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Guan G, Mei L, Yu C, Tan Y, Han C. Patient-centred care attitudes and knowledge: a national study of BDS students in New Zealand. BMC MEDICAL EDUCATION 2023; 23:516. [PMID: 37464392 DOI: 10.1186/s12909-023-04496-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 07/05/2023] [Indexed: 07/20/2023]
Abstract
OBJECTIVE The aim of this study was to investigate the attitudes and knowledge towards patient-centred care among Bachelor of Dental Surgery (BDS) students in New Zealand. METHOD The study was a mixed methods cross-sectional national study of the BDS students in New Zealand. All 2021 BDS students at the New Zealand's National Centre for Dentistry, New Zealand, were recruited in the study. The Patient-Practitioner Orientation Scale (PPOS) questionnaire was used to evaluate the dental students' attitudes and knowledge of patient centred care. The students' perspectives on the BDS curriculum regarding patient-centred care were also collected. ANOVA and the Student's T-test were used to compare the difference among the BDS years, gender, and background. RESULTS A total of N = 277 (277/346; 80% response rate) students completed the study. Female students had higher scores than male students for sharing (difference = 0.19, 95% CI 0.04-0.34, P = 0.01), caring (difference = 0.15, 95% CI 0.01-0.29, P = 0.03) and PPOS (difference = 0.17, 95% CI 0.05-0.30, P < 0.01). Domestic students had higher scores than international students for caring (difference = 0.35, 95% CI 0.21-0.50, P < 0.01) and PPOS (difference = 0.22, 95% CI 0.08-0.35, P < 0.01). Three main themes of patient-centred care were extracted from the qualitative analysis of students' perspectives: (1) Understanding of the concept of patient-centred care, (2) Perception of the importance of patient-centred care in dentistry, and (3) Perspective on the curriculum about patient-centred care. CONCLUSION Most dental students favoured a patient-centred approach. According to dental students, the patient-centred care component of their education should be increased.
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Affiliation(s)
- Guangzhao Guan
- Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Li Mei
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Chuting Yu
- Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Yue Tan
- Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Chengbing Han
- Department of Oral and Maxillofacial Surgery, Weifang People's Hospital, Weifang, Shandong, China.
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Nitschke I, von Chlingensperg R, Schrock A, Hopfenmüller W, Jockusch J. What Counts for the Old and Oldest Old?-An Analysis of Patient Criteria for Choosing a Dentist-Part I: Awareness and Selection Criteria, Infrastructure, and Dental Office Equipment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148307. [PMID: 35886163 PMCID: PMC9324363 DOI: 10.3390/ijerph19148307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/03/2022] [Accepted: 07/04/2022] [Indexed: 02/04/2023]
Abstract
Utilization of a dentist is influenced by many factors. The aim of this study is to present the factors relating to how patients become aware of a dentist, according to which criteria they select the dentist, and which factors in the infrastructure, equipment of dental offices, and human interactions are important for patients. A telephone survey with 466 participants (female 59.9%) in three age groups (ag 1: 35−50 years, ag 2: 70−84 years, ag 3: >85 years) in three German cities was conducted. Data were analyzed with respect to age, gender, and place of residence. Hardly any differences in the selection of the dentist and the selection criteria applied were found between the sexes, the age groups, or the places of residence. Recommendation seems to be the major aspect regarding how patients become aware of or select their dentist (n = 278, 65.6%), while modern technologies, e.g., the internet, play a subordinate role (n = 31, 7.3%). The unimportance of modern technologies increases significantly with the increase in age. As age increases, factors such as infrastructure (e.g., elevator available (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p < 0.001, ag 1 and ag 3 p < 0.001, and ag 2 and ag 3 p = 0.009); accessibility by wheelchair (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p = 0.006; and ag 1 and ag 3 p < 0.001); etc.) and dental office equipment become significantly important and influence the choice of dentist, while the importance of good parking facilities significantly decreased with age (ANOVA p = 0.003; Bonferoni correction: significant differences between ag 1 and ag 3 p = 0.004, and ag 2 and ag 3 p = 0.023). With increasing age, e.g., the importance of a television in the waiting room (ANOVA p = 0.012; Bonferoni correction: significant differences between ag 1 and ag 3 p = 0.014; and ag 2 and ag 3 p = 0.011), a modern waiting room (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 3 p < 0.001; and ag 2 and ag 3 p < 0.001) or the possibility to visualize the oral situation on a screen decreases significantly (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p < 0.001; ag 1 and ag 3 p < 0.001, and ag 2 and ag 3 p < 0.001). If dentists want to welcome and treat older people, they should adapt the accessibility, infrastructure and equipment of their practice to the needs of older people in order to be able to guarantee continuous lifelong dental care regardless of the need for assistance or care.
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Affiliation(s)
- Ina Nitschke
- Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany or (I.N.); (R.v.C.); (A.S.)
- Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland
| | - Richard von Chlingensperg
- Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany or (I.N.); (R.v.C.); (A.S.)
| | - Annett Schrock
- Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany or (I.N.); (R.v.C.); (A.S.)
| | - Werner Hopfenmüller
- Institute of Biometry and Clinical Epidemiology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany;
| | - Julia Jockusch
- Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany or (I.N.); (R.v.C.); (A.S.)
- University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, 8050 Zurich, Switzerland
- Correspondence: or
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Barnes E, Bullock A, Chestnutt IG. What influences the provision and reception of oral health education? A narrative review of the literature. Community Dent Oral Epidemiol 2021; 50:350-359. [PMID: 34519366 DOI: 10.1111/cdoe.12698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 08/16/2021] [Accepted: 09/05/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Most common diseases of the mouth are preventable through behavioural changes, oral hygiene routines and regular professional care. Research suggests dental professionals may prioritize clinical experience, personal values and preferences over evidence when delivering such interventions. Research also suggests variable rates of patient behaviour change following oral health education (OHE) interactions. This review explores the literature to answer the question: what factors influence the provision and reception of OHE messages and the wider OHE process? METHODS A structured search of literature was carried out with databases covering a range of academic disciplines (healthcare sciences, social sciences, education). Key words/terms were searched to elicit papers published since 1998. Citation mining (relevant citations within papers) and citation tracking (papers citing relevant papers) were also used. Recurring themes within the papers were identified and coded using NVivo12 and presented in a conceptual model. RESULTS The studies analysed tended to employ small-scale surveys, larger-scale surveys (some with low response rates), or interview studies of varying sizes. There was also a limited number of review papers. However, several key messages were identified regarding dental professionals' and patients' views on OHE and the factors that influence its provision. Factors that were identified related to the wider social and policy context (macro), community-level factors (meso), the individual practitioner and patient (micro), factors that influenced the nature of OHE interaction and any resulting behaviour change, and how the outcomes of the process influence future OHE interactions for both parties. CONCLUSIONS The literature highlighted how factors influence the OHE process before, during and after the educational interaction. The resultant conceptual model acknowledges the influence of wider 'upstream' factors alongside interpersonal and individual influences which should be taken into consideration when developing OHE interventions.
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Affiliation(s)
- Emma Barnes
- School of Social Sciences, Cardiff University, Cardiff, UK
| | - Alison Bullock
- School of Social Sciences, Cardiff University, Cardiff, UK
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Sbaraini A, Adams GG, Reynolds EC. Experiences of oral health: before, during and after becoming a regular user of GC Tooth Mousse Plus ®. BMC Oral Health 2021; 21:14. [PMID: 33413323 PMCID: PMC7792129 DOI: 10.1186/s12903-020-01360-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 12/09/2020] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Clinical trials and laboratory studies from around the world have shown that GC Tooth Mousse Plus® (TMP) is effective in protecting teeth from tooth decay and erosion, buffering dental plaque pH, remineralising white spot lesions and reducing dentine hypersensitivity. However, no other study has assessed the experiences of oral health, before, during and after individuals becoming regular users of TMP. The aim of this study was to identify how participants' oral health status changed after introducing TMP into their oral hygiene routine. METHODS A qualitative study using Charmaz's grounded theory methodology was conducted. Fifteen purposively sampled regular users of TMP were interviewed. Transcripts were analysed after each interview. Data analysis consisted of transcript coding, detailed memo writing, and data interpretation. RESULTS Participants described their experiences of oral health and disease, before, during and after introducing TMP into their daily oral hygiene routine, together with the historical, biological, financial, psychosocial, and habitual dimensions of their experiences. Before becoming a regular user of TMP, participants described themselves as having a damaged mouth with vulnerable teeth, dry mouth, and sensitivity. Various aspects of participants' histories were relevant, such as, family history and history of oral disease. Having a damaged mouth with vulnerable teeth, dry mouth and sensitivity was explained by those elements. Despite some initial barriers, once being prescribed TMP by a dental professional, a three-fold process of change was initiated: starting a new oral hygiene routine, persevering daily, and experiencing reinforcing outcomes. This process led to a fundamental lifestyle change. Participants transitioned from having a damaged mouth with vulnerable teeth to having a comfortable mouth with strong teeth; at the same time participants felt empowered by this newly found status of being able to keep their teeth for life. Barriers and facilitators for incorporating TMP on daily oral hygiene routine were also identified. CONCLUSIONS Participants valued having a comfortable mouth with strong teeth, which did not require repeated restorations. Seeing concrete results in their mouths and experiencing a more comfortable mouth boosted adherence to daily applications of TMP, which was maintained over time.
