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

J. Durham, D. R. Nixdorf

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Aim: To examine persistent dentoalveolar pain disorder (PDAP) patients' reported experiences of the biopsychosocial impacts of the condition and its healthcare pathway. Methods: Qualitative 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. Results: PDAP 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. Conclusion: There 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.

Original languageEnglish (US)
Pages (from-to)1151-1159
Number of pages9
JournalInternational Endodontic Journal
Issue number12
StatePublished - Dec 1 2014

Bibliographical note

Publisher Copyright:
© 2014 International Endodontic Journal.


  • Atypical odontalgia
  • Biopsychosocial impact
  • Healthcare pathway
  • Persistent dentoalveolar pain disorder (PDAP)
  • Qualitative research


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