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Comparing Quality o...
Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction
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- Wigsten, Emma, 1984 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Univ Gothenburg, Sweden
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- Kvist, Thomas, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Univ Gothenburg, Sweden
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- Jonasson, Peter (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Univ Gothenburg, Sweden
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- Davidson, Thomas, 1977- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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Bjprndal, L. (author)
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Dawson, V. S. (author)
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Fransson, H. (author)
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Frisk, F. (author)
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Jonasson, P. (author)
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Kvist, T. (author)
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Markvart, M. (author)
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Wolf, E. (author)
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: Journal of Endodontics. - : Elsevier BV. - 0099-2399 .- 1878-3554. ; 46:105, s. 19-28
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Abstract
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- Introduction: The knowledge of patient-centered outcomes concerning the consequences of root canal treatment in daily life is limited. The treatment option is often tooth extraction with possible prosthetic replacement. This study aimed to achieve a greater understanding of the patient perspective by evaluating the effect of root canal treatment in terms of quality of life and quality-adjusted life year (QALY) weights in comparison with patients who underwent tooth extraction. Methods: Patients with either root canal treatment or extraction were recruited from 6 clinics in the general public dental service during a predetermined period of 8 weeks. Three different instruments were used: the Oral Health Impact Profile evaluating the oral health related quality of life (OHRQOL), the EQ-5D-5L evaluating health-related quality of life (HRQOL) and QALY weights, and a disease-specific questionnaire evaluating satisfaction regarding the root canal treatment. The evaluation was assessed at the initiation of treatment and after 1 month. Patient-based and tooth-specific characteristics were obtained from the dental records. Results: Eighty-five patients were included. The distribution between sexes was even, with 43 women and 42 men. The mean age was 51.1 years. Forty-eight patients (56.5%) had a tooth extraction, and 37 patients (43.5%) initiated root canal treatment. The response rate for the questionnaire at baseline was 95.3%, and at the 1-month follow-up, it was 74.1%. Two relevant and comparable groups were obtained after exclusion of the extracted third molars (n = 20), resulting in 65 patients for further analyses. At follow-up, the patients who initiated root canal treatment registered a significant improvement in perceived HRQOL according to the QALY weights (P = .02 and P < .01, respectively). Patients initiating root canal treatment reported generally high satisfaction. Conclusions: A cohort of patients either initiating root canal treatment or tooth extraction as a control group was established. Initiating root canal treatment had a positive impact on perceived HRQOL. The included patients in general dental practice registered overall high satisfaction regarding root canal treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- Endodontics
- EQ-5D-5L
- general dental care
- Oral Health Impact Profile
- patient-centered outcomes
- quality-adjusted life year
- oral-health impacts
- population
- euroqol
- satisfaction
- validity
- age
- Dentistry
- Oral Surgery & Medicine
- Endodontics; EQ-5D-5L; general dental care; Oral Health Impact Profile; patient-centered outcomes; quality-adjusted life year
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Wigsten, Emma, 1 ...
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Kvist, Thomas, 1 ...
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Jonasson, Peter
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Davidson, Thomas ...
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Bjprndal, L.
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Dawson, V. S.
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show more...
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Fransson, H.
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Frisk, F.
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Jonasson, P.
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Kvist, T.
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Markvart, M.
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Wolf, E.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dentistry
- Articles in the publication
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Journal of Endod ...
- By the university
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University of Gothenburg
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Linköping University