Journal of Prosthodontics News  

Patient and Clinician Perspectives on Implant Dentistry Decision Aid Content


Now online in the Journal of Prosthodontics, an open access article co-authored by ACP members, James Tonogai, DDS, MSc, FRCD(C), and David Chvartszaid, DDS, MSc, MSc, FRCD(C).

Over the last several decades, decision aids have been developed to present patients with evidence-based information to facilitate shared decision-making for treatment planning. Dentistry has relatively few evidence-based decision aids, and the need for a decision aid in implant dentistry is apparent given the complexities of the treatment planning process. The authors investigated patient and clinician perspectives on what is considered important to include in a decision aid for replacement of a missing tooth with an implant.

A two-round online modified Delphi method with pair comparisons technique was used to survey participants (66 patients, 48 prosthodontists, 46 periodontists, and 31 oral surgeons) in Ontario, Canada from November 2020 to April 2021 regarding the importance of information provided during an implant consultation.

In general, patients’ opinions were significantly different than clinicians’ opinions on the relative importance of items. The top five patient-centered variables to discuss in implant consultations, based on this survey-based cross-sectional study, are patient responsibilities for treatment success, follow-ups after treatment, follow-ups during treatment, lifespan of implant, and events after surgery.

This project lays the foundational groundwork for the construction of a decision aid for implant dentistry. Next steps will involve the use of this information to design and test a decision aid.

Tonogai, J, von Bergmann, HC, Chvartszaid, D, Dempster, L. Patient and clinician perspectives on implant dentistry decision aid content: Results from an enhanced Delphi study. Journal of Prosthodontics. 2023; 1– 9. https://doi.org/10.1111/jopr.13691


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