Introduction and assessment of orthognathic information clinic

Bergkulla, Nina; Hänninen, Heidi; Alanko, Outi; Tuomisto, Martti T.; Kurimo, Jukka; Miettinen, A; Svedström-Oristo, Anna-Liisa; Cunningham, Susan; Peltomäki, Timo

doi:10.1093/ejo/cjx025

Cited by 11 publications

(23 citation statements)

References 22 publications

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“…The following communication strategies/tools were applied: verbal ( n = 4), 21 , 25 , 26 , 27 verbal and visual ( n = 2). 20 , 29 Four studies did not mention additional tools for communication, and followed the conventional, verbal approach. 21 , 22 , 23 , 24 , 28…”

Section: Resultsmentioning

confidence: 99%

“…Whereas, in dental medicine, the implementation of communication tools in esthetics remains limited chiefly to conventional verbal communication. However, two studies used additional tools for patient‐dentist communication and patient involvement in the decision‐making process 20,29 . Only one clinical study compared different tools, 29 which demonstrates the lack of clinical evidence regarding the use of modern communication tools for patient involvement.…”

Section: Discussionmentioning

confidence: 99%

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Communication tools and patient satisfaction: A scoping review

Touati

Sailer

Marchand

et al. 2021

J Esthet Restor Dent

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Objective: This scoping review aimed to present an overview of the literature on communication tools in esthetic dentistry. A variety of communication tools have been proposed to include patients in the shared decision-making (SDM) workflow. Only little is known about implementing communication tools in dentistry and their impact on patient communication and patient satisfaction. A systematic literature search was performed in Medline, Embase, Cochrane, and World of Science to identify if communication tools have an impact on patient satisfaction. Material and Methods: The search included studies from January 1, 2000 to March 3, 2020 published in English, focusing on patient communication tools and patient satisfaction in esthetic dentistry. Results: Out of 6678 records, 53 full-texts were examined. Ten studies were included. Data of the included studies were extracted systematically and subsequently analyzed. All studies found that patient communication utilizing specific communication tools positively impacted either patient satisfaction, patient-dentist relationship, information retention, treatment acceptance, quality of care or treatment outcome. Conclusions: Additional communication tools besides conventional verbal communication are able to enhance patient satisfaction, improve quality of care and establish a better patient-dentist relationship. It seems essential to further develop standardized communication tools for SDM in dental medicine, which will allow the comparison of research on this topic. Clinical significance: This scoping review shows the importance of patient involvement in the decision-making process for improved patient satisfaction with esthetic dental treatments. With an increased implementation of communication tools, patient satisfaction and SDM may further improve in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Communication tools and patient satisfaction: A scoping review

Touati

Sailer

Marchand

et al. 2021

J Esthet Restor Dent

View full text Add to dashboard Cite

show abstract

“…In this case, introducing a new appliance such as the dental water jet may have increased the attention given to the proper home oral hygiene by the patients. The role of the dental hygienist is fundamental for a healthy periodontal care before, during and after the orthodontic treatment with particular attention in teaching how to perform an efficient daily care and in motivating them (22,23).…”

Section: Discussionmentioning

confidence: 99%

Dental water jet efficacy in the plaque control of orthodontic patients wearing fixed appliance: A randomized controlled trial

et al. 2019

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BackgroundDifferent studies assess the role of fixed orthodontic appliances in supragingival plaque accumulation. In patients wearing fixed orthodontic appliances a good management of oral hygiene is required in order to prevent complication like as decay, enamel demineralization, gingivitis, gingival hyperplasia and periodontitis. The aim of this Randomized Controlled Trial (RCT) is to evaluate the efficacy of the use of a DWJ in patients under orthodontic treatment with fixed multibracket appliance.Material and MethodsThe study design was single-blinded RCT with a split mouth protocol. Each patient followed a personal cleaning protocol using a DWJ in addition to traditional brushing only on one side while just brushing on the control side. The side on which was decided to use the DWJ was chosen randomly and the dental hygienist who took the measurements was blind. Plaque and gingival indexes were evaluated at baseline and at one, three and six-months follow-up.ResultsIt did not emerge any difference in the plaque and gingival indexes trend between the two groups. Patients initially reported an worsening of the indexes at one month evaluation, then they set at baseline levels at three and six months.ConclusionsThe dental water jet does not improve significantly the efficacy of home oral hygiene in orthodontic patients wearing a multi-bracket fixed appliance. Patients did not show the traditional worsening during the whole orthodontic therapy. Key words:Dental water jet, fixed orthodontics, plaque index, gingival index.

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“…Although researchers already reported, that orthodontists might be afraid of referring patients to a mental health professional [ 24 ], patients themselves did not seem to be intimidated or have negative feelings about such a referral [ 21 , 45 ]. Thus, as mentioned above, the need for psychological support within the interdisciplinary team of professionals should not be ignored, but rather addressed [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients

et al. 2022

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Aims For any orthodontic-orthognathic treatment, it is crucial that patients are provided with enough and proper information in order to make evidence-based decisions- not only prior to treatment start, but also throughout the course of therapy. Thus, the objectives of this qualitative study were to identify information needs of patients undergoing combined orthodontic-orthognathic treatment. Additionally, professionals’ perspectives were evaluated. Methods A qualitative research approach was chosen in order to determine crucial aspects of information needs before and throughout treatment. With respect to a purposive sampling strategy and thematic saturation, we conducted ten semi-structured interviews with patients who had finished their orthodontic-orthognathic surgery treatments (five women, five men; being 21 to 34 years old). The indications for the combination treatment were severe skeletal Class IIs to Class IIIs with various vertical and transverse discrepancies. In addition, a multidisciplinary focus-group with six professionals from the maxillofacial surgery and orthodontic department (three women, three men; being 30 to 38 years old) helped to reflect about the experts’ point of views. After transcription, data was categorized and analyzed by Mayring’s content analysis. Results We identified three key themes. During this analysis, we focused on theme (1) ‘information transfer’ with its corresponding categories ‘information needs’ – depending on different treatment stages –, ‘source of information’ and ‘doctor-patient-communication’. The affected patients ranked individualized patient information and empathetic doctor-patient-communication high. This was mostly in line with the professionals’ point of view. Verbal communication was seen as being the best way to communicate throughout treatment. The role of the internet as a source of information was seen diversely. Conclusion This qualitative study highlights the need for individualized patient information and reveals both met and unmet information needs by patients. Although evidence-based written information is highly necessary for orthognathic patients and their families alike, it cannot replace an empathetic way of direct verbal doctor-patient-communication. It seems crucial to give specific individualized information at different treatment stages, starting at a thoroughly interdisciplinary screening at the very beginning.

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Introduction and assessment of orthognathic information clinic

Abstract: The questionnaire and verbal feedback from the patients was positive; hence, the 'information clinic' is now offered as a routine process to all prospective orthognathic patients in our clinic.

Cited by 11 publications

References 22 publications

Communication tools and patient satisfaction: A scoping review

Communication tools and patient satisfaction: A scoping review

Dental water jet efficacy in the plaque control of orthodontic patients wearing fixed appliance: A randomized controlled trial

Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients

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