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Affiliation(s)
- Alexandra Sbaraini
- Oral Health Cooperative Research Centre, Melbourne Dental School, Bio21 Institute, The University of Melbourne, Melbourne, VIC 3010 Australia
| | - Geoffrey G. Adams
- Oral Health Cooperative Research Centre, Melbourne Dental School, Bio21 Institute, The University of Melbourne, Melbourne, VIC 3010 Australia
| | - Eric C. Reynolds
- Oral Health Cooperative Research Centre, Melbourne Dental School, Bio21 Institute, The University of Melbourne, Melbourne, VIC 3010 Australia
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A scoping review found increasing examples of rapid qualitative evidence syntheses and no methodological guidance. J Clin Epidemiol 2019; 115:160-171. [DOI: 10.1016/j.jclinepi.2019.05.032] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 05/20/2019] [Accepted: 05/28/2019] [Indexed: 01/09/2023]
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Raittio E, Lahti S, Suominen AL. Adult Finns' perceptions about communication with the dentist during their latest visit. Community Dent Oral Epidemiol 2018; 47:112-118. [PMID: 30370968 DOI: 10.1111/cdoe.12431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 07/27/2018] [Accepted: 10/01/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aim of this study was to investigate adult Finns' perceptions about communication with the dentist during their latest visit in three aspects: receiving adequate information about health status and care, being listened to and shown interest by the dentist, and being able to influence the treatment decisions. METHODS Data were taken from the Health 2011 Survey (BRIH8901). A representative sample (n = 5806) of adult Finns aged over 29 years old was interviewed or alternatively filled in a questionnaire. Basic descriptive tabulations, Rao-Scott chi-square tests and logistic regression analyses were used to study how socioeconomic status, perceived oral health and oral Health care variables are associated with the three aspects of communication with the dentist. RESULTS Most (85%-90%) adult Finns felt that, during their latest visit to a dentist, they had received adequate information, were listened to and shown interest by their dentist, and that they had been able to influence the treatment decisions. Those who perceived poor oral health, felt visiting dentist somewhat frightening, were in a difficult economic situation, visited a public dentist, or tended to visit oral Health care services irregularly, felt more often that there was a deficit in communication with the dentist. CONCLUSIONS In 2011, most adult Finns did not report any deficit in communication with the dentist during their latest visit. Oral Health care professionals should focus more on communicating with patients who have economic problems, poor oral health, dental fear or a problem-oriented visiting pattern.
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Affiliation(s)
- Eero Raittio
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Keski-Satakunta's Health Care Federation of Municipalities, Harjavalta, Finland
| | - Satu Lahti
- Institute of Dentistry, University of Turku, Turku, Finland.,Turku Clinical Research Centre, Turku University Hospital, Turku, Finland
| | - Anna Liisa Suominen
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Public Health Evaluation and Projection Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.,Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland
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Khan AA, Siddiqui AZ, Mohsin SF, Mohamed BA. Sociodemographic Characteristics as Predictors of Satisfaction in Public and Private Dental Clinics. Pak J Med Sci 2018; 34:1152-1157. [PMID: 30344567 PMCID: PMC6191809 DOI: 10.12669/pjms.345.15519] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Objective: This study aimed to investigate influence of multiple sociodemographic characteristics on the patient satisfaction levels in outpatient public and private dental practices of Riyadh, Saudi Arabia. Methods: Questionnaire-based survey data were collected from 500 patients, 250 each from the public and private dental clinics of Riyadh, Saudi Arabia from September to December, 2017. Questions related to demographic factors and service attributes were included. A Likert scale of 5-points was used to measure satisfaction levels. Data was analyzed to calculate the descriptive and inferential statistics (analysis of variance and multiple regression analysis) to find the statistical difference (p < 0.01). Results: Satisfaction level differed significantly by education level (P< 0.001) and the type of clinic (P<0.001). The multiple regression analysis suggest that all variables influenced satisfaction, except age and marital status. The satisfaction score was higher by 27% for private clinics compared to public clinics. Conclusion: This study was exploratory and revealed an effect of individual variables on overall satisfaction score of the services attributes. Future plans for patient care could be developed with the help of this research.
