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Machado GM, Luca ACF, Pereira RPL, Fernandez AY, Rodrigues LGS, Leite IP, Cenci MS, Cenci TP, Santos APP, Oliveira BH, Nadanovsky P, Lima MDM, Moura MS, Lucena EHG, Lenzi TL, Crispim AC, Carrer FCA, Gabriel M, Lira CC, Gurgel CV, Pinheiro HHC, Pucca GA, Martins FC, Calvasina PG, Tricoli MFM, Branco CMCC, Freitas RD, Imparato JCP, Raggio DP, Tedesco TK, Mendes FM, Braga MM. How different attributes are weighted in professionals' decision-making in Pediatric Dentistry-a protocol for guiding discrete choice experiment focused on shortening the evidence-based practice implementation for dental care. BMC Oral Health 2024; 24:474. [PMID: 38641652 PMCID: PMC11031987 DOI: 10.1186/s12903-024-04090-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 03/01/2024] [Indexed: 04/21/2024] Open
Abstract
BACKGROUND Important evidence has been constantly produced and needs to be converted into practice. Professional consumption of such evidence may be a barrier to its implementation. Then, effective implementation of evidence-based interventions in clinical practice leans on the understanding of how professionals value attributes when choosing between options for dental care, permitting to guide this implementation process by maximizing strengthens and minimizing barriers related to that. METHODS This is part of a broader project investigating the potential of incorporating scientific evidence into clinical practice and public policy recommendations and guidelines, identifying strengths and barriers in such an implementation process. The present research protocol comprises a Discrete Choice Experiment (DCE) from the Brazilian oral health professionals' perspective, aiming to assess how different factors are associated with professional decision-making in dental care, including the role of scientific evidence. Different choice sets will be developed, either focusing on understanding the role of scientific evidence in the professional decision-making process or on understanding specific attributes associated with different interventions recently tested in randomized clinical trials and available as newly produced scientific evidence to be used in clinical practice. DISCUSSION Translating research into practice usually requires time and effort. Shortening this process may be useful for faster incorporation into clinical practice and beneficial to the population. Understanding the context and professionals' decision-making preferences is crucial to designing more effective implementation and/or educational initiatives. Ultimately, we expect to design an efficient implementation strategy that overcomes threats and potential opportunities identified during the DCEs, creating a customized structure for dental professionals. TRIAL REGISTRATION https://osf.io/bhncv .
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Affiliation(s)
- Gabriela Manco Machado
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Ana Clara Falabello Luca
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Renata Paz Leal Pereira
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Ana Yne Fernandez
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
- Pontifícia Universidade Católica Madre y Maestra, Santo Domingo, Dominican Republic
| | - Lucas Gabriel Santini Rodrigues
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Isabella Petroline Leite
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Maximiliano Sergio Cenci
- Department of Dentistry, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | - Tatiana Pereira Cenci
- Department of Dentistry, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | - Ana Paula Pires Santos
- Department of Community and Preventive Dentistry, University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Branca Heloisa Oliveira
- Department of Community and Preventive Dentistry, University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Paulo Nadanovsky
- Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil
- Department of Epidemiology, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Marina Deus Moura Lima
- Department of Pathology and Dental Clinic, Federal University of Piauí, Teresina, Piauí, Brazil
| | - Marcoeli Silva Moura
- Department of Pathology and Dental Clinic, Federal University of Piauí, Teresina, Piauí, Brazil
| | | | - Tathiane Larissa Lenzi
- Department of Surgery and Orthopedics, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Fernanda Campos Almeida Carrer
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Mariana Gabriel
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
- Universidade Galileo, Botucatu, SP, Brazil
| | - Claudia Cazal Lira
- Academic Area of Pathology, Federal University of Pernambuco, Recife, Brazil
| | | | | | | | | | | | | | | | | | - José Carlos Pettorossi Imparato
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Daniela Prócida Raggio
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Tamara Kerber Tedesco
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Fausto Medeiros Mendes
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil
| | - Mariana Minatel Braga
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, São Paulo, SP, 05508-000, Brazil.
