ArticleBMC oral health2026
Impact of professional experience and practice setting on clinical decision-making and anxiety in peri-implantitis management: a cross-sectional survey study.
Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeri-implantitis management is clinically demanding and may be accompanied by professional anxiety; however, the extent to experience level and practice setting shape treatment decisions and anxiety has not been fully clarified. Previous surveys have described clinicians' knowledge and attitudes toward peri-implantitis, yet evidence integrating therapeutic preferences with clinician anxiety remains scarce. This study assessed Turkish periodontists' awareness and treatment priorities for peri-implant diseases and examined the influence of professional experience, postgraduate exposure, and workplace setting on treatment selection and anxiety during severe peri-implantitis management.
methodsA cross-sectional, web-based survey was conducted between April and December 2025 among periodontology specialists in Turkey. The questionnaire collected demographic and professional characteristics, education and awareness regarding peri-implant diseases, clinical approaches to peri-implantitis, and anxiety using the Beck Anxiety Inventory (BAI). BAI scores were categorized as minimal (0-7), mild (8-15), moderate (16-25), and severe (26-63). Group comparisons were performed with chi-square tests. Multivariable binary logistic regression evaluated predictors of choosing surgical (vs. non-surgical) peri-implantitis therapy and predictors of the presence of anxiety (BAI ≥ 8). Statistical analyses were performed with IBM SPSS Statistics for Windows, Version 25.0.
resultsData from 184 periodontists were analyzed (79.3% female; mean professional experience 14.50 ± 9.16 years). Most participants reported minimal anxiety during severe peri-implantitis management (78.3%), with mild (12.0%), moderate (6.5%), and severe anxiety (3.3%) less frequent. In regression analysis for treatment selection, private (vs. public) practice independently predicted a higher likelihood of choosing surgical modalities (OR = 2.212, 95% CI 1.171-4.177; p = 0.014). In regression analysis for anxiety, greater specialist experience was associated with lower odds of anxiety (OR = 0.839, 95% CI 0.760-0.925; p < 0.001), while gender and practice setting were not significant.
conclusionsAmong Turkish periodontists, anxiety related to severe peri-implantitis management was generally low and decreased with increasing specialty experience. Practice setting, rather than experience or anxiety, was the key independent predictor of choosing surgical treatment, with private-sector clinicians more likely to select surgical approaches. These findings support the value of structured postgraduate exposure, continued professional development, and early-career support to strengthen confident, evidence-based peri-implantitis care across diverse practice environments.
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