DENTAL PATIENT-REPORTED OUTCOMES IN ENDODONTICS - A NARRATIVE REVIEW

Elsevier

Available online 15 November 2022, 101805

Journal of Evidence-Based Dental PracticeAuthor links open overlay panelHighlights•

The main dPROs following endodontic treatment include pain, tenderness, tooth function, need for further intervention, adverse effects and Oral Health–Related Quality of Life.

dPROs are essential for endodontic treatment as they enable dentists and patients to discuss and identify the most appropriate management options, whilst providing the opportunity for researchers to improve the methodology and design of future clinical trials to ensure the patient's interests are at the center of the study.

Clinicians and researchers working in Endodontology should focus on patient wellbeing and routinely use dPROs

ABSTRACT

Recently in oral healthcare settings, the focus of assessing treatment outcomes has shifted from the perspective of the clinician towards that of the patient. Endodontology is a specialty of dentistry concerned with the prevention and treatment of pulp and periapical diseases. Research in endodontology and its associated treatment outcomes have focused mainly on clinician-reported outcomes (CROs) and not patient-reported outcomes (PROs). As a result, there is a need to emphasize the importance and relevance of dPROs to researchers and clinicians. The aim of this review is to present an overview of dPROs and dPROMs within clinical endodontics in an attempt to create a better understanding of the patient experience, highlight the need to place the patient at the center of treatment, enhance patient care and encourage more research into dPROs. The key dPROs following endodontic treatment include pain, tenderness, tooth function, need for further intervention, adverse effects (exacerbation of symptoms, tooth discoloration) and Oral Health–Related Quality of Life. dPROs are important following endodontic treatment because they assist clinicians and patients when they discuss and select the most appropriate management options, help clinicians make decisions on pre-operative assessment, prevention and treatment, and improve the methodology and design of future clinical studies. Clinicians and researchers in endodontology should prioritize patient welfare and undertake routine analyses of dPROs using appropriate and robust measures. Due to the lack of agreement over the reporting and definition of endodontic treatment outcomes, a project to define a "Core Outcome Set for Endodontic Treatment Methods (COSET)" is currently ongoing. In the future, a new and exclusive assessment tool should be developed to reflect the viewpoints of patients receiving endodontic treatment more accurately.

KEYWORDS

Endodontics

Oral Health–Related Quality of Life

Pain

Patient reported outcomes

Patient-reported outcome measures

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