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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The need and reasons for referrals to specialists among Lithuanian general dentists

Institute of Odontology, Faculty of Medicine, Vilnius University, Lithuania
Author to whom correspondence should be addressed.
Medicina 2010, 46(9), 611;
Received: 24 April 2009 / Accepted: 6 September 2010 / Published: 11 September 2010
Objective. To analyze the need for referral to a specialist and to identify the reasons of referrals among Lithuanian general dental practitioners.
Material and methods
. Questionnaires were sent to all 2879 Lithuanian dental practitioners registered on the Lithuanian Dental Chamber license registry. The questionnaire was made with multiple-choice answers. Respondents were asked to choose only one category of answer that best fitted their clinical attitude. Questions included in the questionnaire concerned general and specific information regarding the need and main reasons for endodontic referral.
Results. Of the 2879 questionnaires mailed, 1532 questionnaires containing useful information were returned. The response rate was 53.2%. Of the 1532 respondents, 1431 were general dental practitioners. Majority (72.1%) of the respondents performed complicated root canal treatment by themselves. Almost half (49.6%) of them would like to refer patients to an endodontist. Two of the reasons, which restricted their decision, were the shortage of endodontists and high cost of the procedures in the specialized clinics. Approximately 19% of the respondents referred patients to an endodontist. The main reasons for referral were fractured instruments (86.6%), dental trauma (83.6%), difficulties in diagnostics (79%) followed by persistent symptoms (78.1%).
Conclusion. The findings of the present study suggest that the need for referral of patients to an endodontist among Lithuanian dental practitioners exists. The main reasons for referrals were complications of endodontic treatment, traumatic injuries, difficulties in diagnostic procedures, and persistent symptoms.
Keywords: reasons for dental referral; endodontic treatment reasons for dental referral; endodontic treatment
MDPI and ACS Style

Pečiulienė, V.; Rimkuvienė, J.; Manelienė, R.; Drukteinis, S. The need and reasons for referrals to specialists among Lithuanian general dentists. Medicina 2010, 46, 611.

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