will compromise the normal healing and remodeling processes within bone. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) adversely affects the quality of life and produces significant morbidity in afflicted patients. Oral and maxillofacial surgeons have been responsible for treating a majority of these patients. There was a direct exponential relationship between the size of the exposed bone and the duration of oral bisphosphonate use. The comorbidities of steroid along with a bispho-sphonate will cause the osteonecrosis to occur sooner, be more severe, and respond more slowly to a drug holiday. In the southern areas of Taiwan, a lot of elders are used to take long-term steroids to the pain or the chronic disease, so the conditions are often relatively serious when patients suffer from BRONJ simultaneously. The Department of Oral and Maxillofacial Surgery of Chang Gung Memorial Hospital-Kaohsiung Memorial Center specifically treat 4 patients who suffered from BRONJ. All of them were obtained good treatment result. From the data gained from studies and our clinical experience with the cases, we offer recommendations of risk factors, prevention, and treatment of BRONJ.
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