September 2017

Volume 34, Issue 3

Preferences for dental decisional control and associations with quality of life among third molar patients attending public dental services

Authors: Kamal Hanna Paul Sambrook Jason M. Armfield David S. Brennan
doi: 10.1922/CDH_4097Hanna06


Objectives: To explore: (1) the prevalence of dental decisional control preferences (DDCP) among third molar (TM) patients attending public dental services and associated individual’s characteristics, and (2) the association between DDCP and quality of life (QoL). Method: Participants were adult public dental patients with internet access referred for TM consultation. Collected data included patients’ socio-demographic variables, the Control Preferences Scale (CPS), the Oral Health Impact Profile (OHIP-14) and the EuroQol EQ-5D-5L. Results: Participants (n=163) were mainly females (73.6%) with a mean age of 26.2 years (SD=8.3). Most participants preferred an active DDCP (n=71, 44.1%) or a collaborative DDCP (n=60, 37.3%) while a minority preferred a passive DDCP (n=30, 18.6%). Gender (P=.05) and education (P=.03) were associated with DDCP. In a multinomial logistic regression model for DDCP, females were more likely to have an active DDCP (OR=2.73, P=.04) as were participants who had tertiary education (OR=2.72, P=.04). In a linear regression model for OHIP-14, active (P=.05) and collaborative DDCP (P=.04) were associated with less impact on oral health-related QoL. Conclusion: Patients attending public dental services preferred to be involved (either actively or collaboratively) in dental treatment decision-making. Being a female and/or having tertiary education were associated with an active DDCP. The positive association between patients’ involvement in decision-making and oral health-related QoL might support the benefit for enhancing patients’ involvement in decision-making. Keywords: Decision-making, health outcomes, oral health-related quality of life, OHRQoL, health-related quality of life, HRQoL, OHIP-14, EQ-5D-5L and the Control Preference Scale, CPS.


Other articles in this issue

Article Pages Access
BDEF Writers page 130-130 Download
A scoping review of the uses of the care index in children 131-136 Download
Using Normalisation Process Theory to investigate the implementation of school-based oral health promotion 137-142 Download
The oral health condition and treatment needs of nursing home residents in Flanders (Belgium). 143-151 Download
Prevalence, severity and extent of chronic periodontitis among Sri Lankan adults 152-156 Download
The caries experience of 5 year-old children in Scotland in 2013-2014, and in England and Wales in 2014-2015. Reports of cross-sectional dental surveys using BASCD criteria 157-162 Download
Preferences for dental decisional control and associations with quality of life among third molar patients attending public dental services 163-168 Download
Type 2 diabetes as a risk indicator for dental caries in Korean adults: the 2011-2012 Korea national health and nutrition examination survey 169-175 Download
Development and validation of the Child Oral Health Impact Profile – Preschool version 176-182 Download
Association between excessive Internet use and oral health behaviors of Korean adolescents: A 2015 national survey 183-189 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.