Perceived inability to cope and care-seeking in patients with toothache: a qualitative study.
OBJECTIVE
To explore the subjective experience of a sample of patients attending a dental teaching hospital emergency clinic with toothache.


METHODS
Subjects 21 female and 14 male dental patients, of different ages, marital status, employment status and levels of education, presenting with toothache at a dental teaching hospital emergency clinic. Data collection Unstructured in-depth interviews, following a topic guide. Analysis Transcribing, sifting, indexing and charting data according to key issues and themes.


RESULTS
A dimension of toothache pain that emerged was the perceived inability to cope. Patients reported a dependency on a dentist or other person to alleviate their pain, suggesting connotations of helplessness, disempowerment and incapacitation. The perceived inability to cope was also expressed in terms of loss of control, despair and isolation. A number of care-seeking patterns for toothache was identified: repeated visits to the same dentist for emergency care, repeated visits to different dentists, attendance at the dental hospital emergency clinic and consulting non-dental health workers such as doctors and pharmacists.


CONCLUSIONS
The perceived inability to cope and care-seeking patterns are two unexplored dimensions of the toothache pain experience. Both dimensions may be associated with pain intensity, the clinical conditions that manifest as toothache, quality of treatment provided and management of demand for emergency dental care. A conceptual framework is proposed for future research to investigate these relationships.
Pau
A K
AK
Department of Dental Public Health, St Bartholomew's and The Royal London School of Medicine and Dentistry, Queen Mary and Westfield College. A.K.Pau@mds.qmw.ac.uk
Croucher
R
R
Marcenes
W
W
D000293:Adolescent; D000328:Adult; D003740:Dental Clinics / Q000706:statistics & numerical data; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006380:Helplessness, Learned; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D014098:Toothache / Q000523:psychology*; D006113:United Kingdom