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Shared decision-making in scaling and root planing.

José Verdugo¹, Lory Laughter¹, David W Chambers¹

¹The University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA.

European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe

|August 12, 2023

Summary

This summary is machine-generated.

Dental hygienists often use paternalistic or informed consent approaches, rather than shared decision-making, when engaging patients in dental care decisions. High patient disengagement rates suggest a potential mismatch in preferred decision-making styles.

Keywords:

dental hygiene informed consent paternalism patient choice patient compliance shared decision-making

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Area of Science:

Dental Hygiene
Patient Engagement
Shared Decision-Making

Background:

Scaling and root planing involves patient decisions regarding treatment and homecare.
Understanding how dental hygienists engage patients in these decisions is crucial for effective care.

Purpose of the Study:

To estimate the proportion of various patient engagement approaches used by dental hygienists during scaling and root planing.
To compare these approaches based on procedure components, hygienist experience, and patient compliance.

Main Methods:

A survey was administered to graduates and students of a baccalaureate dental hygiene program.

Main Results:

Paternalism and informed consent were four times more common than shared decision-making or disengagement.
This pattern persisted across treatment selection, adjuncts, homecare, and financial discussions.
A high patient no-show rate (20%) indicated significant disengagement.

Conclusions:

Dental hygienists reported favoring more controlled patient engagement methods.
Patients may prefer shared decision-making, opting for disengagement (e.g., no-shows) if their preferences are not met.
Current reporting may underestimate patient non-compliance due to unexpressed decision-making preferences.