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Satisfação e perceção do paciente sobre o tratamento endodôntico : um estudo comparativo entre experiências e expectativas
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Abstract(s)
O tratamento endodôntico é amplamente reconhecido como um dos procedimentos dentários que mais provoca ansiedade nos pacientes, sendo superado apenas pela cirurgia oral (Lahiru Chandraweera et al., 2019). Esse medo, frequentemente associado à dor, influencia diretamente a aceitação e perceção do tratamento, levando muitos pacientes a adiarem ou evitarem cuidados dentários essenciais (Armfield, 2012).
Compreender as preocupações dos pacientes e adaptar a abordagem clínica são, portanto, passos fundamentais para melhorar a experiência e os resultados terapêuticos (Kornhaber et al., 2016). Apesar dos avanços nas técnicas endodônticas, fatores como a duração do tratamento, o custo e a estética pós-operatória continuam a influenciar a satisfação dos pacientes (Wigsten et al., 2021).
O presente estudo, teve como objetivo avaliar a perceção e a satisfação dos pacientes submetidos a tratamento endodôntico, foi conduzido na Clínica Dentária Egas Moniz, mediante consentimento informado, e dividido em duas análises independentes.
A primeira análise avaliou perceções dos pacientes antes e após tratamentos em sessão única, com questionários pré e pós-tratamento que mediram ansiedade, expectativa de dor, dor experienciada e disposição para repetir o procedimento (escalas de Likert). A segunda análise, realizada em consultas de follow-up, avaliou satisfação global, dor atual, capacidade mastigatória, perceção estética e relação custo-benefício, também em escalas de Likert. A análise estatística foi conduzida no IBM SPSS Statistics® 24.0 e Microsoft Excel®.
Obteve-se uma diferença estatísticamente significativa entre a expectativa de dor e a dor experênciada, ainda que não se possa concluir tal relação dadas as limitações do estudo.
Os resultados obtidos neste estudo revelam ainda uma satisfação geral pelo tratamento endodôntico, que, consequentemente, comprovam a influencia do tratamento endodôntico numa maior qualidade de vida relacionada à saúde oral.
Este estudo pretende contribuir para uma prática clínica mais centrada no paciente, promovendo melhores índices de adesão e uma reavaliação do sucesso terapêutico.
Endodontic treatment is widely recognized as one of the most anxiety-provoking dental procedures in patients, surpassed only by oral surgery (Lahiru Chandraweera et al., 2019). This fear, often associated with pain, directly influences acceptance and perception of treatment, leading many patients to postpone or avoid essential dental care (Armfield, 2012). Understanding patient concerns and adapting the clinical approach are, therefore, fundamental steps to improving the experience and therapeutic outcomes (Kornhaber et al., 2016). Despite advances in endodontic techniques, factors such as treatment duration, cost, and postoperative aesthetics continue to influence patient satisfaction (Wigsten et al., 2021). This study, aimed to evaluate the perception and satisfaction of patients undergoing endodontic treatment, was conducted at the Egas Moniz Dental Clinic, with informed consent, and divided into two independent analyses. The first analysis assessed patient perceptions before and after single-session treatments, using pre- and posttreatment questionnaires that measured anxiety, pain expectation, pain experienced, and willingness to repeat the procedure (Likert scales). The second analysis, conducted during follow-up appointments, assessed overall satisfaction, current pain, chewing ability, aesthetic perception, and cost-effectiveness, also using Likert scales. Statistical analysis was conducted using IBM SPSS Statistics® 24.0 and Microsoft Excel®. A statistically significant difference was observed between pain expectation and pain experienced, although this relationship cannot be concluded due to the study's limitations. The results obtained in this study also reveal overall satisfaction with endodontic treatment, which, consequently, demonstrates the influence of endodontic treatment on a better quality of life related to oral health. This study aims to contribute to a more patient-centered clinical practice, promoting better adherence rates and a reassessment of therapeutic success.
Endodontic treatment is widely recognized as one of the most anxiety-provoking dental procedures in patients, surpassed only by oral surgery (Lahiru Chandraweera et al., 2019). This fear, often associated with pain, directly influences acceptance and perception of treatment, leading many patients to postpone or avoid essential dental care (Armfield, 2012). Understanding patient concerns and adapting the clinical approach are, therefore, fundamental steps to improving the experience and therapeutic outcomes (Kornhaber et al., 2016). Despite advances in endodontic techniques, factors such as treatment duration, cost, and postoperative aesthetics continue to influence patient satisfaction (Wigsten et al., 2021). This study, aimed to evaluate the perception and satisfaction of patients undergoing endodontic treatment, was conducted at the Egas Moniz Dental Clinic, with informed consent, and divided into two independent analyses. The first analysis assessed patient perceptions before and after single-session treatments, using pre- and posttreatment questionnaires that measured anxiety, pain expectation, pain experienced, and willingness to repeat the procedure (Likert scales). The second analysis, conducted during follow-up appointments, assessed overall satisfaction, current pain, chewing ability, aesthetic perception, and cost-effectiveness, also using Likert scales. Statistical analysis was conducted using IBM SPSS Statistics® 24.0 and Microsoft Excel®. A statistically significant difference was observed between pain expectation and pain experienced, although this relationship cannot be concluded due to the study's limitations. The results obtained in this study also reveal overall satisfaction with endodontic treatment, which, consequently, demonstrates the influence of endodontic treatment on a better quality of life related to oral health. This study aims to contribute to a more patient-centered clinical practice, promoting better adherence rates and a reassessment of therapeutic success.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Satisfação Perceção Tratamento Endodôntico Experiência