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Adolescent and Parent Preferences for Hypodontia: Discrete Choice Experiment
S Barber1, H Bekker2, J Marti3
1Orthodontic Department, School of Dentistry, University of Leeds, Leeds, UK.
Journal of Dental Research
|October 22, 2022
Summary
Young patients and parents prioritize appearance in hypodontia treatment, but concerns about discomfort and functional outcomes also significantly influence choices. Shared decision-making support is recommended due to varied preferences.
Area of Science:
- Dentistry
- Orthodontics
- Patient-centered care
Background:
- Hypodontia treatment involves complex decisions for young patients and parents.
- Understanding patient and parent preferences is crucial for effective treatment planning.
Purpose of the Study:
- To examine preferences of young people and their parents regarding hypodontia treatment attributes.
- To identify key factors influencing treatment choices using a discrete choice experiment (DCE).
Main Methods:
- Cross-sectional survey involving young people (12-16 years) with hypodontia and their parents.
- Discrete choice experiment (DCE) questionnaire assessing preferences for treatment attributes (waiting time, treatment time, problems, discomfort, bite, appearance).
- Regression models used to analyze preference heterogeneity and identify distinct patient groups.
Main Results:
- Improvement in appearance was the most important attribute overall.
- Significant heterogeneity in preferences was observed, with four distinct groups identified.
- Key concerns included discomfort, treatment problems, bite improvement, and appearance, varying in importance across groups.
Conclusions:
- Patient preferences for hypodontia treatment are diverse, with appearance being significant but not universally the sole priority.
- Functional outcomes and treatment-related issues (discomfort, problems) are important considerations for a substantial number of patients.
- Shared decision-making support is valuable to navigate treatment complexities and address individual patient needs effectively.
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