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Patients’ preferences for selective versus complete excavation: A mixed-methods study

Schwendicke, Falk ; Mostajaboldave, Roxana ; Otto, Isabella ; Dörfer, Christof E ; Burkert, Silke

Journal of dentistry, 2016-03, Vol.46, p.47-53 [Periódico revisado por pares]

England: Elsevier Ltd

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Título:
Patients’ preferences for selective versus complete excavation: A mixed-methods study
Autor: Schwendicke, Falk ; Mostajaboldave, Roxana ; Otto, Isabella ; Dörfer, Christof E ; Burkert, Silke
Assuntos: Adult ; Age ; Anxiety ; Bacteria ; Decision making ; Demography ; Dental anxiety ; Dental Caries - therapy ; Dental Cavity Preparation - adverse effects ; Dental Cavity Preparation - economics ; Dental Cavity Preparation - methods ; Dental Pulp Exposure - prevention & control ; Dental Restoration, Permanent ; Dentin ; Dentistry ; Dentists ; Design analysis ; Disease ; Education ; Endodontic treatment ; Esthetics, Dental - economics ; Excavation ; Female ; Focus groups ; Health Care Costs ; Hospitals ; Humans ; Interviews ; Male ; Methods ; Middle Aged ; Mixed methods ; Partnerships ; Patient Preference ; Patient preferences ; Patient Satisfaction ; Patients ; Personality ; Personality traits ; Preferences ; Qualitative research ; Root Canal Therapy - economics ; Root Canal Therapy - methods ; Sampling ; Selective caries removal ; Sociodemographics ; Studies ; Surveys and Questionnaires ; Treatment decision ; Young Adult
É parte de: Journal of dentistry, 2016-03, Vol.46, p.47-53
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract Objectives Despite increasing evidence supporting selective caries tissue removal, the technique is not adopted by most dentists, one possible reason being that patients might reject it. We aimed to assess patients’ preferences for selective versus complete excavation, and to identify predictors of this preference. Methods A sequential mixed-methods approach was taken. First, semi-structured focus group discussions on two convenience samples were performed. Verbatim transcripts were evaluated using content-analysis to inform quantitative study design. The subsequent survey employed convenience, snow-ball and deviant-case sampling, yielding 150 respondents. The relevance of treatment attributes (risks of nerve damage, root-canal treatment, recurrent caries, restorative complications, treatment costs, aesthetic consequences) on patients' treatment preferences was measured using case-vignettes. Dental experience and anxiety as well as patients' personality and socio-demographic details were recorded. Association of predictor variables (age, gender, education, partnership status, personality items, dental experience, anxiety) with treatment preference was assessed using regression analysis. Results Focus group participants perceived complete excavation as reliable, but feared endodontic treatment. The vast majority of survey respondents (82.7%) preferred complete over selective excavation. The preference for selective excavation was significantly increased in patients with an emotionally stable personality ( p < 0.001), university entrance degree ( p < 0.001), none or little dental anxiety ( p = 0.044), few dentist changes in the past ( p = 0.025), and who accepted that sealed lesions could progress ( p < 0.002). Conclusion Treatment attributes, socio-demographic characteristics, personality and dental experiences shape patients’ preference towards caries excavation. Clinical significance Clinical decision-making regarding carious tissue removal might be affected by dentists on both an informative and an empathic level.
Editor: England: Elsevier Ltd
Idioma: Inglês;Persa

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Patients’ preferences for selective versus complete excavation: A mixed-methods study

Schwendicke, Falk ; Mostajaboldave, Roxana ; Otto, Isabella ; Dörfer, Christof E ; Burkert, Silke

England: Elsevier Ltd

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