Decision-making process for treatment of mandibular fractures among minority groups
| Autor: | Edward E. Black, Kathryn A. Atchison, Claudia Der-Martirosian, Melanie W. Gironda, Richard Leathers |
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| Rok vydání: | 2006 |
| Předmět: |
Molar
Male Urban Population Oral surgery Mandibular fracture medicine.medical_treatment Decision Making Dentistry Trust Cicatrix Fracture Fixation Internal stomatognathic system Patient Education as Topic Mandibular Fractures Bone plate Medicine Internal fixation Humans General Dentistry Minority Groups Dentist-Patient Relations Orthodontics business.industry Public Health Environmental and Occupational Health Hispanic or Latino Focus Groups medicine.disease Patient preference Focus group Jaw Fixation Techniques Black or African American stomatognathic diseases Treatment Outcome Jaw Fracture Patient Satisfaction Anesthesia Recovery Period Tooth Extraction Female Molar Third business Attitude to Health Bone Plates |
| Zdroj: | Journal of public health dentistry. 66(1) |
| ISSN: | 0022-4006 |
| Popis: | Objectives: While patients' preferences for medical care are widely studied, only a small number of studies have looked at the decision-making process for dental treatment of mandibular fracture. This study examines the decision-making process for treatment of mandibular fractures among minority groups. Study participants were asked to consider Maxillomandibular Fixation (MMF - a non-surgical approach of wiring the teeth for 4–8 weeks) or Rigid Internal Fixation (RIF - surgical placement of bone plate). Methods: A qualitative study of patients receiving care at an inner-city hospital for either 3rd molar extraction under general anesthesia or a mandibular fracture were recruited to participate in an hour-long focus group to discuss their preferences. The 3rd molar group was selected as a comparison group exemplifying experience with oral surgery and recovery from general anesthesia. Results: Seven decision-making factors affecting choice of treatment were discussed by both jaw fracture and 3rd molar groups, including: side effects, effectiveness of each treatment, trusting doctor's recommendation, what to expect from each procedure, use of pictures from previous case studies, surgery location of scar/ incision, and size of scar. Rigid Internal Fixation (RIF) participants discussed a different set of concerns compared to Maxillomandibular Fixation (MMF) participants. Conclusions: Regardless of gender, the treatment of choice for both 3rd molar and jaw fracture participants was the non-surgical method of wiring of the teeth for 4–8 weeks. The Phase II part of this study will systematically examine patient preferences among a larger sample of 3rd molar and jaw fracture patients by incorporating the patient-reported concerns about treatment of jaw fracture found in this inductive, phenomenological study. |
| Databáze: | OpenAIRE |
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