Dental Patient-Reported Outcomes Update 2022

Hua, Fang

doi:10.1016/j.jebdp.2022.101802

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…beneficial in the assessment of the negative effects of WSLs and their prevention from a more pragmatic scale. 23,24 Consistent with the findings of previous studies, 2,7 all judges tend to give a more negative score on the appearance of teeth with the deterioration of WSLs. Figures 2 and 3 indicate that orthodontists in this questionnaire study were the most critical group when rating slight to severe orthodontically induced WSLs without cavitation, which is inconsistent with the results from the Jordanian raters, 7 probably because our study adopted well-aligned teeth with the adjacent gum on a dark background and eliminated other interfering factors to the maximum extent, such as skin colour and lip form.…”

Section: Discussionsupporting

confidence: 89%

“…To our knowledge, this was the first study that involved patients receiving orthodontic treatment to subjectively assess the perception of aesthetics and treatment satisfaction using incrementally digitally altered degrees of WSLs of maxillary anterior teeth. The results of this study could reflect changes that are important from patients' perspectives and may be beneficial in the assessment of the negative effects of WSLs and their prevention from a more pragmatic scale 23,24 …”

Section: Discussionmentioning

confidence: 84%

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White spot lesion–related perception of aesthetics and treatment satisfaction among orthodontic patients, orthodontists and other dental specialists

Huang,

Qin,

Ngan

et al. 2024

Orthod Craniofacial Res

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ObjectiveTo investigate the impact of various degrees of white spot lesions (WSLs) of maxillary anterior teeth on the aesthetic perception and treatment satisfaction among orthodontic patients, orthodontists and other dental specialists and to evaluate the differences among the three groups.MethodsA total of 45 orthodontic patients (OP), 45 orthodontists (OR) and 45 other dental specialists (OS) were recruited. Subjective evaluations of perceived aesthetics and treatment satisfaction were performed towards eight digitally generated photographs of maxillary anterior teeth with incremental degrees of WSLs using a numerical visual analogue scale (VAS) from 0 to 100. Data were collected and analysed with descriptive statistics, repeated one‐way analysis of variance and multivariable generalized estimating equations.ResultsA total of 135 valid questionnaires were collected. Regarding aesthetic scores for WSLs, OP gave more positive scores than OR and OS (p < .05) towards excessive white spot formation without colouration and were more tolerant than OR (p < .05) towards excessive white spot formation with slight colouration. The level of treatment satisfaction for slight to severe WSLs without cavitation was higher in OP than OR. Patients with higher education levels had more negative scores for aesthetic perception and treatment satisfaction (p < .05). Patients who brushed teeth more frequently scored lower in treatment satisfaction (p < .05).ConclusionsOrthodontists were the most critical when evaluating aesthetics and treatment satisfaction for slight to severe WSLs without cavitation. For orthodontic patients, better oral hygiene habits and higher education levels were associated with more critical attitudes towards WSLs.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 84%

White spot lesion–related perception of aesthetics and treatment satisfaction among orthodontic patients, orthodontists and other dental specialists

Huang,

Qin,

Ngan

et al. 2024

Orthod Craniofacial Res

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“…Retrospective studies use root cause analysis (RCA) to identify contributing factors, improve processes and prevent errors 12,25,30 . Failure mode and effect analysis (FMEA) creates a "risk map" to prevent future harm based on current knowledge (FMEA) [31][32][33] .…”

Section: Future Perspectivesmentioning

confidence: 99%

Lessons learnt on patient safety in dentistry through a 5-year nationwide database study on iatrogenic harm

