The use of outcome measures in dental education :

Date
2005
DOI
Authors
Wright, Wanda G.
Version
OA Version
Citation
Abstract
Objective: To examine the effect of dental treatment on patient-assessed outcomes of dental care. Methods: We measured self-assessed oral health in three groups of patients who had presented for either prophylaxis (n=32), endodontic care (n=1 5), or for a denture (n=16) in a dental school setting before and after treatment. Main outcome measures included the single-item self report of oral health (OH-1) and the 6- and 12-item versions of the DELTA, a newly developed brief measure of oral quality of life. We used ANOVA to compute means of self-reported oral health by treatment group. Results: Of the 63 patients who completed the baseline questionnaire, 44 returned questionnaires after treatment (70%). The sample averaged 43 ± 15 years, 48% male and 56% with some college education. Ethnic representation included 35% White, 33% Black and 32% other-mostly Latino. The mean self-reported number of teeth was 20.6. Endodontic patients had worse self-rated oral health by all measures. There were significant differences (p=.001) in pain and distress between prophylaxis and endodontic patients (p=.001) and between endodontic and denture patients (p=.001). Of the 44 patients who completed both surveys, there was an improvement in the OH-1 in all groups. Items assessing pain and distress and feeling uncomfortable about the appearance of teeth mouth and dentures discriminate well between groups. Conclusion: Dental treatment had a positive impact on self-rated oral health in all groups. Individual items from the DELTA discriminate well between groups.
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Thesis (MSD)--Boston University, Henry M. Goldman School of Dental Medicine ((Dental Public Health).
Includes bibliographical references: leaves 27-31.
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