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Verdugo J, Laughter L, Chambers DW. Shared decision-making in scaling and root planing. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024; 28:184-190. [PMID: 37571971 DOI: 10.1111/eje.12935] [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: 02/03/2023] [Revised: 05/22/2023] [Accepted: 07/08/2023] [Indexed: 08/13/2023]
Abstract
INTRODUCTION Estimate proportion of various approaches used by dental hygienists for engaging patients in decisions commonly arising during scaling and root planing. Distribution of approaches was compared across various task components in this procedure, practice experience of dental hygienists and patient compliance. MATERIALS AND METHODS Survey of graduates from and students in a baccalaureate dental hygiene program. RESULTS Paternalism (tell then do) and informed consent (give choices and reasons and ask for permission) were more common than shared decision-making (discuss alternatives, solicit patient input and arrive at a mutual decision) and disengagement (patient refusing offered service or avoiding further involvement) by a ratio of 4 to 1 for the first 2 compared with the latter 2. This relationship was held across selecting treatment, procedural adjuncts, homecare instructions and financial arrangements. Dental hygienists exhibited a range of personal preferences for engagement approaches. No-show rate, patient disengagement outside the office, was high (20%). CONCLUSION Dental hygienists reported using 'more controlled' approaches to engaging patients in decisions regarding treatment. Patients may prefer to engage in more shared decisions and choose this approach by staying away from the office. This may underestimate patients' decisions to stay away from treatment, for example by not showing for completion of the treatment or disregarding homecare routines.
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Affiliation(s)
- José Verdugo
- The University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA
| | - Lory Laughter
- The University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA
| | - David W Chambers
- The University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA
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Brandt S, Lauer HC, Güth JF, Bühling S, Sayahpour B, Romanos G, Winter A. Impact of two different patient decision aids in prosthodontic consultations: a prospective randomized controlled study. Clin Oral Investig 2023; 27:7841-7849. [PMID: 38010423 PMCID: PMC10713710 DOI: 10.1007/s00784-023-05375-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 11/05/2023] [Indexed: 11/29/2023]
Abstract
OBJECTIVES Different approaches to prosthodontic consultation, all involving a strong focus on shared decision-making, were analyzed from the perspective of patients by inter-group comparisons. No patient decision aid (PDA) was used in the control group, a paper-based PDA in test group 1, and a software-based PDA in test group 2. MATERIALS AND METHODS Seventy-five patients were prospectively randomized to the control group or a test group. All patients then rated the consultation on a questionnaire, six key items of which were analyzed, along with the time spent on each consultation. RESULTS Overall satisfaction was highest in test group 2, with a significant difference from the control group (p = 0.015). Test group 2 showed the most favorable ratings for all six questionnaire items, which invariably was significant compared to the control group (p = 0.032). Test group 1 significantly differed from test group 2 based on two items (consultation was adequately intelligible: p = 0.011; consultation was adequately comprehensive: p = 0.034) but not from the control group based on any item (p = 0.070). CONCLUSIONS Within the limitations of this study, the use of a software-based PDA, in particular, can be recommended based on patient satisfaction and was associated with the shortest sessions for consultation. CLINICAL RELEVANCE Patients are routinely faced with a wealth of information in dental offices and may be overwhelmed especially by prosthetic treatment options and decision requirements. Our findings shed some light on the nature of aids that may truly be helpful in the process of shared decision-making. TRIAL REGISTRATION ClinicalTrials.gov.Identifier: ISRCTN11472465.
