abstract: 'Introduction: Working poor (WP) Canadians are those who work >= 20

  hours/week, are not full-time students, and have annual family incomes

  <\$34,300. They have unique vulnerabilities and face significant

  barriers to accessing dental care because they rarely receive.

  employment-based dental benefits and are ineligible for publicly funded

  dental programs. This research aimed to understand whether WP Canadians

  would prefer extraction rather than tooth restoration and preservation

  when they have toothache. Methods: A cross-sectional stratified sampling

  study design and telephone survey methodology was used to collect data

  from a nationally representative sample of 1049 WP individuals aged

  18-64 years. A pretested questionnaire included sociodemographic and

  self-reported oral health questions and asked participants to select

  their preference for maintaining versus extracting an aching tooth. By

  using bivariate and logistic regression analyses, we applied the

  Gelberg-Andersen Behavioral Model for Vulnerable Populations to

  understand what influences treatment preferences among this population

  (P <= .05). Results: The majority of participants (86\%) preferred to

  save and fill an aching tooth rather than take it out. Those who were

  older, partially dentate, reported a history of oral pain, had their

  last dental visit more than 3 years ago, or who only visited the dentist

  when in pain were significantly more likely to opt for tooth extraction.

  Conclusions: The majority of WP Canadians value preserving their natural

  dentition. Effective dental care service delivery in both private and

  public settings requires an understanding of the possible factors that

  influence WP persons'' preferences for essential treatment modalities in

  dentistry.'
affiliation: 'Azarpazhooh, A (Corresponding Author), Univ Toronto, Fac Dent, Room
  515-C,124 Edward St, Toronto, ON M5G 1G6, Canada.

  Azarpazhooh, Amir; Quinonez, Carlos, Univ Toronto, Fac Dent, Discipline Dent Publ
  Hlth, Toronto, ON, Canada.

  Azarpazhooh, Amir, Univ Toronto, Fac Dent, Discipline Endodont, Toronto, ON, Canada.

  Azarpazhooh, Amir, Univ Toronto, Fac Med, Inst Hlth Policy Management \& Evaluat,
  Clin Epidemiol \& Hlth Care Res, Toronto, ON, Canada.

  Azarpazhooh, Amir, Univ Toronto, Toronto Hlth Econ \& Technol Assessment Collaborat,
  Toronto, ON, Canada.'
author: Azarpazhooh, Amir and Quinonez, Carlos
author-email: amir.azarpazhooh@dentistry.utoronto.ca
author_list:
- family: Azarpazhooh
  given: Amir
- family: Quinonez
  given: Carlos
da: '2023-09-28'
doi: 10.1016/j.joen.2015.08.025
eissn: 1878-3554
files: []
issn: 0099-2399
journal: JOURNAL OF ENDODONTICS
keywords: Apical periodontitis; decision making; patient preference; working poor
keywords-plus: 'APICAL PERIODONTITIS; DENTAL-CARE; BEHAVIORAL-MODEL; MEDICAL-CARE;

  POLICY; TEETH'
language: English
month: DEC
number: '12'
number-of-cited-references: '27'
orcid-numbers: Azarpazhooh, Amir/0000-0002-6223-158X
pages: 1985-1990
papis_id: 423225d5a2821279a9f7d16525e5ec95
ref: Azarpazhooh2015treatmentpreferences
times-cited: '4'
title: Treatment Preferences for Toothache among Working Poor Canadians
type: Article
unique-id: WOS:000366146200006
usage-count-last-180-days: '0'
usage-count-since-2013: '4'
volume: '41'
web-of-science-categories: Dentistry, Oral Surgery \& Medicine
year: '2015'