ARE WE COMPREHENSIVELY TREATING PATIENTS FROM ASSESSMENT TO COMPLETION OF TREATMENT PLAN?- A RETROSPECTIVE ANALYSIS
DOI:
https://doi.org/10.61841/dqnamn09Keywords:
Comprehensive, patients, prognosis, treatment, treatment planAbstract
Aim: Any treatment is designed and performed to increase the quality of life of the patient. The success of any treatment depends on how far the patient is relieved from the disease. This will ultimately lead to an improvement in the health and well-being of the patient. The formulation, execution, and completion of a treatment plan require complete determination from the patient as well as the practitioner, and this is dependent upon various factors. This study aims to comprehensively analyse the assessment of the patient until the completion of the treatment plan in a dental institution.
Materials and Methods: A retrospective cross-sectional study was done by assessing 86,000 patient records who visited as an outpatient in a dental institution in south India from June 2019 to March 2020. Data of 100 random patients were obtained by random sampling to prevent bias. Fields such as unique patient ID, treatment completed, treatment under progress, total treatment planned, type of case: emergency/normal, Type of Treatment Plan: Interim/Cumulative were recorded in Microsoft Excel Software and then exported to IBM SPSS Statistics Software for further analysis where frequency, chi-square, & descriptive statistics were done.
Results: Average percentage of treatment completed: 60.05% (SD 66.67), Number Of emergency cases: 33 Number of normal cases: 67, average percentage of treatment pending: 39.95% (SD = 33.33), total number of treatment planned ranged from 1-31, 100% of the treatment was completed, majorly in cases with less than 5 treatment procedures (20%). At least one planned treatment was completed for most of the patients.(88%)
Conclusion: The process of diagnosis, planning, and execution of a treatment plan for each patient is unique and significant; usually in emergency cases and cases with aesthetic requirements, the patients are determined to relieve the pain & resolve their aesthetic needs and are not willing to complete the treatment plan. Hence, proper knowledge, awareness, and practice are required for both the patient as well as the practitioners.
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1. AL-Omiri MK, Karasneh J. Relationship between Oral Health-Related Quality of Life, Satisfaction, and Personality in Patients with Prosthetic Rehabilitations [Internet]. Vol. 19, Journal of Prosthodontics. 2010. p. 2–9.
2. Sridharan G, Ramani P, Patankar S. Serum metabolomics in oral leukoplakia and oral squamous cell carcinoma. J Cancer Res Ther. 2017 Jul;13(3):556–61.
3. Thangaraj SV, Shyamsundar V, Krishnamurthy A, Ramani P, Ganesan K, Muthuswami M, et al. Molecular Portrait of Oral Tongue Squamous Cell Carcinoma Shown by Integrative Meta-Analysis of Expression Profiles with Validations. PLoS One. 2016 Jun 9;11(6):e0156582.
4. Naito M, Yuasa H, Nomura Y, Nakayama T, Hamajima N, Hanada N. Oral health status and health-related quality of life: a systematic review. J Oral Sci. 2006 Mar;48(1):1–7.
5. Gupta V, Ramani P. Histologic and immunohistochemical evaluation of mirror image biopsies in oral squamous cell carcinoma. Journal of Oral Biology and Craniofacial Research. 2016 Sep 1;6(3):194-7.
6. Jayaraj G, Sherlin HJ, Ramani P, Premkumar P, Natesan A. Stromal myofibroblasts in oral squamous cell carcinoma and potentially malignant disorders. Indian J Cancer. 2015 Jan;52(1):87–92.
7. House MM. The relationship of oral examination to dental diagnosis [Internet]. Vol. 8, The Journal of Prosthetic Dentistry. 1958. p. 208–19.
8. Sivaramakrishnan SM, Ramani P. Study on the Prevalence of Eruption Status of Third Molars in South Indian Population. Biol Med [Internet]. 2015;07(04).
