Clinical audit on quality of record keeping of dental implant treatment performed by dental professionals


Submitted: 14 March 2023
Accepted: 21 March 2023
Published: 31 March 2023
Abstract Views: 830
PDF: 448
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Authors

  • T. V. Chaubal Senior Lecturer, Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia. https://orcid.org/0000-0002-9315-7159
  • H. J. Yi Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jin Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
  • Y.Y. Shin Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
  • J.T. Rong Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
  • L. L. Seow Professor and Dean, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
  • R. Bapat Senior Lecturer, Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
  • A. Parolia Associate Professor, Division of Restorative Dentistry, School of Dentistry, International Medical University, 126, Jln Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.

Aims To evaluate the quality of clinical record keeping for patients who underwent dental implants placement at International Medical University (IMU) Oral Health Centre (OHC).

Materials and methods Quality of record keeping of all dental implants placed in the IMU OHC by dental faculty, dental officers, and postgraduate diploma students between January 2015 to December 2019 was evaluated retrospectively using the electronic records. Interexaminer reliability was evaluated using Fleiss kappa test (κ≥80%). Each parameter was scored if it was recorded or not recorded. Frequency distributions and percentages of each parameter were calculated and tabulated. 

Results The retrospective dental records revealed high accuracy of record keeping in age (99.6%), gender (100%), cone-beam computerised tomography (CBCT) (97.8%), written consent (95.1%), dental implant placement site (94%), implant diameter (93.6%), and implant length (93.4%). Low accuracy of record keeping is shown in smoking (15%), periodontal disease (17.4%), preoperative antibiotics (7.9%), preoperative analgesics (1.9%), preoperative chlorhexidine mouth rinse (7.3%), time of placement (11.4%), countersink drill for dense bone (0.9%), intraoperative radiograph with guide pin to check angulation (19.7%), hydration of bone graft particles (3.6%), ice pack (0%), postoperative chlorhexidine (17.2%), loading protocol (1.8%), disinfection of abutment and restoration (3.9%), and clean-up of residual cement for cement retained prosthesis (14.4%).

Conclusions The clinical record keeping for patients with dental implants placed at IMU OHC was low. Appropriate measures and intervention are to be implemented to enhance the record keeping.


Chaubal, T. V., Yi, H. J., Shin, Y., Rong, J., Seow, L. L., Bapat, R., & Parolia, A. (2023). Clinical audit on quality of record keeping of dental implant treatment performed by dental professionals. Journal of Osseointegration, 15(3), 165–173. https://doi.org/10.23805/JO.2023.571

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