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Affiliation(s)
- Aftab Ahmed Khan
- Aftab Ahmed Khan, MSc, M.Bioeth, B.D.S Researcher, Dental Biomaterials Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11433; Saudi Arabia
| | - Adel Zia Siddiqui
- Adel Zia Siddiqui, MSc, B.D.S Associate Professor, Baqai Dental College, Baqai Medical University, 51 Deh Tor, Toll Plaza, Super Highway, Gadap Road, Karachi 74600; Pakistan
| | - Syed Fareed Mohsin
- Syed Fareed Mohsin, Ph.D, MSc, MFD RCS, MFDS RCPSG, B.D.S Associate Professor, Department of Oral Pathology/Oral Medicine; College of Dentistry, Qassim University, KSA
| | - Badreldin Abdelrhaman Mohamed
- Badreldin Abdelrhaman Mohamed, Ph.D, MSc, BSc Professor, Department of Community Health, College of Applied Medical Sciences, King Saud University, Riyadh 11433; Saudi Arabia
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Waylen A, Makoul G, Albeyatti Y. Patient-clinician communication in a dental setting: a pilot study. Br Dent J 2017; 218:585-8; discussion 588. [PMID: 25998352 DOI: 10.1038/sj.bdj.2015.389] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2015] [Indexed: 01/17/2023]
Abstract
OBJECTIVE To undertake a pilot study and examine whether the communication assessment tool (CAT) is useful in assessing patient perceptions of dentists' interpersonal skills. DESIGN Cross-sectional questionnaire study. SETTING Three speciality dental clinics in a University teaching hospital in the United Kingdom. PARTICIPANTS, MATERIALS AND MEASURES: One hundred patients, seen by 20 dentists, were recruited to the study. Patients completed the CAT after their consultation. MAIN OUTCOME MEASURES Patient ratings of excellent interpersonal skills within a dental consultation according to dentists' experience, gender and speciality. RESULTS Complete data was received from 95 patients. On average, dentists' communication skills were rated as excellent 73% of the time. Patients were least satisfied with opportunities to ask questions within their consultation and with their level of involvement in decision-making. There were suggested differences in patients' perceived satisfaction with communication according to dentists' experience and gender. CONCLUSION Overall, patients are satisfied with the quality of communication with their dentist. Our findings are comparable to those from larger studies suggesting that the CAT is an effective tool to use in a dental context. The CAT would be useful in documenting the development of dentists' and students' interpersonal skills.
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Affiliation(s)
- A Waylen
- School of Oral and Dental Sciences, Lower Maudlin St, Bristol, BS1 2LY
| | - G Makoul
- Bristol Dental Hospital, University of Bristol, Lower Maudlin St, Bristol, BS1 2LY
| | - Y Albeyatti
- University of Connecticut School of Medicine, Farmington, Connecticut, USA
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Oral health knowledge, attitude and behavior among students of age 10–18years old attending Jenadriyah festival Riyadh; a cross-sectional study. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.sjdr.2015.05.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Fox C, Kay EJ, Anderson R. Evidence-based dentistry – overcoming the challenges for the UK's dental practitioners. Br Dent J 2014; 217:191-4. [DOI: 10.1038/sj.bdj.2014.703] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2014] [Indexed: 11/09/2022]
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Sbaraini A, Carter SM, Evans RW, Blinkhorn A. Experiences of dental care: what do patients value? BMC Health Serv Res 2012; 12:177. [PMID: 22726888 PMCID: PMC3407476 DOI: 10.1186/1472-6963-12-177] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2012] [Accepted: 06/24/2012] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Dentistry in Australia combines business and health care service, that is, the majority of patients pay money for tangible dental procedures such as fluoride applications, dental radiographs, dental fillings, crowns, and dentures among others. There is evidence that patients question dentists' behaviours and attitudes during a dental visit when those highly technical procedures are performed. However, little is known about how patients' experience dental care as a whole. This paper illustrates the findings from a qualitative study recently undertaken in general dental practice in Australia. It focuses on patients' experiences of dental care, particularly on the relationship between patients and dentists during the provision of preventive care and advice in general dental practices. METHODS Seventeen patients were interviewed. Data analysis consisted of transcript coding, detailed memo writing, and data interpretation. RESULTS Patients described their experiences when visiting dental practices with and without a structured preventive approach in place, together with the historical, biological, financial, psychosocial and habitual dimensions of their experience. Potential barriers that could hinder preventive activities as well as facilitators for prevention were also described. The offer of preventive dental care and advice was an amazing revelation for this group of patients as they realized that dentists could practice dentistry without having to "drill and fill" their teeth. All patients, regardless of the practice they came from or their level of clinical risk of developing dental caries, valued having a caring dentist who respected them and listened to their concerns without "blaming" them for their oral health status. These patients complied with and supported the preventive care options because they were being "treated as a person not as a patient" by their dentists. Patients valued dentists who made them aware of existing preventive options, educated them about how to maintain a healthy mouth and teeth, and supported and reassured them frequently during visits. CONCLUSIONS Patients valued having a supportive and caring dentist and a dedicated dental team. The experience of having a dedicated, supportive and caring dentist helped patients to take control of their own oral health. These dentists and dental teams produced profound changes in not just the oral health care routines of patients, but in the way patients thought about their own oral health and the role of dental professionals.
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Affiliation(s)
- Alexandra Sbaraini
- Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia
- Population Oral Health, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia
| | - Stacy M Carter
- Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia
| | - R Wendell Evans
- Population Oral Health, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia
| | - Anthony Blinkhorn
- Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia
- Population Oral Health, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia
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