Local anesthetics have been used in dentistry to aid patients in pain control during a wide range of surgical and non-surgical procedures. The purpose of this study was to explore the perspectives of patients regarding the administration of local anesthesia (LA) by dental hygienists. This qualitative study used an exploratory, online, focus group design. Four online focus groups were held with 18 participants recruited through purposive sampling. Pseudonyms were used to protect participants' confidentiality. A questioning route was established for the groups and validated by focus group experts and pilot testing procedures. Each focus group session was recorded and transcribed. Themes were analyzed using classic analysis strategy. Validity was established using investigator triangulation, saturation and member checks. Three major themes were identified regarding the administration of local anesthesia by dental hygienists. The first theme identified was the patients' experience and the value participants placed on patient-centered care. The second theme was the participants' unclear perceptions regarding the dental hygienists' educational qualifications to administer LA and complete a dental hygiene diagnosis. The third theme revealed future suggestions for dentists and legislators from the participants. This qualitative study offers insight into the patient's perspective of dental hygienists administering LA. Participants supported dental hygienists administering LA and appreciated the aspects of patient-centered care that this practice provided. Patient participants were unclear on educational requirements and training, but supported legislation allowing dental hygienists to administer LA.
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Article Synopsis
- The study focused on oral health prevention, particularly root caries measures, for patients aged 65 and older, and involved a survey of 365 Norwegian dental hygienists from both public and private sectors.
- Key findings revealed that primary prevention methods included oral hygiene instruction and fluoride varnish, while challenges such as patients' reduced manual dexterity and mobility were particularly noted by public dental hygienists.
- The research highlights the vital role of dental hygienists in promoting oral health for the elderly and underscores various challenges they face in implementing preventive care.
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