DENTAL THERAPY AND DENTAL PATIENT-REPORTED OUTCOMES (dPROs)

Chanthavisouk, Phonsuda; Pattanaik, Swaha; Warren, Cheyanne E.; Brickle, Colleen; Self, Karl

doi:10.1016/j.jebdp.2021.101660

Cited by 11 publications

(9 citation statements)

References 31 publications

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“…None of the included studies assessed PROMS, although it is now recognized that patient perception about the treatment received should be an outcome of relevance in clinical research 33,34 . However, few studies reported the occurrence of adverse events.…”

Section: Resultsmentioning

confidence: 99%

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The efficacy of adjunctive periodontal therapies during supportive periodontal care in patients with residual pockets. A systematic review and meta‐analysis

Calciolari

Ercal

Dourou

et al. 2022

J of Periodontal Research

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While it is well‐established that patients that develop signs of relapsing periodontitis in supportive periodontal care (SPC) will need to repeat subgingival instrumentation of the residual pockets, less certainty is available in terms of which protocol should be followed and whether the use of adjunctive therapies or physical agents might provide additional benefits to repeated instrumentation alone. The aim of this systematic review was therefore to assess whether repeating subgingival instrumentation in combination with adjunctive therapies (other than antimicrobials) might provide a significant benefit in terms of pocket closure, probing pocket depth (PPD) reduction or clinical attachment level (CAL) gain in patients during SPC with residual/relapsing pockets. Four databases were searched to identify randomized controlled trials (RCTs) and controlled clinical trials (CCTs) with a minimum follow‐up of 3 months that investigated the use of adjunctive therapies (other than antimicrobials) in case of residual/relapsing pockets in patients in SPC since at least 3 months. Data extraction and risk of bias assessment were performed in the studies meeting the inclusion criteria and meta‐analysis was performed when ≥3 studies assessing the same adjunctive therapy were identified. 12 studies (2 CCTs and 10 RCTs) were included for qualitative analysis. Meta‐analysis was performed only for 3 studies on the adjunctive use of photodynamic therapy (PDT) and it indicated a nonsignificant benefit compared to the placebo in terms of PPD reduction and CAL gain at 3 months (weighted mean difference 0.07 and −0.03, respectively) and at 6 months of follow‐up (weighted mean difference −0.09 and −0.18, respectively). While antiseptics did not provide significant benefits, one study on probiotics and one on the use of vitamin D and calcium supplementation showed significant improvements in periodontal parameters. There is currently insufficient/poor evidence to determine the efficacy of adjunctive strategies (other than antimicrobials) to improve the outcomes of SPC in case of residual/relapsing pockets.

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Section: Resultsmentioning

confidence: 99%

“…17 ceived should be an outcome of relevance in clinical research. 33,34 However, few studies reported the occurrence of adverse events.…”

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

The efficacy of adjunctive periodontal therapies during supportive periodontal care in patients with residual pockets. A systematic review and meta‐analysis

Calciolari

Ercal

Dourou

et al. 2022

J of Periodontal Research

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“…One, in particular, is the addition of a dental therapist to the team. The role of the dental therapist was created based on the advanced practice provider medical model 15 . These advanced practice dental providers are educated alongside dentists and their inclusion on health care teams can directly impact financial, geographic, and health literacy barriers to dental care 15 …”

Section: Discussionmentioning

confidence: 99%

Barriers to dental care in a rural community

Castillo

Echeto

Schentrup

2023

Journal of Dental Education

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Purpose A nurse‐led rural practice, Archer Family Health Care, established a partnership with the University of Florida College of Dentistry to improve access to dental care for underserved rural populations. The purpose of this project was to evaluate the impact of this partnership on dental care access and identify perceived barriers patients’ experience in this rural community. Methods A qualitative design was used to evaluate if this partnership improved access to dental care and identify care barriers existing in this population. Outcome measures were 1) completed dental visits and 2) a qualitative analysis of patients’ perceived barriers to accessing care if they did not complete their dental appointment. Results As a result of this partnership, 118 direct dental referrals were placed. From those referrals, 45 (38%) patients completed their dental appointments, and 73 (62%) patients did not. Twenty‐five patients provided a rationale for not presenting for their appointment. Cited barriers included cost (32%), time (24%), frustration with the referral process (20%), obtaining care at an alternate dental location (12%), fear (7%), and transportation issues (4%). Conclusion This project suggests that specific interventions may increase opportunities for dental care in rural areas however barriers continue to exist that may impact that access.

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“…Dental therapy is an emerging and important area that requires further research. Following an introduction to the rationale and history of dental therapy in the context of EBD, Chanthavisouk et al 23 elaborate on the significance of dPRO and dPROM usage to dental therapists. Then, based on the "level of evidence" concept 24 as well as current research gaps in dental therapy, the author team uses several proposed research projects as examples to show how dPROs can be applied in relevant studies and demonstrate the impact of dental therapists on dental patients.…”

Section: Significance and Relevance Of Dpros Usagementioning

confidence: 99%

Dental Patient-Reported Outcomes Update 2021

Hua

2022

Journal of Evidence-Based Dental Practice

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DENTAL THERAPY AND DENTAL PATIENT-REPORTED OUTCOMES (dPROs)

Cited by 11 publications

References 31 publications

The efficacy of adjunctive periodontal therapies during supportive periodontal care in patients with residual pockets. A systematic review and meta‐analysis

The efficacy of adjunctive periodontal therapies during supportive periodontal care in patients with residual pockets. A systematic review and meta‐analysis

Barriers to dental care in a rural community

Dental Patient-Reported Outcomes Update 2021

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