DENTAL PATIENT-REPORTED OUTCOMES IN ENDODONTICS - A NARRATIVE REVIEW

Venkateshbabu Nagendrababu; Thilla Sekar Vinothkumar; Ikhlas El-Karim; Giampiero Rossi-Fedele; Esma J Doğramaci; Paul M H Dummer; Henry F Duncan

doi:10.1016/j.jebdp.2022.101805

DENTAL PATIENT-REPORTED OUTCOMES IN ENDODONTICS - A NARRATIVE REVIEW

J Evid Based Dent Pract. 2023 Mar;23(1):101805. doi: 10.1016/j.jebdp.2022.101805. Epub 2022 Nov 15.

Authors

Venkateshbabu Nagendrababu¹, Thilla Sekar Vinothkumar², Ikhlas El-Karim³, Giampiero Rossi-Fedele⁴, Esma J Doğramaci⁴, Paul M H Dummer⁵, Henry F Duncan⁶

Affiliations

¹ Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE. Electronic address: vnagendrababu@sharjah.ac.ae.
² Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia; Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
³ School of Medicine Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, United Kingdom.
⁴ Adelaide Dental School, University of Adelaide, Adelaide, Australia.
⁵ School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, United Kingdom.
⁶ Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland.

PMID: 36914302
DOI: 10.1016/j.jebdp.2022.101805

Abstract

Recently in oral health care 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 dental patient-reported outcomes (dPROs). 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 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 comprehensive 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.

Publication types

Review

MeSH terms

Dental Care
Endodontics*
Humans
Oral Health
Patient Reported Outcome Measures
Quality of Life*