{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:42:56Z","timestamp":1792291376322,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Dental plaque biofilm is a common instigator of peri\u2010implant disease, but this may be managed with proper patient education and oral hygiene instruction. Oral health professionals should be practising evidence\u2010based dentistry when providing care for patients with dental implants, and be confident doing so.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n A quantitative cross\u2010sectional study design was utilised with a survey to explore the confidence of oral health practitioners in managing, diagnosing and treating patients with dental implants, identifying protocols in use for peri\u2010implant disease, oral hygiene instructions and preventative care. All oral health practitioners who care for dental implants within their scope, and who were registered with the Dental Council of New Zealand (DCNZ), were invited to participate in this study (\n n<\/jats:italic>\n \u2009=\u20091842). Demographic data were obtained, and practitioner confidence in managing patients with dental implants and protocols used to guide dental implant maintenance were collected.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred and ninety\u2010seven New Zealand oral health practitioners participated in this study. Participants were more confident maintaining healthy implants (81%) than diseased implants (40%) (\n p<\/jats:italic>\n \u2009<\u20090.05). Sixty\u2010five percent of dental hygienists (DHs) were confident maintaining diseased implants, compared to 40% oral health therapists (OHTs) (\n p<\/jats:italic>\n \u2009<\u20090.05) and 28% general dental practitioners (GDPs) (\n p<\/jats:italic>\n \u2009<\u20090.001). Almost all of the DHs (96%), but only half of the group of OHTs (54%) reported confidence in knowing when to refer implant cases for further maintenance (\n p<\/jats:italic>\n \u2009<\u20090.001). OHTs were the least confident assessing and diagnosing implant health and disease, although they were more confident assessing health and disease compared to diagnosing (72% and 60% respectively). Overall, 50% of participants reported that the training provided as part of their qualification gave them the confidence to maintain dental implant care (\n p<\/jats:italic>\n \u2009<\u20090.05). No formal implant maintenance protocols were reportedly used by 48% OHTs, 39% DHs and 28% GDPs. Oral hygiene, homecare instructions and clinical equipment preferences varied between practitioners and depended on whether diseased or healthy implants were being managed.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A lack of consistency indicated a need for further professional education to ensure evidence\u2010based practices are being utilised when implant maintenance care is provided.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/idh.70179","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:31:42Z","timestamp":1792290702000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Confidence and Current Practices of Oral Health Practitioners in New Zealand Who Care for Patients With Dental Implants\u2014A Cross\u2010Sectional Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5320-3084","authenticated-orcid":false,"given":"C.","family":"Rohekar","sequence":"first","affiliation":[{"name":"Sir John Walsh Research Institute, Faculty of Dentistry University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2936-6463","authenticated-orcid":false,"given":"H.","family":"Olson","sequence":"additional","affiliation":[{"name":"Sir John Walsh Research Institute, Faculty of Dentistry University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9726-9150","authenticated-orcid":false,"given":"D. M.","family":"Beckett","sequence":"additional","affiliation":[{"name":"Sir John Walsh Research Institute, Faculty of Dentistry University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Dental Implants","author":"Gupta R.","year":"2021"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515622432"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.2008.01274.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.18\u20100157"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.2006.01001.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.16\u20100488"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2006.33.2.84"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2010.02078.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2008.01627.x"},{"key":"e_1_2_11_11_1","unstructured":"Dental Council \u201cScopes of Practice \u201d(2025) https:\/\/www.dcnz.org.nz\/i\u2010practise\u2010in\u2010new\u2010zealand\/dentists\u2010and\u2010dental\u2010specialists\/scopes\u2010of\u2010practice\/."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100501.2000.011S1146.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2017.01.002"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.35680\/2372\u20100247.1210"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12415"},{"key":"e_1_2_11_16_1","unstructured":"Qualtrics \u201cQualtrics XM\u2014Experience Management Software \u201d(2015) https:\/\/www.qualtrics.com\/en\u2010au\/."},{"key":"e_1_2_11_17_1","unstructured":"STATA \u201cStata: Software for Statistics and Data Science \u201d(2019) https:\/\/www.stata.com\/."},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12831"},{"issue":"6","key":"e_1_2_11_19_1","first-page":"6","article-title":"Dental Hygienist's Knowledge Regarding Dental Implant Maintenance Care: A National Survey","volume":"94","author":"Zellmer I.","year":"2020","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010019\u20100365\u20109"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2015.528"},{"issue":"1","key":"e_1_2_11_22_1","first-page":"6","article-title":"Peri\u2010Implantitis Diagnosis and Treatment by New Zealand Periodontists and Oral Maxillofacial Surgeons","volume":"110","author":"Russell A. A.","year":"2014","journal-title":"New Zealand Dental Journal"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02186.x"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.3500"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.9.1094"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13823"}],"container-title":["International Journal of Dental Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70179","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/idh.70179","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:31:52Z","timestamp":1792290712000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/idh.70179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,17]]},"references-count":25,"alternative-id":["10.1111\/idh.70179"],"URL":"https:\/\/doi.org\/10.1111\/idh.70179","archive":["Portico"],"relation":{},"ISSN":["1601-5029","1601-5037"],"issn-type":[{"value":"1601-5029","type":"print"},{"value":"1601-5037","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,17]]},"assertion":[{"value":"2025-05-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"idh.70179"}}