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Healthcare pathway and biopsychosocial impact of persistent dentoalveolar pain disorder: a qualitative study

Lookup NU author(s): Professor Justin DurhamORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


AimTo examine persistent dentoalveolar pain disorder (PDAP) patients' reported experiences of the biopsychosocial impacts of the condition and its healthcare pathway.MethodsQualitative semi-structured interviews were conducted with a university-based cohort of PDAP patients. One interviewer used an open-ended, evolving, topic guide, and all interviews were recorded and transcribed verbatim. Data collection and analysis continued until saturation (n=20). The principles of the constant comparative method were followed, and frameworks were used to help organize and analyse the data.ResultsPDAP exerts significant biopsychosocial impacts on the individual. These impacts occur across a wide variety of everyday activities including employment, personal relationships and social activities. The conceptualization and acceptance of PDAP are difficult for patients given the reinforcement of multiple ineffective dental treatments perceived as targeting the source of their pain.ConclusionThere is an urgent need for earlier identification of PDAP cases in order to minimize the negative biopsychosocial effects of multiple dental interventions incorrectly applied to treat the symptom of pain.

Publication metadata

Author(s): Durham J, Nixdorf DR

Publication type: Article

Publication status: Published

Journal: International Endodontic Journal

Year: 2014

Volume: 47

Issue: 12

Pages: 1151-1159

Print publication date: 01/12/2014

Online publication date: 20/03/2014

Acceptance date: 05/02/2014

Date deposited: 30/11/2015

ISSN (print): 0143-2885

ISSN (electronic): 1365-2591

Publisher: Wiley-Blackwell Publishing Ltd.


DOI: 10.1111/iej.12263

PubMed id: 24697333


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Funder referenceFunder name
University of Minnesota
NIHR-CS-011-003NIHR Clinician Scientist award