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Updated: May 28, 2025
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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Navigating Endodontic Care: Perspectives Among Dentists Managing Older Adults-A Qualitative Study
Payman Hamadani1, Nicholas P Chandler1, Ben K Daniel2
1Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.
Summary
New Zealand general dental practitioners generally hold positive views on endodontic care for older adults, but face challenges in diagnosis and treatment planning due to age-related factors and patient circumstances.
Area of Science:
- Dental Practice
- Geriatric Dentistry
- Endodontics
Background:
- Older adults represent a growing patient demographic with unique endodontic needs.
- General Dental Practitioners (GDPs) play a crucial role in providing endodontic care to this population.
- Understanding GDPs' perspectives is vital for improving care delivery.
Purpose of the Study:
- To explore New Zealand GDPs' perspectives and practices regarding endodontic care for older adults.
- To identify challenges and facilitators in managing endodontic conditions in the elderly population.
- To inform professional development and practice guidelines.
Main Methods:
- Qualitative research approach utilizing focus group discussions.
- Semi-structured interviews with 18 General Dental Practitioners (GDPs) in New Zealand.
- Thematic analysis of transcribed data with reflexivity.
Main Results:
- Six key themes emerged: philosophies towards older adults, practitioner confidence, pulpal diagnosis, treatment planning, informed consent, and specialist referral.
- GDPs expressed positive philosophies but noted diagnostic difficulties due to age-related pulp-dentine changes and comorbidities.
- Treatment decisions were complicated by medical conditions, mobility, and financial factors; management was often individualized.
Conclusions:
- GDPs are positively inclined towards treating older adults but require enhanced skills for complex cases.
- Age-related physiological changes and patient-specific factors necessitate tailored approaches to endodontic treatment planning and consent.
- Continuous professional development is essential for GDPs to effectively manage the heterogeneous older population's endodontic needs.
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