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Affiliation(s)
- Silvia Brandt
- Department of Prosthodontics, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt, Theodor-Stern-Kai 7, Building 29, 60596, Frankfurt am Main, Germany.
| | - Hans-Christoph Lauer
- Department of Prosthodontics, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt, Theodor-Stern-Kai 7, Building 29, 60596, Frankfurt am Main, Germany
| | - Jan-Frederik Güth
- Department of Prosthodontics, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt, Theodor-Stern-Kai 7, Building 29, 60596, Frankfurt am Main, Germany
| | - Sarah Bühling
- Department of Prosthodontics, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt, Theodor-Stern-Kai 7, Building 29, 60596, Frankfurt am Main, Germany
| | - Babak Sayahpour
- Department of Prosthodontics, Center for Dentistry and Oral Medicine (Carolinum), Goethe University Frankfurt, Theodor-Stern-Kai 7, Building 29, 60596, Frankfurt am Main, Germany
| | - Georgios Romanos
- Department of Periodontics and Endodontics, Stony Brook School of Dental Medicine, New York, NY, USA
| | - Anna Winter
- Department of Prosthodontics, University Hospital Würzburg, Würzburg, Germany
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Bhatt K, Aljohani DM, Forget P. Both patients and the public should be involved in setting the pain research agenda. Br J Anaesth 2023; 131:e166-e167. [PMID: 37689538 DOI: 10.1016/j.bja.2023.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 08/08/2023] [Indexed: 09/11/2023] Open
Affiliation(s)
- Ketan Bhatt
- Pain AND Opioids after Surgery (PANDOS) European Society of Anaesthesiology and Intensive Care (ESAIC) Research Group, Aberdeen, UK.
| | - Dalia M Aljohani
- Pain AND Opioids after Surgery (PANDOS) European Society of Anaesthesiology and Intensive Care (ESAIC) Research Group, Aberdeen, UK; Department of Anesthesia Technology, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
| | - Patrice Forget
- Pain AND Opioids after Surgery (PANDOS) European Society of Anaesthesiology and Intensive Care (ESAIC) Research Group, Aberdeen, UK; Department of Anaesthesia, Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK; Epidemiology Group, Institute of Applied Health Sciences, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, UK
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Olsson J, Wolf E, Ljunggren A. Pre-medical assessment of root-canal-filled teeth with asymptomatic apical periodontitis-A multifaceted balancing act. Int Endod J 2023; 56:1063-1076. [PMID: 37269098 DOI: 10.1111/iej.13941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 05/30/2023] [Accepted: 05/31/2023] [Indexed: 06/04/2023]
Abstract
AIM Prior to certain medical therapies, dental assessment and treatment of oral foci of infection are recommended. The aim of the present study was to acquire a deeper understanding of the decision-making process regarding the pre-medical management of root-canal-filled teeth with asymptomatic apical periodontitis (AAP). METHODOLOGY Hospital-affiliated dentists in Sweden were contacted for a semi-structured, in-depth interview. The absolute inclusion criterion was that the dentists had experienced and could recount at least two authentic cases involving root-canal-filled teeth with AAP-one case having resulted in pre-medical treatment, and one having resulted in expectancy. Fourteen interviews, with fourteen informants, were conducted and included in the study. During the interviews, open-ended questions and comments encouraging the informants to elaborate and clarify their experiences were offered. The interviews were digitally recorded, transcribed verbatim and analysed using Qualitative Content Analysis with an inductive approach. RESULTS A theme describing the latent content was identified through interpretation of the collected data: A multifaceted balancing act characterized by a sometimes-difficult risk-benefit-estimation, where an increased uncertainty entails an increased reliance on external opinions. Three main categories, comprising four sub-categories, describing the manifest content were recognized: The tipping scale, The team effort and The frame of reference. CONCLUSIONS The current interview study found pre-medical decision-making regarding root-canal-filled teeth with AAP to be a multifactorial and contextual process marked by uncertainty and collaborative measures. Further research, resulting in the development of evidence-based treatment guidelines, is suggested necessary.