9. Shree KH, Hema Shree K, Ramani P, Herald Sherlin, Sukumaran G, Jeyaraj G, et al. Saliva as a Diagnostic Tool in Oral Squamous Cell Carcinoma—a Systematic Review with Meta Analysis [Internet]. Vol. 25, Pathology & Oncology Research. 2019. p. 447–53.
10. Viveka TS, Shyamsundar V, Krishnamurthy A, Ramani P, Ramshankar V. p53 Expression Helps Identify High-Risk Oral Tongue Pre-malignant Lesions and Correlates with Patterns of Invasive Tumour Front and Tumour Depth in Oral Tongue Squamous Cell Carcinoma Cases. Asian Pac J Cancer Prev. 2016;17(1):189–95.
11. Hannah R, Ramani P, Herald. J. Sherlin, Ranjith G, Ramasubramanian A, Jayaraj G, et al. Awareness about the use, ethics, and scope of dental photography among undergraduate dental students dentists behind the lens. Research Journal of Pharmacy and Technology. 2018 Mar 30;11(3):1012–6.
12. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011 Nov;90(11):1264–70.
13. Jangid K, Alexander AJ, Jayakumar ND, Varghese S, Ramani P. Ankyloglossia with cleft lip: A rare case report. J Indian Soc Periodontol. 2015 Nov;19(6):690–3.
14. Iqbal MK, Kim S. A review of factors influencing treatment planning decisions of single-tooth implants versus preserving natural teeth with nonsurgical endodontic therapy. J Endod. 2008 May;34(5):519–29.
15. Wyrwich KW, Bullinger M, Aaronson N, Hays RD, Patrick DL, Symonds T, et al. Estimating clinically significant differences in quality of life outcomes. Qual Life Res. 2005 Mar;14(2):285–95.
16. Sridharan G, Ramani P, Patankar S, Vijayaraghavan R. Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma. J Oral Pathol Med. 2019 Apr;48(4):299–306.
17. Swathy S, Gheena S, Varsha SL. Prevalence of pulp stones in patients with history of cardiac diseases. Research Journal of Pharmacy and Technology. 2015;8(12):1625–8.
18. Sundaram N, Narendar R, Dineshkumar P, Ramesh S, Gokulanathan S. Evaluation of oral health-related quality of life in patients with mild periodontitis among the young male population of Namakkal district [Internet]. Vol. 5, Journal of Pharmacy and Bioallied Sciences. 2013. p. 30.
19. Kalenderian E, Tokede B, Ramoni R, Khan M, Kimmes N, White J, et al. Dental clinical research: an illustration of the value of standardized diagnostic terms. J Public Health Dent. 2016 Mar;76(2):152–6.
20. Huang K-C, Lai C-H, Huang C-F, Lu H-K. A comprehensive periodontal treatment project: the periodontal status, compliance rates, and risk factors. J Dent Sci. 2016 Jun;11(2):182-8.
21. De Franco RL. Essentials of complete denture Prosthodontics. 1988;384–482.
22. Kumar A, Sherlin HJ, Ramani P, Natesan A, Premkumar P, Others. Expression of CD 68, CD 45, and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study. Indian J Dent Res. 2015;26(3):295.
23. Gheena S., Ezhilarasan D. Syringic acid triggers reactive oxygen species-mediated cytotoxicity in HepG2 cells. Hum Exp Toxicol [Internet]. 2019;
24. Sivakumar A, Thangaswamy V, Ravi V. Treatment planning in conservative dentistry. J Pharm Bioallied Sci. 2012 Aug;4(Suppl 2):S406–9.
25. Henderson D, McCracken WL, McGivney GP, Castleberry DJ. McCracken’s removable partial prosthodontics. CV Mosby Company; 1985.
