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Patient-centered endodontic outcomes: a narrative review
Reza Hamedy1, Bita Shakiba, Sara Fayazi
1UCLA School of Dentistry, CA, USA.
Iranian Endodontic Journal
|October 31, 2013
Summary
Root canal treatment (RCT) significantly improves patients' quality of life and satisfaction, despite common fears of pain and cost. RCT offers a highly successful and cost-effective alternative to tooth extraction.
Area of Science:
- Endodontics
- Dental Public Health
- Patient-Reported Outcomes
Background:
- Root canal treatment (RCT) success is typically measured by radiographic healing, not patient experience.
- Patients' perspectives on quality of life, satisfaction, anxiety, fear, pain, and cost are crucial but often overlooked.
- Understanding patient-centered outcomes is vital as patients undergo, pay for, and live with RCT results.
Purpose of the Study:
- To review patient-centered outcomes of initial non-surgical root canal treatment and nonsurgical retreatment in adults.
- To synthesize evidence on how patients perceive, feel, and value root canal treatment.
- To identify key themes in patient-centered outcomes related to root canal therapy.
Main Methods:
- A narrative review approach was employed due to the diverse nature of patient-centered outcome data.
- Identified patient-centered outcome themes included quality of life, satisfaction, anxiety, fear, pain, tooth survival, and cost.
- Utilized the Oral Health Impact Profile (OHIP) to assess quality of life impacts.
Main Results:
- RCT significantly improves quality of life, primarily by alleviating physical pain and psychological discomfort associated with pulpal disease.
- Patient satisfaction with RCT is very high, though cost remains a significant concern.
- Anxiety and fear, particularly of pain, influence patient behavior and experience; however, RCT effectively reduces pain post-treatment.
- Tooth survival rates after RCT are high with low complication rates.
- RCT demonstrates excellent cost-effectiveness and cost-benefit compared to alternatives like implants or fixed prostheses.
Conclusions:
- Dentists should prioritize reducing patient anxiety, fear, and pain perception associated with RCT.
- Accurate patient education regarding the technical, practical, and psychosocial aspects of RCT is essential.
- Addressing patient-centered outcomes enhances the overall value and acceptance of root canal treatment.
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