A comparison of oral health-related quality of life and satisfaction among patients undergoing root canal treatment or tooth extraction – A prospective controlled cohort study

Authors

  • Emma Wigsten Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Public Dental Service, Region Västra Götaland, Gothenburg, Sweden https://orcid.org/0000-0001-9914-8205
  • Emine Camci Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Public Dental Service, Region Västra Götaland, Gothenburg, Sweden https://orcid.org/0000-0002-2680-0490
  • Anna Levinsson School of Public Health and Community Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, Canada https://orcid.org/0000-0002-8357-2703
  • Thomas Kvist Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Public Dental Service, Region Västra Götaland, Gothenburg, Sweden https://orcid.org/0000-0002-2685-3656
  • Dan Sebring Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Public Dental Service, Region Västra Götaland, Gothenburg, Sweden https://orcid.org/0000-0002-9008-0408
  • EndoReCo The Researchers within the Endodontic Research Collaboration in Scandinavia Contributed to This Study
  • Thomas Davidson Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden https://orcid.org/0000-0002-9393-2573

DOI:

https://doi.org/10.2340/aos.v83.42011

Keywords:

Endodontics, general dental practice, patient-centered care, questionnaire, root canal therapy

Abstract

Objective: This study aimed to evaluate the impact of root canal treatment on Oral Health-Related Quality of Life (OHRQoL) in general dental practice and compare it with tooth extraction. Additionally, patient satisfaction following tooth-preserving treatment was assessed.

Material and methods: In all, 65 patients were recruited from 6 general dental clinics in Västra Götaland over 8 weeks, with 37 starting root canal treatment and 28 having extractions. Questionnaires, including Oral Health Impact Profile-14 (OHIP-14) and 9 questions assessing patient satisfaction, were administered at treatment initiation, and at 1, 6, and 12 months. The responses from both modalities were analysed using descriptive and analytical statistical methods. 

Results: The response rate ranged from 73.8% to 92.3%. Regarding OHRQoL, differences between the groups were few compared to baseline. However, significant improvements were observed in the extraction group at the 6- and 12-month follow-ups, in the ‘total score’, and the dimensions ‘pain’, ‘discomfort’, and ‘handicap’. Patient satisfaction was generally high, with cost being the least satisfactory item. Pain intensity remained consistently low.

Conclusions: In this prospective cohort study few differences were found between the two treatment modalities. However, significant improvements were observed in the extraction group in several dimensions. The patient satisfaction regarding root canal treatment was considered high.

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Published

2024-10-14

Issue

Vol. 83: (2024) Acta Odontologica Scandinavica

Section

Research article

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Copyright (c) 2024 Emma Wigsten, Emine Camci, Anna Levinsson, Thomas Kvist, Dan Sebring, EndoReCo, Thomas Davidson

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This work is licensed under a Creative Commons Attribution 4.0 International License.