Evaluation of the Orthodontic Component of the Hypodontia Care Pathway

Abstract

Introduction

This study evaluated patients’ experiences of the Hypodontia Care Pathway at a large teaching hospital at key stages: specifically patient expectations/experience following the diagnosis of hypodontia and then patient satisfaction with the orthodontic care received and the outcome at the end of active orthodontic treatment.

Methodology

In-depth, semi-structured interviews were conducted with 20 hypodontia patients following completion of orthodontic treatment but prior to any planned prosthodontic treatment commencing. Interviews were analysed qualitatively, using a framework approach.

Results

The framework analysis identified four main themes: perceptions of treatment, impact of the original malocclusion and the treatment process, the care team and communication. The themes were then further divided into subthemes.

Discussion

There was a large amount of positive feedback and the importance of the patient–clinician relationship was evident throughout. Where issues of concern were identified, these related mainly to communication and areas were identified where change could take place in the future.

Conclusions

Positive feedback was received and the importance of patient–clinician rapport was highlighted in all interviews. The main areas that could be enhanced related to the importance of ensuring optimum communication, particularly with a cohort of patients who are often undergoing complex multidisciplinary treatment. Recommendations for the service have been made.