Ferlias,

Nielsen,

Andersen

et al. 2024

Sci Rep

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Safe delivery of care is a priority in dentistry, while basic epidemiological knowledge of patient safety incidents is still lacking. The objectives of this study were to (1) classify patient safety incidents related to primary dental care in Denmark in the period 2016–2020 and study the distribution of different types of dental treatment categories where harm occurred, (2) clarify treatment categories leading to "nerve injury" and "tooth loss" and (3) assess the financial cost of patient-harm claims. Data from the Danish Dental Compensation Act (DDCA) database was retrieved from all filed cases from 1st January 2016 until 31st December 2020 pertaining to: (1) The reason why the patient applied for treatment-related harm compensation, (2) the event that led to the alleged harm (treatment category), (3) the type of patient-harm, and (4) the financial cost of all harm compensations. A total of 9069 claims were retrieved, of which 5079 (56%) were found eligible for compensation. The three most frequent categories leading to compensation were "Root canal treatment and post preparation"(n = 2461, 48% of all approved claims), “lack of timely diagnosis and initiation of treatment” (n = 905, 18%) and “surgery” (n = 878, 17%). Damage to the root of the tooth accounted for more than half of all approved claims (54.36%), which was most frequently a result of either parietal perforation during endodontic treatment (18.54%) or instrument fracture (18.89%). Nerve injury accounted for 16.81% of the approved claims. Total cost of all compensation payments was €16,309,310, 41.1% of which was related to surgery (€6,707,430) and 20.4% (€3,322,927) to endodontic treatment. This comprehensive analysis documents that harm permeates all aspects of dentistry, especially in endodontics and surgery. Neglect or diagnostic delays contribute to 18% of claims, indicating that harm does not solely result from direct treatment. Treatment harm inflicts considerable societal costs.

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“…Conventionally, patient management in dentistry and medicine is based on the clinical signs and symptoms of a particular disease by the clinicians, with less contribution from patients [3]. As patients can convey facts regarding changes in their social life and oral functions because of painful oral conditions, patient-based outcomes can be a component of the decision-making process [4,5].…”

Section: Introductionmentioning

confidence: 99%

Oral Health-Related Quality of Life among Complete Denture Stomatitis Patients Treated with Methylene-Blue-Mediated Photodynamic Therapy

Alhamdan,

Basunbul

2024

Applied Sciences

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Aim: The aim was to assess the effect of antimicrobial photodynamic therapy (a-PDT) on the oral health-related quality of life (OHRQoL) of denture stomatitis patients. Methods: Forty patients were randomly selected to participate. Candidal proliferation was confirmed by using a CHROMagar culture and Gram staining. The denture surface and palatal mucosa were sprayed with a methylene blue photosensitizer prior to the photobiomodulation application. Laser therapy was applied two times a week at 72 h intervals for a period of 8 weeks. The OHIP-EDENT questionnaire was used to analyze the improvement in the OHRQoL. A Wilcoxon test was used to perform the candidal colony-forming unit’s count and comparison. A t-test was applied to evaluate the OHRQoL responses. Results: The overall CFU/mL values were higher in the dentures of the patients compared to a palatal mucosa swab. For instance, the CFU count was reduced from 5.56 ± 2.15 (baseline) to 3.17 ± 2.77 CFU/mL on day 60 on the palates. Similarly, the a-PDT application on the intaglio surface of the denture showed a reduction from 38.83 ± 14.71 to 29.05 ± 15.52 CFU/mL. A significant difference (p < 0.05) was found in function improvement as well as a reduction in physical pain, psychological discomfort, physical disability, and social interaction among the participants after photobiomodulation treatment. Conclusions: The OHRQoL was significantly improved in the DS patients. The Candida albicans abundance was radically reduced after the a-PDT application.

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Dental Patient-Reported Outcomes Update 2022

Cited by 5 publications

References 41 publications

White spot lesion–related perception of aesthetics and treatment satisfaction among orthodontic patients, orthodontists and other dental specialists

White spot lesion–related perception of aesthetics and treatment satisfaction among orthodontic patients, orthodontists and other dental specialists

Lessons learnt on patient safety in dentistry through a 5-year nationwide database study on iatrogenic harm

Oral Health-Related Quality of Life among Complete Denture Stomatitis Patients Treated with Methylene-Blue-Mediated Photodynamic Therapy

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