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Affiliation(s)
- Jenny Olsson
- Department of Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Eva Wolf
- Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Anna Ljunggren
- Department of Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden
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Chambers DW. Dental hygiene students' participation as subjects in a randomized controlled trial: A full evidence-based dentistry experience. J Dent Educ 2023; 87:34-42. [PMID: 36069112 DOI: 10.1002/jdd.13097] [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: 06/19/2022] [Accepted: 08/11/2022] [Indexed: 01/11/2023]
Abstract
PURPOSE Demonstrate that dental hygiene students' participation in a randomized controlled trial comparing the plaque-removing capability of two toothbrushes provides a fuller understanding of the factors affecting the potential application of research to practice. METHODS All students (N = 18) in a baccalaureate dental hygiene class were engaged in the design of a randomized controlled trial using the Consolidated Standards of Reporting Trials (CONSORT) standard and then participated as subjects in a staggered, repeated measures trial using plaque removal as the dependent variable and brush type, brush head wear, and time in study as independent variables. A debriefing of student participation and lessons learned from analyzing the results was conducted. RESULTS The study found statistically significant differences in plaque removal capability. Brush type accounted for only 4% of the variance, while measures of brush head wear were inconsistent, and time in the study ("experimental fatigue") accounted for the most variance (9%). Students recognized and confirmed by their personal experiences that research that fails to focus on variance can create an overly optimistic impression of research effectiveness. There was strong agreement that subjects/patients vary widely and that performance depends on multiple factors. CONCLUSIONS Dental hygiene students who participated as subjects in a randomized controlled trial comparing toothbrushes for plaque removal capacity felt that full analysis to account for all sources of variance and estimate the magnitude of measures of effect add to the value of reported research. Variation across patients is important in practice, if often overlooked as an "error" in the literature.
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Affiliation(s)
- David W Chambers
- Deaprtment of Dignostic Sciences, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, California, USA
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Park M, Mai HN, Mai MY, Win TT, Lee DH, Lee CH. Intra- and Interrater Agreement of Face Esthetic Analysis in 3D Face Images. BIOMED RESEARCH INTERNATIONAL 2023; 2023:3717442. [PMID: 37078008 PMCID: PMC10110378 DOI: 10.1155/2023/3717442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/21/2022] [Accepted: 01/25/2023] [Indexed: 04/21/2023]
Abstract
The use of three-dimensional (3D) facial scans for facial analysis is increasing in maxillofacial treatment. The aim of this study was to investigate the consistency of two-dimensional (2D) and 3D facial analyses performed by multiple raters. Six men and four women (25-36-year-old) participated in this study. The 2D images of the smiling and resting faces in the frontal and sagittal planes were obtained. The 3D facial and intraoral scans were merged to generate virtual 3D faces. Ten clinicians performed facial analyses by investigating 14 indices of 2D and 3D faces. Intra- and interrater agreements of the results of 2D and 3D facial analyses within and among the participants were evaluated. The intrarater agreement between the 2D and 3D facial analyses varied according to the indices. The highest and lowest agreements were found for the dental crowding index (0.94) and smile line curvature index (0.56) in the frontal plane, and Angle's classification (canine) index (0.98) and occlusal plane angle index (0.55) in the profile plane. In the frontal plane, the interrater agreements were generally higher for the 3D images than for the 2D images, while in the profile plane, the interrater agreements were high in the Angle's classification (canine) index however low in the other indices. Several occlusion-related indices were missing in the 2D images because the posterior teeth were not observed. Esthetic analysis results between 2D and 3D face images can differ according to the evaluation indices. The use of 3D faces is recommended over 2D images to increase the reliability of facial analyses, as it can fully assess both esthetic and occlusion-related indices.
