1
|
Nassar AA, Aboalshamat KT, Alsanei BS, Alghamdi AS, Fudah AA, Alhilou AM. The effect of educational animation compared to leaflets on patients' knowledge regarding root canal treatment: a randomized controlled trial. BMC MEDICAL EDUCATION 2024; 24:808. [PMID: 39075457 PMCID: PMC11285601 DOI: 10.1186/s12909-024-05812-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 07/23/2024] [Indexed: 07/31/2024]
Abstract
BACKGROUND Incorporating video as a tool for education offers a multitude of advantages. However, it is unknown what is the best educational tool to use for increasing public awareness, consequently reducing fear about root canal treatment. For this reason, this study aimed to compare the effectiveness of educational animation and leaflets as delivery methods for providing information on root canal treatment to patients and to assess their ability to retain the information. METHODS One hundred fifty adult volunteers were recruited via social media and Umm Al-Qura University Dental Hospital to participate in this randomized control trial study. The volunteers were divided into the study group (SG) and the control group (CG). The SG was provided with information through animations created by the research team, while the CG received the same information through a leaflet. Pre-intervention (T1), immediate post-intervention (T2), and one-month post-intervention (T3) validated questionnaires were completed by the participants to assess the changes in their knowledge. To evaluate the impact of the information delivery method, the knowledge scores of T2 and T3 were compared to T1 within each group using Paired T-tests. Additionally, the study compared the knowledge scores of the two groups using unpaired T-tests. The significance level was set at a P-value of less than 0.05. RESULTS A significant improvement in endodontic therapy knowledge among the participants in both groups (T1 compared to T2 in the same group) was noted (P < 0.050). However, when comparing T2 between groups, no significant difference was found in delivering the information and improving the knowledge (P = 0.080). Still, the mean differences between T1 and T2, as well as T1 and T3, were greater (P < 0.050) in the SG than in the CG. Furthermore, the total knowledge score in the SG at T3 was significantly higher than the CG. CONCLUSION Both educational animation and leaflets are practical tools to increase patients' awareness about root canal treatment. However, educational videos are more effective than leaflets in delivering and retaining information about root canal treatment. TRIAL REGISTRATION This study was retrospectively registered as a randomized control trial at the ISRCTN registry with the document number ISRCTN18413241, 15/05/2023.
Collapse
Affiliation(s)
- Afnan A Nassar
- Department of Preventive Dentistry, College of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Khalid T Aboalshamat
- Department of Preventive Dentistry, College of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Bader S Alsanei
- Dental Intern, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ahmed S Alghamdi
- Dental Intern, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ahmed A Fudah
- Dental Intern, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abdelrahman M Alhilou
- Department of Restorative Dentistry, College of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
| |
Collapse
|
2
|
Beauquis J, Setbon HM, Dassargues C, Carsin P, Aryanpour S, Van Nieuwenhuysen JP, Leprince JG. Short-Term Pain Evolution and Treatment Success of Pulpotomy as Irreversible Pulpitis Permanent Treatment: A Non-Randomized Clinical Study. J Clin Med 2022; 11:jcm11030787. [PMID: 35160239 PMCID: PMC8836521 DOI: 10.3390/jcm11030787] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 01/25/2022] [Accepted: 01/29/2022] [Indexed: 02/05/2023] Open
Abstract
The objective of this work was to evaluate (1) the short-term evolution of pain and (2) the treatment success of full pulpotomy as permanent treatment of irreversible pulpitis in mature molars. The study consisted of a non-randomized comparison between a test group (n = 44)—full pulpotomy performed by non-specialist junior practitioners, and a control group (n = 40)—root canal treatments performed by specialized endodontists. Short-term pain score (Heft–Parker scale) was recorded pre-operatively, then at 24 h and 7 days post-operatively. Three outcomes were considered for treatment success: radiographic, clinical and global success. For short-term evolution of pain, a non-parametric Wilcoxon test was performed (significance level = 0.05). For treatment success, a Pearson Chi square or Fisher test were performed (significance level = 0.017–Bonferroni correction). There was no significant difference between test and control groups neither regarding short term evolution of pain at each time point, nor regarding clinical (80% and 90%, respectively) or global success (77% and 67%, respectively). However, a significant difference in radiographic success was observed (94% and 69%, respectively). The present work adds to the existing literature to support that pulpotomy as permanent treatment could be considered as an acceptable and conservative treatment option, potentially applied by a larger population of dentists.
