Patients' preferences for selective versus complete excavation: A mixed-methods study

Journal of Dentistry
Falk SchwendickeSilke Burkert

Abstract

Despite increasing evidence supporting selective caries tissue removal, the technique is not adopted by most dentists, one possible reason being that patients might reject it. We aimed to assess patients' preferences for selective versus complete excavation, and to identify predictors of this preference. A sequential mixed-methods approach was taken. First, semi-structured focus group discussions on two convenience samples were performed. Verbatim transcripts were evaluated using content-analysis to inform quantitative study design. The subsequent survey employed convenience, snow-ball and deviant-case sampling, yielding 150 respondents. The relevance of treatment attributes (risks of nerve damage, root-canal treatment, recurrent caries, restorative complications, treatment costs, aesthetic consequences) on patients' treatment preferences was measured using case-vignettes. Dental experience and anxiety as well as patients' personality and socio-demographic details were recorded. Association of predictor variables (age, gender, education, partnership status, personality items, dental experience, anxiety) with treatment preference was assessed using regression analysis. Focus group participants perceived complete excavation as re...Continue Reading

Associated Clinical Trials

Nov 29, 2016·Philipp Kanzow, Dr. med. dent., Dr. rer. medic.

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Citations

Jan 31, 2020·Medwave·Francisca Verdugo-PaivaAndrés Viteri-García

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