Patients’ preferences for management of deep occlusal, initial occlusal and root carious lesions

• Main Authors: Torres, Thea, Salomonsen, Jenny
• Format: Master Thesis
• Language: English
• Published: UiT Norges arktiske universitet 2019
• Subjects: Root caries; Occlusal caries; Initial caries; Preferences; VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803; VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803; ODO-3901; Norway; Tromsø
• Online Access: https://hdl.handle.net/10037/21183

Introduction: Evidence-based dentistry is a threefold method of working as a dentist. The threefold method is clinical experience, evidence-based research and patients’ preferences. The purpose of this study was to investigate patient’s preferences for management of different carious lesions; initial occlusal carious lesions, deep occlusal carious lesions, and root carious lesions, and if there was any relationship between patient’s preferences and their characteristics. Methods: This cross-sectional study consisted of a questionnaire and case vignettes. The questionnaire included questions about gender, age, population in home town, dental history, modified dental anxiety score and the ten-item personality score. The case vignettes consisted of description of two management options for each of three types of carious lesions: stepwise excavation and selective excavation for deep occlusal carious lesions, fissure sealant and fluoride/hygiene regimen for initial occlusal carious lesions, and filling and fluoride/hygiene- regimen for root carious lesions. We used convenient sampling to recruit participants at Pingvinhotellet, a hotel dedicated for patients and next of kin, at the University Hospital in North of Norway in Tromsø. There were 168 persons who were asked to participate, and 147 persons responded to case vignettes and questionnaires. Out of these 7 answers were excluded, which gave us 140 answers to analyze. The response rate was 88%. The results were analyzed using univariable and a multivariable binary logistic regression analysis. Results: There were 65 men and 75 women that participated in the study. Out of them, 75 (53,6%) respondents preferred selective excavation and 65 (46,4%) preferred stepwise excavation when presented to the vignettes describing deep occlusal carious lesion. There were 86 (61,4%) respondents that preferred fissure sealant and 54 (38,6%) that preferred fluoride/hygiene regimen when presented to the vignettes describing initial occlusal carious lesion. There were 91 (65%) of the ...