Collapse
Affiliation(s)
- Julien Beauquis
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Correspondence: (J.B.); (J.G.L.)
| | - Hugo M. Setbon
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Private Practice, Av. Louise 391, 1050 Brussels, Belgium
| | - Charles Dassargues
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Private Practice, Rue Edmond Laffineur 9, 1300 Wavre, Belgium
| | - Pierre Carsin
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Private Practice, All. de la Minerva 2, 1150 Brussels, Belgium
| | - Sam Aryanpour
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Private Practice, Rte du Lion 10, 1420 Braine-l’Alleud, Belgium
| | - Jean-Pierre Van Nieuwenhuysen
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
| | - Julian G. Leprince
- Adult and Child Dentistry, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium; (C.D.); (P.C.); (S.A.); (J.-P.V.N.)
- DRIM Research Group & Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, UCLouvain, 1200 Brussels, Belgium;
- Correspondence: (J.B.); (J.G.L.)
| |
Collapse
|
3
|
Beauquis J, Petit AE, Michaux V, Sagué V, Henrard S, Leprince JG. Dental Emergencies Management in COVID-19 Pandemic Peak: A Cohort Study. J Dent Res 2021; 100:352-360. [PMID: 33541180 PMCID: PMC7868351 DOI: 10.1177/0022034521990314] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Due to the global coronavirus disease 2019 pandemic, the high risk of cross-contamination and the overload of hospital facilities have resulted in a real urgency for restricting dental emergency patient flow. In this context, the objectives of the current work were to 1) measure the ability of a triage-based management strategy to limit patient admission and 2) evaluate the success rate of both on-site and remote emergency management regarding symptom relief and pain control over a 1-mo period. We included all patients contacting the dental medicine department for an emergency consultation during the lockdown, between April 1 and April 30, 2020 (N = 570). Following a telephone consultation and based on preestablished admission guidelines, a decision was made at baseline (T0) to either admit the patient for treatment or perform remote management by providing advice and/or drug prescription. Patients were then followed up systematically at 1 wk and 1 mo. Management failure was defined as the need for emergency admission for patients managed remotely since T0 and for new emergency admission for those admitted at T0. The global follow-up rate of patients with a complete data set was 91.4% (N = 521). Of included patients, 49.3% could be managed without admission for emergency reasons for 1 mo. The proportion of successful management was 71.8% and 90.2% at 1 mo for remote and on-site management, respectively. To conclude, the proposed triage-based emergency management strategy with systematic follow-up was a good compromise between limiting patient admission and ensuring effective symptom relief and pain control. The strategy can be useful in situations where regulation of the emergency patient flow is required.
Collapse
Affiliation(s)
- J Beauquis
- Conservative Dentistry and Endodontics Department, Cliniques Universitaires St-Luc, UCLouvain, Brussels, Belgium.,DRIM Research Group, Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium
| | - A E Petit
- Pharmacy Department, Cliniques Universitaires St-Luc, UCLouvain, Brussels, Belgium.,Clinical Pharmacy Research Group, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium
| | - V Michaux
- Conservative Dentistry and Endodontics Department, Cliniques Universitaires St-Luc, UCLouvain, Brussels, Belgium.,DRIM Research Group, Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium
| | - V Sagué
- DRIM Research Group, Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium.,Prosthetic Dentistry Department, Cliniques Universitaires St-Luc, UCLouvain, Brussels, Belgium
| | - S Henrard
- Clinical Pharmacy Research Group, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium.,Institute of Health and Society (IRSS), UCLouvain, Brussels, Belgium
| | - J G Leprince
- Conservative Dentistry and Endodontics Department, Cliniques Universitaires St-Luc, UCLouvain, Brussels, Belgium.,DRIM Research Group, Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute (LDRI), UCLouvain, Brussels, Belgium
| |
Collapse
|
4
|
George I, Meldrum J. A study to assess the prevalence of unintentional paracetamol overdose among patients presenting in dental pain in primary care. Br Dent J 2020:10.1038/s41415-020-2277-0. [PMID: 33184482 DOI: 10.1038/s41415-020-2277-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 06/01/2020] [Indexed: 11/09/2022]
Abstract
Introduction Paracetamol is a very commonly used medication for the treatment of dental pain in the UK. Our study aimed to assess patient awareness of maximum doses and investigate the prevalence of overdosing on paracetamol from recommended doses.Method We asked patients attending dental practices in south London for pain appointments. We collected 100 responses over two months from January to March 2019.Results Approximately 85% of patients used paracetamol when self-medicating for pain relief and approximately one in four patients were unaware of the correct doses. Thirty-seven percent of patients answered with an incorrect response and 2% of participants indicated they had overdosed on paracetamol in the past 24 hours.Discussion From the information, we developed a patient information leaflet, a checklist for clinicians and posters to educate patients when trying to self-medicate for pain relief from dental pain in future.Conclusions It is important for the general dental practitioner to help patients become aware of maximum doses to reduce risks of liver hepatotoxicity and chronic liver damage - a complication of paracetamol overdosing and poisoning - and to be educated on how to manage a suspected overdosed patient presenting to primary care.
