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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Shared decision-making in orthodontics: Are we there yet?

Sophy Barber1

  • 1Leeds Teaching Hospitals NHS Trust, Orthodontic Department, Leeds Dental Institute, UK.

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|May 7, 2019
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Shared decision-making (SDM) involves patients in treatment choices. This review explores SDM stages, barriers, and future research needs for integrating it into orthodontic care.

Keywords:
Shared decision-makingdecision aidpatient preferences

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Area of Science:

  • Orthodontic treatment planning
  • Patient-centered care
  • Clinical decision-making

Background:

  • Shared decision-making (SDM) emphasizes collaborative choices between clinicians and patients.
  • Integrating SDM into clinical practice requires understanding its core components and challenges.
  • Orthodontic treatment often involves complex decisions with long-term implications for patients.

Purpose of the Study:

  • To review the fundamental stages of shared decision-making.
  • To identify prevalent barriers hindering the implementation of SDM in orthodontics.
  • To highlight research gaps for enhancing SDM integration in orthodontic settings.

Main Methods:

  • Literature review methodology.
  • Synthesis of existing research on shared decision-making principles.
  • Analysis of barriers and facilitators for SDM in healthcare.

Main Results:

  • Key stages of SDM include problem identification, option generation, deliberation, and decision implementation.
  • Common barriers include time constraints, lack of patient information, and clinician-patient communication challenges.
  • Evidence gaps exist in understanding patient preferences and optimizing SDM tools for orthodontics.

Conclusions:

  • SDM is crucial for patient-centered orthodontic care.
  • Addressing identified barriers is essential for successful SDM implementation.
  • Further research is needed to fully integrate SDM into orthodontic practice and improve patient outcomes.