Abstract
Introduction
This 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.
Methods
Through 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).
Results
Patients 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%).
Conclusions
Dentists 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.
Key Words
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Article info
Publication history
Published online: January 06, 2016
Identification
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© 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