Collapse
Affiliation(s)
- Ifan George
- Eastbourne District General Hospital, OMFS, EDGH, King's Drive, Eastbourne, BN21 2UD, UK.
| | | |
Collapse
|
5
|
Hashem IW, Gillway D, Doshi M. Dental care pathways for adult inpatients in an acute hospital: a five-year service evaluation. Br Dent J 2020; 228:687-692. [DOI: 10.1038/s41415-020-1446-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
|
6
|
Bouvet R, Cauchois A, Baert A, Fromenty B, Morel I, Turlin B, Gicquel T. Fatal acetaminophen poisoning with hepatic microvesicular steatosis in a child after repeated administration of therapeutic doses. Forensic Sci Int 2020; 310:110258. [PMID: 32229318 DOI: 10.1016/j.forsciint.2020.110258] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 03/12/2020] [Indexed: 12/21/2022]
Abstract
Acetaminophen is the leading cause of acute liver failure worldwide following massive ingestion. We present here a fatal acute liver failure after repeated administration of four therapeutic doses of acetaminophen at 4-h intervals in a previously healthy 9-year-old female who presented dental pain after a facial trauma during sport practice. A diagnosis of paracetamol-induced hepatitis was deduced from the clinical picture of fulminant hepatitis and tubular necrosis, the encephalopathy with oedema and without signs of trauma. Liver biopsy showed typical acetaminophen-induced necrosis and a microvesicular steatosis in periportal hepatocytes. These injuries might have been favored by pre-existing mitochondrial dysfunction related, for instance, to a deficiency in an enzyme of the mitochondrial β-oxidation pathway, or the respiratory chain. The observation of microvesicular steatosis in the periportal areas suggests an increased vulnerability via pre-existing mitochondrial dysfunction. As the liver status of patients is mostly unknown, the frequency of administration (every six hours) must be respected and the use of pharmaceutical forms allowing to adjust the dose as closely as possible to the child's weight should be promoted.
Collapse
Affiliation(s)
- Renaud Bouvet
- Department of Forensic Medicine, Rennes University Hospital, Rennes, France; IDPSP - EA 4640, Rennes University, Rennes, France
| | - Aurélie Cauchois
- Department of Forensic Medicine, Rennes University Hospital, Rennes, France; Department of Pathology, Rennes University Hospital, Rennes, France
| | - Alain Baert
- Department of Forensic Medicine, Rennes University Hospital, Rennes, France
| | - Bernard Fromenty
- Univ Rennes, Inra, Inserm, Institut NUMECAN - UMR_A 1341, UMR_S 1241, Rennes, France
| | - Isabelle Morel
- Univ Rennes, Inra, Inserm, Institut NUMECAN - UMR_A 1341, UMR_S 1241, Rennes, France; Department of Forensic Toxicology, Rennes University Hospital, Rennes, France
| | - Bruno Turlin
- Univ Rennes, Inra, Inserm, Institut NUMECAN - UMR_A 1341, UMR_S 1241, Rennes, France; Department of Pathology, Rennes University Hospital, Rennes, France
| | - Thomas Gicquel
- Univ Rennes, Inra, Inserm, Institut NUMECAN - UMR_A 1341, UMR_S 1241, Rennes, France; Department of Forensic Toxicology, Rennes University Hospital, Rennes, France.
