Conceptualizing the clinical decision-making process in managing temporomandibular disorders : a qualitative study

• Published in: European Journal of Oral Sciences
• Main Authors: Ilgunas, Aurelija, Lövgren, Anna, Fjellman-Wiklund, Anncristine, Häggman-Henrikson, Birgitta, Karlsson Wirebring, Linnea, Lobbezoo, Frank, Visscher, Corine M., Durham, Justin
• Format: Article in Journal/Newspaper
• Language: English
• Published: Umeå universitet, Institutionen för odontologi 2021
• Subjects: decision-making; dental health services; evidence-based dentistry; qualitative research; temporomandibular joint disorders; Dentistry; Odontologi; Health Care Service and Management; Health Policy and Services and Health Economy; Hälso- och sjukvårdsorganisation; hälsopolitik och hälsoekonomi; Northern Sweden
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-184795; https://doi.org/10.1111/eos.12811

Management of patients with temporomandibular disorders (TMD) appears to be more challenging than for other dental conditions. This study aimed to explore the decision-making process in TMD management, and thereby to conceptualize the decision-making process in dentistry. Individual semi-structured interviews were conducted during 2018 and 2019 with a purposive sample of 22 general dental practitioners from the Public Dental Healthcare Services and private practices in the Region of Västerbotten, Northern Sweden. The interviews were analysed using the Grounded Theory approach of Charmaz. Data analysis resulted in the core category 'Combining own competence and others' expectations in the desire to do the right thing'. The dentists showed interest in and a desire to apply professional knowledge, but also reflected on challenges and complexity in the decision-making process forTMD. The challenges were primarily related to organisational factors and lack of self-confidence. This identifies a need for re-organisation of daily clinical management in dentistry, and a need for more postgraduate training to improve self-confidence. The complexity of the decision-making process for TMD makes the study findings applicable in other dental situations. ujl