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Affiliation(s)
- Minsoo Park
- Department of Prosthodontics, School of Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
| | - Hang-Nga Mai
- Dental School of Hanoi University of Business and Technology, 10000 Hanoi, Vietnam
- Institute for Translational Research in Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
| | - Mai Yen Mai
- Department of Prosthodontics, School of Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
| | - Thaw Thaw Win
- Department of Prosthodontics, School of Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
| | - Du-Hyeong Lee
- Department of Prosthodontics, School of Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
- Institute for Translational Research in Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
| | - Cheong-Hee Lee
- Department of Prosthodontics, School of Dentistry, Kyungpook National University, 2177 Dalgubeoldae-ro, Jung-Gu, Daegu 41940, Republic of Korea
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Touati R, Sailer I, Marchand L, Ducret M, Strasding M. Communication tools and patient satisfaction: A scoping review. J ESTHET RESTOR DENT 2022; 34:104-116. [PMID: 34953109 PMCID: PMC9305134 DOI: 10.1111/jerd.12854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 12/02/2021] [Accepted: 12/03/2021] [Indexed: 12/30/2022]
Abstract
OBJECTIVE This scoping review aimed to present an overview of the literature on communication tools in esthetic dentistry. A variety of communication tools have been proposed to include patients in the shared decision-making (SDM) workflow. Only little is known about implementing communication tools in dentistry and their impact on patient communication and patient satisfaction. A systematic literature search was performed in Medline, Embase, Cochrane, and World of Science to identify if communication tools have an impact on patient satisfaction. MATERIAL AND METHODS The search included studies from January 1, 2000 to March 3, 2020 published in English, focusing on patient communication tools and patient satisfaction in esthetic dentistry. RESULTS Out of 6678 records, 53 full-texts were examined. Ten studies were included. Data of the included studies were extracted systematically and subsequently analyzed. All studies found that patient communication utilizing specific communication tools positively impacted either patient satisfaction, patient-dentist relationship, information retention, treatment acceptance, quality of care or treatment outcome. CONCLUSIONS Additional communication tools besides conventional verbal communication are able to enhance patient satisfaction, improve quality of care and establish a better patient-dentist relationship. It seems essential to further develop standardized communication tools for SDM in dental medicine, which will allow the comparison of research on this topic. CLINICAL SIGNIFICANCE This scoping review shows the importance of patient involvement in the decision-making process for improved patient satisfaction with esthetic dental treatments. With an increased implementation of communication tools, patient satisfaction and SDM may further improve in the future.
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Affiliation(s)
- Romane Touati
- Faculty of OdontologyUniversity Claude Bernard Lyon 1, University of LyonLyonFrance
- Hospices civils de LyonService de Consultations et Traitement DentaireLyonFrance
| | - Irena Sailer
- Division of Fixed Prosthodontics and BiomaterialsUniversity Clinic of Dental Medicine, University of GenevaGenevaSwitzerland
| | - Laurent Marchand
- Division of Fixed Prosthodontics and BiomaterialsUniversity Clinic of Dental Medicine, University of GenevaGenevaSwitzerland
| | - Maxime Ducret
- Faculty of OdontologyUniversity Claude Bernard Lyon 1, University of LyonLyonFrance
- Hospices civils de LyonService de Consultations et Traitement DentaireLyonFrance
| | - Malin Strasding
- Division of Fixed Prosthodontics and BiomaterialsUniversity Clinic of Dental Medicine, University of GenevaGenevaSwitzerland
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Ngantcha P, Amith M“T, Roberts K, Valenza JA, Walji M, Tao C. Dental EHR-infused Persona Ontologies to Enrich Dental Dialogue Interaction of Agents. PROCEEDINGS. IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE 2021; 2021:1818-1825. [PMID: 35371617 PMCID: PMC8972912 DOI: 10.1109/bibm52615.2021.9669748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The quality of patient-provider communication can predict the healthcare outcomes in patients, and therefore, training dental providers to handle the communication effort with patients is crucial. In our previous work, we developed an ontology model that can standardize and represent patient-provider communication, which can later be integrated in conversational agents as tools for dental communication training. In this study, we embark on enriching our previous model with an ontology of patient personas to portray and express types of dental patient archetypes. The Ontology of Patient Personas that we developed was rooted in terminologies from an OBO Foundry ontology and dental electronic health record data elements. We discuss how this ontology aims to enhance the aforementioned dialogue ontology and future direction in executing our model in software agents to train dental students.