| |
Collapse
|
7
|
Painkiller overdoses. Br Dent J 2019; 227:328-329. [DOI: 10.1038/s41415-019-0760-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
8
|
Davis-Toledo G, Nuñez L, Espinosa A, López L. What do people do before going to the dentist? Qualitative study of cultural practices of pain relief in primary care. JOURNAL OF ORAL RESEARCH 2018. [DOI: 10.17126/joralres.2018.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: To describe and classify the main cultural practices used to relieve orodental pain in people who seek emergency dental care in vulnerable urban and rural areas of central Chile. Methodology: A sample of 88 adults residing in urban and rural sectors, who received treatment at primary care emergency dental services in three districts of the central area of Chile was studied using a qualitative descriptive approach of sociocultural epidemiological orientation based on Grounded Theory. Interviews were conducted in the waiting room of the emergency service or at the patient’s home. Empirical saturation and triangulation of temporal data were protected. Results: Practices of biomedical origin (self-medication and care received at dental emergency services) and socio-cultural practices were documented. They include the use of chemical products (iodine, phosphorus, battery acid, hydrogen peroxide, gasoline, and alcoholic drinks, among others), herbal infusions (Buddleja globosa, Aloe vera), mechanical-physical techniques (use of cold or heat, massage); subjects also perform the mechanical manipulation of the area with sharp objects, occasionally extracting the tooth itself. Practices occur more frequently at home when the person feels the pain in the affected area, and end on the dental chair with the tooth extraction. Conclusions: The coexistence of biomedical practices and alternative cultural strategies was observed. These practices complement each other and make people postpone seeking professional dental care, which may worsen their health condition.
Collapse
|
9
|
Mittal P, Chan OY, Kanneppady SK, Verma RK, Hasan SS. Association between beliefs about medicines and self-medication with analgesics among patients with dental pain. PLoS One 2018; 13:e0201776. [PMID: 30071006 PMCID: PMC6072109 DOI: 10.1371/journal.pone.0201776] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2018] [Accepted: 07/21/2018] [Indexed: 12/30/2022] Open
Abstract
Self-medication with analgesics in dental pain management is a common practice as most of these medicines are available over-the-counter (OTC). The study aims to examine the relationship between beliefs about medicines and self-medication with analgesics in dental pain management in Malaysia. This cross-sectional study was conducted among conveniently sampled patients attending dental clinics, located in Kuala Lumpur, Malaysia to assess association between self-medication with analgesics and patient's beliefs about medicines via Beliefs about Medicines Questionnaire. Participants were evaluated for their self-medication practices via 4 items. Further assessment was done via Quantitative Analgesic Questionnaire (QAQ) regarding the analgesics taken. Statistical analyses were performed using SPSS version 24, with 0.05 as level of significance. The prevalence of self-medication with analgesics was 29.4%, with 95.6% of the participants took analgesics when necessary. Participants practising self-medication for dental pain reported more positive beliefs in General-Necessity (13.04 vs. 9.98, p = 0.001) than those not practising self-medication. However, these participants had weaker beliefs in General-Harm (12.00 vs. 10.29, p = 0.006) and General-Overuse (11.38 vs. 10.31, p = 0.032) than those not practising self-medication. Participants beliefs in General-Harm (r = -0.243; p = 0.003) and General-Overuse (r = -0.203; p = 0.012) were negatively correlated with total QAQ point. The study found that individuals who practised self-medication had stronger beliefs about the benefits of medicines and weaker beliefs in viewing medicines as harmful and overused. Findings can guide public education to improve the safety aspects of self-medication with analgesics in dental practice.
Collapse
Affiliation(s)
- Piyush Mittal
- Department of Pharmacy Practice, International Medical University, Kuala Lumpur, Malaysia
| | - Oi Yun Chan
- Department of Pharmacy Practice, International Medical University, Kuala Lumpur, Malaysia
| | | | - Rohit Kumar Verma
- Department of Pharmacy Practice, International Medical University, Kuala Lumpur, Malaysia
| | - Syed Shahzad Hasan
- Department of Pharmacy, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom
- School of Biological Sciences and Pharmacy, University of Newcastle, Newcastle, New South Wales, Australia
| |
Collapse
|
10
|
Hancocks S. Overdose due to dental pain. Br Dent J 2018; 224:702-703. [DOI: 10.1038/sj.bdj.2018.383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
11
|
|