Clinical Decision Making for a Tooth with Apical Periodontitis: The Patients' Preferred Level of Participation

Azarpazhooh, Amir; Dao, Thuan; Ungar, Wendy J.; Chaudry, Faiza; Figueiredo, Rafael; Krahn, Murray; Friedman, Shimon

doi:10.1016/j.joen.2014.01.045

Cited by 23 publications

(17 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, it has been perceived as more timeconsuming than paternalistic decision making, and time pressure was found to be the most frequent perceived barrier for implementing SDM. 4 Second, SDM was found to alter the power relationship between dentist and patient. 28 Azarpazhooh et al reported that the majority of patients valued collaborative participation in deciding treatment, 4 while Elwyn et al found that some patients thought (and disliked) that the doctor was insecure.…”

Section: Henriette Lucandermentioning

confidence: 99%

“…4 Second, SDM was found to alter the power relationship between dentist and patient. 28 Azarpazhooh et al reported that the majority of patients valued collaborative participation in deciding treatment, 4 while Elwyn et al found that some patients thought (and disliked) that the doctor was insecure. 29 Third, dentists may lack the skills for SDM and for giving relevant and balanced information on risks.…”

Section: Henriette Lucandermentioning

confidence: 99%

“…17 To support student development of professional communication competence as a means to obtain SDM, there is a need to more clearly define what it means to be proficient in this area. [1][2][3][4] Historically, health care providers chose what to disclose about treatment options to a patient, thereby taking full responsibility for the decision making. P revious research has suggested that involving patients in health care decisions has a positive effect on outcomes.…”

mentioning

confidence: 99%

“…11,12 A prerequisite for negotiation is shared understanding, in which the patient needs to understand relevant parts of the dentist's expertise. 4 Similarly, the dentist needs to have the competence to access and understand the patient's ideas and feelings, 13 as well as to adjust the communication to the patient's level of knowledge. 14 Dental education could be considered a natural site for acquiring the competence required for shared decision making (SDM).…”

mentioning

confidence: 99%

“…P revious research has suggested that involving patients in health care decisions has a positive effect on outcomes. [1][2][3][4] Historically, health care providers chose what to disclose about treatment options to a patient, thereby taking full responsibility for the decision making. 1 Recently, as part of patientcentered care, there has been a change towards sharing responsibility for treatment decisions with the patient.…”

mentioning

confidence: 99%

See 4 more Smart Citations

An Instrument to Assess Dental Students’ Competence in Shared Decision Making: A Pilot Study

Lucander

2017

Journal of Dental Education

View full text Add to dashboard Cite

Evidence suggests that involving patients in health care decisions has a positive impact on health care outcomes and patients' perception of quality. However, the extent to which dental students are trained in communication and shared decision making (SDM) differs, and studies have identified a need for intensified learning and assessment of this competence. A need to more clearly define and operationalize what it means to be proficient in this area has been identified. The aim of this study was to operationalize communicative and relational skills in a comprehensive assessment instrument for SDM. Relevant skills in information exchange, negotiation, communication, and relationship-building were identified through an extensive review of previous research and instruments for assessing communication competence. Indicators for assessing these skills were formulated. The instrument was submitted to a pilot test in 2016 and evaluated on test content, internal structure, and response processes. The Assessment of Shared Decision Making (ASDM) instrument consists of 18 items addressing various aspects of the construct and three types of skills. Findings suggest that the ASDM represents a valid measure of SDM with three major components. The importance of developing the ASDM lies both in the summative assessment of students' communication with patients and for formative assessment purposes. Once identified, the components essential for SDM can be woven into the curriculum and shared with students. Thus, the ASDM provides a structure that can meet the need for intensified learning and assessment of dental students' competence in communication and SDM.

show abstract

Section: Henriette Lucandermentioning

confidence: 99%

Section: Henriette Lucandermentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

An Instrument to Assess Dental Students’ Competence in Shared Decision Making: A Pilot Study

Lucander

2017

Journal of Dental Education

View full text Add to dashboard Cite

show abstract

Management and saving a traumatized poor prognosis maxillary central incisor for 18 years: A patient‐centered treatment

Aminsobhani,

HafeziMotlagh,

MahjourianQomi

2023

Clinical Case Reports

View full text Add to dashboard Cite

Key clinical messageWith today's increasing desire to preserve natural teeth, managing teeth with a poor prognosis is a new challenge for clinicians. A dentist's attention to patient‐centered care is essential, which improves dental outcomes.AbstractNowadays, patients' interest in preserving their natural teeth has increased. In the patient‐centered care model, the clinician should consider the patient's preferences and values in the treatment plan. This strengthens the patient's responsibility toward his own body, resulting in more patient satisfaction and effective cooperation. Therefore, the skill of saving teeth with a poor prognosis, in which there was no other choice but to extract them, becomes essential in patients who want to preserve their natural teeth. This case report presents the successful 18‐year treatment and management of a maxillary central incisor of a 17‐year‐old male with a horizontal root fracture, who was incompletely treated in another medical center when the trauma occurred. The patient presented to us after 6 months. Due to the short length of the root, the patient underwent regenerative endodontic treatment first, but he did not attend follow‐ups. Finally, after 8 years, the patient returned with symptoms of infection and periapical radiolucency. The apical part of the root was resorbed during this time. Finally, it was decided to place an apical plug with MTA. MTA was extruded from the apical part of the root canal during the placement of the apical plug. In the 1‐, 2‐, 4‐, and 10‐year follow‐ups, the patient was completely asymptomatic, and the radiolucent periradicular lesion had healed. However, the extruded MTA was still present in the radiographic images without interfering with the healing process. Finally, the tooth has remained functional for 18 years.

show abstract

Endodontic retreatment decision‐making: The influence of the framing effect

Kvist

Henelius

Smakiqi

2023

Clinical & Exp Dental Res

View full text Add to dashboard Cite

Objective The aim of this study was to explore the influence of a framing effect in retreatment decision‐making of a root‐filled tooth with asymptomatic apical periodontitis (AP). Method Two variants of a questionnaire were created in which the factual information about a root filled with AP was identical. The options in the first variant were framed in favor to wait and see (FW) and those in the other variant were framed in favor of retreatment (FR) Two hundred and forty‐eight volunteers were by chance given one of the two versions and were asked to choose between having retreatment or to wait and see. Results Of the 125 participants given the FW version, 69 (55.2%) chose to wait and see while out of the 123 participants who were given the FR version, 38 (30.9%) made the alike choice ( p = .0002). Conclusion A framing effect is likely to play an essential role in endodontic retreatment decision‐making of root‐filled teeth with asymptomatic apical periodontitis.

show abstract

Clinical Decision Making for a Tooth with Apical Periodontitis: The Patients' Preferred Level of Participation

Cited by 23 publications

References 21 publications

An Instrument to Assess Dental Students’ Competence in Shared Decision Making: A Pilot Study

An Instrument to Assess Dental Students’ Competence in Shared Decision Making: A Pilot Study

Management and saving a traumatized poor prognosis maxillary central incisor for 18 years: A patient‐centered treatment

Endodontic retreatment decision‐making: The influence of the framing effect

Contact Info

Product

Resources

About