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Affiliation(s)
| | - Muhammad “Tuan” Amith
- School of Biomedical Informatics, University of Texas Health, Science Center at Houston, Houston, TX, USA
| | - Kirk Roberts
- School of Biomedical Informatics, University of Texas Health, Science Center at Houston, Houston, TX, USA
| | - John A Valenza
- School of Dentistry, University of Texas Health, Science Center at Houston, Houston, TX, USA
| | - Muhammad Walji
- School of Dentistry, University of Texas Health, Science Center at Houston, Houston, TX, USA
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[Dental and oral health services research in Germany]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:862-870. [PMID: 34104978 PMCID: PMC8186870 DOI: 10.1007/s00103-021-03356-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 05/17/2021] [Indexed: 11/08/2022]
Abstract
In den letzten 8 Jahren wurde in Deutschland nicht nur „mehr Versorgungsforschung in der Zahnmedizin“ gefordert, sondern auch geleistet. Insgesamt finden sich an 12 Medizinischen Fakultäten themenbezogene Aktivitäten der Zahn‑, Mund- und Kieferheilkunde in der Versorgungsforschung; deutschlandweit werden 9 Großprojekte verortet, die vom Bundesministerium für Bildung und Forschung oder vom Innovationsfonds gefördert werden. Gleichwohl ist der Bedarf an Versorgungsforschung größer als die jetzige Leistungsfähigkeit der universitären und außeruniversitären Zahnmedizin: Um eine nachhaltige, bedarfsgerechte und zukunftssichere zahnärztliche Versorgung aller Menschen in Deutschland gewährleisten zu können, bedarf es strukturierter, methodisch versierter und in die Versorgung hinein vernetzter Verbünde, die das wissenschaftliche Fundament für erwartete Versorgungsumbrüche legen können. Der vorliegende Beitrag soll den Stand der Versorgungsforschung in der Zahn‑, Mund- und Kieferheilkunde in Deutschland beschreiben. Die wesentlichen Herausforderungen werden adressiert: Methodenkompetenz, Zugang zu Daten und deren Nutzung sowie die langfristige Perspektive dieses Forschungsbereichs. Derzeitige Forschungsaktivitäten und Infrastruktur inklusive Förder- und Fortbildungsinstrumente werden dargestellt. Die Erkenntnisse aus der zahnärztlichen Versorgungsforschung in Deutschland können auch für andere Länder richtungsweisend sein; umgekehrt kann Versorgungsforschung Ansätze aus anderen Ländern sinnvoll in das deutsche Gesundheitssystem übertragen. Versorgungsforschende sollten sich professionalisieren und vernetzen. Nachhaltige Strukturen (Professuren, Mittelbau) und Rahmenbedingungen (Datennutzung, Förderung) sollten geschaffen und Forschungsergebnisse zeitnah verwertet werden.
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Schierz O, Reissmann DR. DENTAL PATIENT-REPORTED OUTCOMES -- THE PROMISE OF DENTAL IMPLANTS. J Evid Based Dent Pract 2021; 21:101541. [PMID: 34051958 DOI: 10.1016/j.jebdp.2021.101541] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 02/03/2021] [Accepted: 02/06/2021] [Indexed: 10/22/2022]
Abstract
In general dental practice, the use of implants is focused mostly on prosthodontic issues. That is, the replacement of missing teeth or the support of dental prostheses. However, there are other dental fields using implants such as orthodontics or maxillofacial prosthodontics. A classic way to measure success in implant dentistry is to look how long implants and the corresponding superstructure survive and are in function. Nevertheless, this alone is a very crude parameter. Therefore, biological and technical complications are taken in account additionally. Nonetheless, these objective measures do not well replicate the perception of the patient. That why, subjective measures, reflecting the perception of the patient are recommended to complement objective parameters. If these dental patient-reported outcome measures (dPROMs) are wisely chosen, they offer a wide variety of options. Besides comparing therapeutic effects by using the instruments' summary score only, dPROMs such as the Oral Health Impact Profile (OHIP) provide the opportunity to additionally assess patients` perceptions in the 4 dimensions of oral health-related quality of life. These are functional limitations, pain, esthetic issues as well as psychosocial impairment. Even the 5-item short form of the OHIP captures these dimensions and provides an efficient way to assess patients' perception with low administrative burden. This in turn offers new insights into the patient perspective and therefore helps improving shared decision making.
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Affiliation(s)
- Oliver Schierz
- Department of Prosthetic Dentistry and Material Sciences, Medical Faculty, University of Leipzig, Leipzig, Germany.
| | - Daniel R Reissmann
- Department of Prosthetic Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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