26. Carranza FA, Newman M. Clinical Periodontology. New York. WB Saunders; 1996.
27. Fasbinder DJ. Treatment planner’s toolkit. Gen Dent. 1999 Jan;47(1):35–9.
28. Tokede O, Walji M, Ramoni R, White JM, Schoonheim-Klein M, Kimmes NS, et al. Treatment planning in dentistry using an electronic health record: implications for undergraduate education. Eur J Dent Educ. 2013 Feb;17(1):e34–43.
29. Jayaraj G, Sherlin HJ, Ramani P, Premkumar P, Anuja N. Cytomegalovirus and Mucoepidermoid carcinoma: A possible causal relationship? A pilot study. J Oral Maxillofac Pathol. 2015 Sep;19(3):319–24.
30. Hook CR, Comer RW, Trombly RM, Guinn JW, Shrout MK. Treatment planning processes in dental schools. J Dent Educ. 2002;66(1):68–74.
31. Teich ST. Risk Assessment-Based Individualized Treatment (RABIT): a comprehensive approach to dental patient recall. J Dent Educ. 2013 Apr;77(4):448–57.
32. Berkey DB, Berg RG, Ettinger RL, Mersel A, Mann J. THE OLD DENTAL PATIENT: THE CHALLENGE OF CLINICAL DECISION-MAKING. The Journal of the American Dental Association. 1996 Mar 1;127(3):321–32.
33. Cohen SR, Orenstein JH. The use of attachments in combination implant and natural-tooth fixed partial dentures: a technical report. Int J Oral Maxillofac Implants [Internet]. 1994;9(2).
34. Seligman DA, Pullinger AG, Solberg WK. The prevalence of dental attrition and its association with factors of age, gender, occlusion, and TMJ symptomatology. J Dent Res. 1988 Oct 1;67(10):1323–33.
35. Eshed V, Gopher A, Hershkovitz I. Tooth wear and dental pathology at the advent of agriculture: New evidence from the Levant. Am J Phys Anthropol. 2006 Jun;130(2):145–59.
36. Ahmad I. Anterior dental aesthetics: Dental perspective. Br Dent J. 2005 Aug 1;199(3):135–41.
37. Vallittu PK, Vallittu ASJ, Lassila VP. Dental aesthetics—a survey of attitudes in different groups of patients. J Dent. 1996;24(5):335–8.
38. Amin M, Nouri R, ElSalhy M, Shah P, Azarpazhooh A. Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. Eur Arch Paediatr Dent. 2015 Aug 1;16(4):325–31.
39. Kanegane K, Penha SS, Borsatti MA, Rocha RG. Dental anxiety in an emergency dental service. Rev Saúde Pública. 2003 Dec;37:786–92.
40. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants [Internet]. 2005;20(4).
41. Ettinger RL. Treatment planning concepts for the ageing patient. Aust Dent J. 2015 Mar 11;60:71–85.
42. Armfield JM, Slade GD, Spencer AJ. Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol. 2009 Jun;37(3):220–30.
43. Naidu RS, Lalwah S. Dental anxiety in a sample of West Indian adults. West Indian Med J [Internet]. 2010;59(5).
44. Mettes D. Insufficient evidence to support or refute the need for 6-monthly dental check-ups [Internet]. Vol. 6, Evidence-Based Dentistry. 2005. p. 62–3.
45. Collett HA. Influence of dentist-patient relationship on attitudes and adjustment to dental treatment. The Journal of the American Dental Association. 1969 Oct 1;79(4):879–84.
46. Patel S, Bay RC, Glick M. A systematic review of dental recall intervals and incidence of dental caries. JAm Dent Assoc.2010 May;141(5):527–39.
47. Jayaraj G, Ramani P, Herald J. Sherlin, Premkumar P, Anuja N. Inter-observer agreement in grading oral epithelial dysplasia: A systematic review [Internet]. Vol. 27, Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2015. p. 112–6.
48. Farhat Yaasmeen Sadique Basha, Rajeshkumar S., Lakshmi T., Anti-inflammatory activity of Myristica fragrans extract. Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI: https://doi.org/10.26452/ijrps.v10i4.1607
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