کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3147920 1197382 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patients' Values Related to Treatment Options for Teeth with Apical Periodontitis
ترجمه فارسی عنوان
ارزش های بیمارستانی مربوط به گزینه های درمان برای دندان با پریودنتیت آپیکال
کلمات کلیدی
پریودنتیت آپیکال، روابط دندانپزشک و بیمار، ترجیح بیمار، استقلال شخصی، اخلاق مبتنی بر اصول، تصمیم گیری مشترک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

IntroductionThis study aimed to explore patients' values when selecting treatment for a tooth with apical periodontitis (AP), namely retention via root canal treatment (RCT) and extraction without replacement or replacement with implant-supported crowns or fixed or removable partial prostheses.MethodsThrough 2 surveys of patients (800 university patients and 200 community patients, response rate = 43%) and dentists (498 Ontario endodontists, periodontists, prosthodontists, oral and maxillofacial surgeons, response rate = 40% and 1983 Ontario general dentists, response rate = 15%), the importance of values that might be considered important to patients when selecting treatment options for a tooth with AP were recorded. Chi-square and Kendall's tau tests were used to respectively compare the importance rating frequency by each surveyed group and its correlation to their demographic variables (P ≤ .05).ResultsPatients considered communication and trust (94%), tooth retention (90%), esthetic outcome (84% regardless of location), cost (83%), longevity (83%), and preoperative pain (81%) as the most important decision values. Dentists overrated the importance of patients' previous experience with the treatment options (94% vs 72%), dental insurance (90% vs 70%), and intraoperative pain (79% vs 60%) while underestimating the importance of maintenance cost (60% vs 79%).ConclusionsDentists should respect patients' views about esthetic outcome, longevity, and cost associated with treatment options for a tooth with AP. In particular, this survey highlights the value of communication and trust between patient and dentist and preservation of the natural tooth through RCT over implant-supported crown replacement when planning treatment for a tooth with AP.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Endodontics - Volume 42, Issue 3, March 2016, Pages 365–370
نویسندگان
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