TY  - JOUR
PY  - 2018//
TI  - Understanding patients' and dentists' perspectives in dental trauma management: a mixed methods study
JO  - Dental traumatology
A1  - Ode, Wataru
A1  - Lopez, Violeta
A1  - Wong, Mun Loke
A1  - Schou, Lone
A1  - Yu, Victoria Soo Hoon
SP  - 320
EP  - 328
VL  - 34
IS  - 5
N2  - BACKGROUND/AIM: Patients suffering dental trauma are unprepared for the disability challenge and necessary rehabilitation, while a traumatic event places an expanded demand on the dentist who is focused on treating disease. The aim of this study was to examine the impact of traumatic dental injuries (TDI) on patients, and to compare patients' and dentists' perceptions of the event. MATERIAL AND METHODS: TDI patients (aged ≥ 21 years) attending a tertiary dental hospital from 2011 - 2013 and their dentists were recruited with informed consent. An exploratory sequential mixed methods design was adopted. The Oral Health Impact Profile (OHIP-14) quantitatively identified patients with "very often", "fairly often" or "occasionally" in at least one of the OHIP-14 questions (Phase 1), to participate in the qualitative phase of the study through focus group discussions (FGD) (Phase 2). FGD for dentists was conducted separately. <br><br>RESULTS: Quantitative analysis showed 28-55% of TDI patients had "occasional" to "very often" discomfort during eating, increased self-consciousness and embarrassment. Qualitative analysis showed patients were concerned with aesthetic disability, treatment cost and potential tooth loss but overcame their negative outlook and accepted prescribed protective measures. Dentists appreciated patients' concerns about aesthetics and functional disruptions but were less attuned to patients' sense of guilt and fear of judgement. <br><br>CONCLUSIONS: TDI exert functional, psychological and social impacts on patients. Patients' and dentists' perspectives were useful for understanding the need for continuity of care and the findings could contribute to effective TDI management. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1600-4469
UR  - http://dx.doi.org/10.1111/edt.12415
ID  - ref1
ER  -