Wigsten E, Al Hajj A, Jonasson P, Kvist T
Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int Endod J. 2021 May 10. doi: 10.1111/iej.13548.
To document satisfaction with root canal treatment procedures and outcomes among patients treated at Swedish public dental clinics.
The original material comprised 243 patients who began root canal treatment (RCT) at 20 public dental clinics in the county of Västra Götaland, Sweden. One to three years later, 236 (97.1%) were posted a questionnaire of eight items, rating patient perceptions of RCT-completion, present pain intensity and satisfaction with the RCT. To evaluate the reliability of the original responses, the first 50 respondents were mailed a follow-up questionnaire. Both descriptive and analytical statistics were used to compare respondents and non-respondents and tooth groups.
One hundred and fifty-nine patients (67.4%) responded: 86 (54.1%) women and 73 (45.9%) men. The mean age 52.5 years, was higher than for non-respondents (P<0.001). A completed root filling was registered for the majority of the teeth (n = 112, 70.9%), but significantly fewer molars had been completed (n = 46, 59.7%, P = 0.02). Fifty percent (n = 59) of the patients reported current pain, mostly mild in intensity (n = 45, 38.1%). One hundred and twenty-three patients (80.9%) recalled experiencing pain during RCT. The highest satisfaction was registered for the item 'chewing ability' (mean = 1.6, SD = 1.9). The majority of patients (n = 114, 75.0%) stated that in retrospect they would still have chosen RCT. However, these patients belonged to the group which either registered the tooth as still present, or had not experienced much discomfort during or after RCT. Forty-four patients (88.0%) responded to the second questionnaire. The reliability of the responses was good. In summary, one to 3 years after beginning RCT at a public dental clinic, patient satisfaction was high, even though every fourth molar had been extracted or treatment had not been completed and half the patients reported persistent pain. The reliability of the patients' responses was considered to be good.
The results indicate a need for further clinical observational studies of RCTs undertaken in general dental practice, with special reference to patient-centred outcomes.
记录瑞典公立牙科诊所接受根管治疗的患者对根管治疗程序及治疗结果的满意度。
原始资料包括243例在瑞典韦斯特罗斯-哥德堡郡20家公立牙科诊所开始接受根管治疗（RCT）的患者。1至3年后，向其中236例（97.1%）患者邮寄了一份包含8个条目的问卷，用以评估患者对根管治疗完成情况、当前疼痛强度以及对根管治疗的满意度。为评估原始回复的可靠性，对前50位回复者邮寄了一份随访问卷。采用描述性和分析性统计方法对回复者与未回复者以及不同牙齿组别进行比较。
159例患者（67.4%）回复：其中86例（54.1%）为女性，73例（45.9%）为男性。回复者的平均年龄为52.5岁，高于未回复者（P<0.001）。大多数牙齿（n = 112，70.9%）记录已完成根管充填，但磨牙完成的比例明显较低（n = 46，59.7%，P = 0.02）。50%（n = 59）的患者报告当前仍有疼痛，大多为轻度疼痛（n = 45，38.1%）。123例患者（80.9%）回忆在根管治疗期间经历过疼痛。对“咀嚼能力”这一项的满意度最高（均值 = 1.6，标准差 = 1.9）。大多数患者（n = 114，75.0%）表示回想起来仍会选择根管治疗。然而，这些患者要么是牙齿仍保留，要么在根管治疗期间或之后未经历太多不适。44例患者（88.0%）回复了第二份问卷。回复的可靠性良好。总之，在公立牙科诊所开始根管治疗1至3年后，尽管每四颗磨牙中就有一颗被拔除或治疗未完成，且半数患者报告仍有持续性疼痛，但患者满意度较高。患者回复的可靠性被认为良好。
结果表明需要对一般牙科实践中进行的根管治疗开展进一步的临床观察研究，尤其关注以患者为中心的治疗结果。
