Experiences of dental behaviour support techniques: A qualitative systematic review

Geddis-Regan, Andrew and Fisal, Aisyah Ahmad and Bird, James and Fleischmann, Isabel and Phadraig, Caoimhin Mac Giolla (2024) Experiences of dental behaviour support techniques: A qualitative systematic review. Community Dentistry and Oral Epidemiology, 52 (5). pp. 660-676. ISSN 0301-5661, DOI https://doi.org/10.1111/cdoe.12969.

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Official URL: https://doi.org/10.1111/cdoe.12969

Abstract

BackgroundLittle is known about patients' or carers' reported experiences of dental care provided using dental behaviour support (DBS) techniques. Qualitative literature can provide unique insight into these experiences.AimTo explore and synthesize qualitative literature related to patient experience of dental behaviour support.MethodsA PROSPERO-registered systematic review of qualitative articles was undertaken. Studies were identified through MEDLINE, Embase and PsycINFO. Abstracts were screened by two reviewers and data were extracted to summarize the qualitative findings included within them. A thematic summary approach was used to synthesize the qualitative data identified.ResultsTwenty-three studies were included. Studies primarily explored experiences of dental care of children by speaking to their parents (n = 16), particularly regarding paediatric dental general anaesthesia (DGA) (n = 8). Studies of adults' experiences of DBS (n = 7) covered a range of techniques. Nine studies explored broader dental care experiences and did not study specific DBS approaches. A thematic synthesis identified five themes applicable across the studies identified: Trust and the therapeutic alliance supporting effective care delivery; considered information sharing often alleviated anticipatory anxiety; control and autonomy-reduced anxieties; variations in the perceived treatment successes and failures of DBS techniques; and DBS techniques produced longer positive and negative impacts on patients beyond direct care provision.ConclusionQualitative research has been under-utilized in research on DBS techniques. Care experiences of most DBS techniques outside of paediatric DGA are poorly understood. Building trust with patients and enabling autonomy appear to support positive patient-reported experiences of care.

Item Type: Article
Funders: National Institutes of Health Research (NIHR) (NIHR302811)
Uncontrolled Keywords: anaesthesia; cognitive behavioural therapy; dental anxiety; dental behaviour support; dental phobia; person-centred care; qualitative research; sedation
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Department of Paediatric Dentistry & Orthodontics
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Jan 2025 00:44
Last Modified: 13 Jan 2025 00:44
URI: http://eprints.um.edu.my/id/eprint/46967

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