Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE.
Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia; Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
J Evid Based Dent Pract. 2023 Mar;23(1):101805. doi: 10.1016/j.jebdp.2022.101805. Epub 2022 Nov 15.
Recently in oral health care settings, the focus of assessing treatment outcomes has shifted from the perspective of the clinician towards that of the patient. Endodontology is a specialty of dentistry concerned with the prevention and treatment of pulp and periapical diseases. Research in endodontology and its associated treatment outcomes have focused mainly on clinician-reported outcomes (CROs) and not dental patient-reported outcomes (dPROs). As a result, there is a need to emphasize the importance and relevance of dPROs to researchers and clinicians. The aim of this review is to present an overview of dPROs and dPROMs within endodontics in an attempt to create a better understanding of the patient experience, highlight the need to place the patient at the center of treatment, enhance patient care and encourage more research into dPROs. The key dPROs following endodontic treatment include pain, tenderness, tooth function, need for further intervention, adverse effects (exacerbation of symptoms, tooth discoloration) and Oral Health-Related Quality of Life. dPROs are important following endodontic treatment because they assist clinicians and patients when they discuss and select the most appropriate management options, help clinicians make decisions on pre-operative assessment, prevention and treatment, and improve the methodology and design of future clinical studies. Clinicians and researchers in endodontology should prioritize patient welfare and undertake routine analyses of dPROs using appropriate and robust measures. Due to the lack of agreement over the reporting and definition of endodontic treatment outcomes, a comprehensive project to define a ``Core Outcome Set for Endodontic Treatment Methods (COSET)'' is currently ongoing. In the future, a new and exclusive assessment tool should be developed to reflect the viewpoints of patients receiving endodontic treatment more accurately.
近年来，在口腔保健环境中，评估治疗效果的重点已经从临床医生的角度转向患者的角度。牙髓病学是一门专注于预防和治疗牙髓和根尖周疾病的牙科专业。牙髓病学及其相关治疗效果的研究主要集中在临床医生报告的结果（CRO）上，而不是牙科患者报告的结果（dPRO）。因此，需要向研究人员和临床医生强调 dPRO 的重要性和相关性。本综述的目的是介绍牙髓病学中 dPRO 和 dPROM 的概述，试图更好地理解患者的体验，强调将患者置于治疗中心的必要性，增强患者护理，并鼓励更多地研究 dPRO。牙髓病学治疗后的关键 dPRO 包括疼痛、压痛、牙齿功能、进一步干预的需求、不良反应（症状加重、牙齿变色）和口腔健康相关生活质量。dPRO 在牙髓病学治疗后很重要，因为它们在讨论和选择最合适的管理方案时，帮助临床医生和患者；帮助临床医生在术前评估、预防和治疗方面做出决策；并改善未来临床研究的方法和设计。牙髓病学的临床医生和研究人员应优先考虑患者的福利，并使用适当和可靠的措施定期分析 dPRO。由于在报告和定义牙髓病学治疗结果方面缺乏共识，目前正在进行一个全面的项目来定义“牙髓病学治疗方法的核心结局集（COSET）”。未来，应该开发一个新的和专门的评估工具，以更准确地反映接受牙髓治疗的患者的观点。
