(PR88) Patients Expectations and Reported Outcomes in Endodontics: A Qualitative Study

Background: Variation in reporting patient-centered outcomes exist in clinical trials assessing endodontic treatment. Relying on a qualitative description approach, we aimed to explore patient expectations and reported outcomes in endodontics.

Methods: We conducted telephone and virtual semi-structured interviews with patients who had the following treatments within the preceding 3 to 12 months: nonsurgical root canal treatment (NS-RCT, n=10), nonsurgical root canal retreatment (NS-ReTx, n=10), endodontic microsurgery (EMS, n=10). These treatments were performed by senior endodontic residents in an academic setting (N=15) or by a community-based endodontist (N=15). Thematic analyses explored patients’ experiences with endodontic care and expectations of outcomes following endodontic treatment.

Results: After interviewing 30 patients data saturation was achieved. The process-related factors appeared to be as important as treatment outcomes. Various factors related to the procedure and the clinicians’ skills influenced the decision-making process for undertaking endodontic treatment. Communication with and educating patients were important elements that increased patients’ satisfaction and eased their stress during treatment. Not receiving a follow up appointment and lack of communication about details of the procedure and subsequent final restoration were significant reasons for patients’ dissatisfaction. Of equal importance, the resolution of symptoms was a critical outcome for patients and key to the success of their treatment. Tooth survival, aesthetics, and improving the quality of life were also important outcomes for patients.

Conclusions: This study identified aspects of care that are important for patients during NS-RCT, NS-ReTx, and EMS. Our findings highlight the best practices for delivering patient-centered care during endodontic treatment.