Show simple item record

dc.contributor.advisorFriedlander, Lara
dc.contributor.advisorChandler, Nicholas
dc.contributor.advisorDaniel, Ben
dc.contributor.authorGilroy, Finn Gordon
dc.date.available2020-11-17T00:57:52Z
dc.date.copyright2020
dc.identifier.citationGilroy, F. G. (2020). Perceptions of general health and root canal treatment in New Zealand general dental practice (Thesis, Doctor of Clinical Dentistry). University of Otago. Retrieved from http://hdl.handle.net/10523/10574en
dc.identifier.urihttp://hdl.handle.net/10523/10574
dc.description.abstractThere are common risk factors between general health and oral health. General dental practitioners (GDPs) are seeing increasing numbers of patients presenting with multiple complex medical conditions. In parallel to managing more medically compromised patients, GDPs must provide holistic and technically challenging root canal treatment (RCT) for teeth that are heavily restored. There is little evidence surrounding the health status and preferences of patients undergoing RCT, and the confidence of GDPs in managing them. This mixed method research engaged both dentists and their patients in a translational approach within a practice-based research network (PBRN). The goals of this study were to examine the self-perceived confidence and competence of New Zealand (NZ) GDPs managing patients for RCT presenting with a range of medical conditions; and their engagement in continuing professional development (CPD) related to endodontics. It also considered the dental experiences and self-perceived general health status of patients requiring RCT. This study had three parts: A Pilot study, a PBRN survey of GDPs and patients, and Focus Group interviews of GDPs. Quantitative data from the surveys were entered directly into IBM SPSS Statistics Software, and following descriptive analysis, bivariate analysis was used to quantify differences in proportions using Pearson’s Chi square test. Qualitative data was analysed thematically. Focus Group interviews were transcribed verbatim and transferred to NVivo 12 for detailed analysis. The Pilot study validated the reliability of the survey for use in a larger group. The PBRN survey was implemented in a range of general practices throughout NZ and provided self-reported demographic and health data from patients, as well as perceptions of their oral health and wellbeing. A positive patient experience of RCT was mostly influenced by clear, empathetic communication, and a professional approach by the practitioner. GDP confidence in providing RCT was strongly related to procedural and patient-related factors rather than specific medical conditions such as those readily controlled with medications including cardiovascular diseases, and diabetes mellitus. The development of CPD related to medical conditions and pharmacology in dentistry was perceived as important. With the help of both dentists and patients, this study has provided new knowledge, and improves our understanding of patients’ medical status when they present for RCT and how equipped our workforce is to manage endodontic patients. Together this information can inform development of CPD activities and assist NZ GDPs managing patients requiring RCT.
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.publisherUniversity of Otago
dc.rightsAll items in OUR Archive are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
dc.subjectdentist
dc.subjectRCT
dc.subjectRoot
dc.subjectCanal
dc.subjectTreatment
dc.subjectHealth
dc.subjectPerceptions
dc.subjectNew
dc.subjectZealand
dc.subjectPBRN
dc.subjectDentistry
dc.subjectDiabetes
dc.subjectCardiovascular
dc.subjectDisease
dc.subjectMRONJ
dc.subjectBisphosphonates
dc.titlePerceptions of general health and root canal treatment in New Zealand general dental practice
dc.typeThesis
dc.date.updated2020-11-16T07:58:46Z
dc.language.rfc3066en
thesis.degree.disciplineOral Rehabilitation
thesis.degree.nameDoctor of Clinical Dentistry
thesis.degree.grantorUniversity of Otago
thesis.degree.levelDoctoral
otago.interloanno
otago.openaccessOpen
otago.evidence.presentYes
otago.abstractonly.term26w
 Find in your library

Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record