Patients' self-perceived impacts and prosthodontic needs at the time and after tooth loss

Abstract

Studies on self-perception have demonstrated that tooth loss is associated with esthetic, functional, psychological and social impacts for individuals. However, not all subjects seek treatment immediately after tooth loss, even when desire for replacement is strongly expressed. The aim of this study was to evaluate the perception of patients submitted to tooth extraction about factors associated with tooth loss and prosthodontic treatment, at the time and after extraction. A convenience sample of 211 consecutive patients were clinically evaluated and answered to a questionnaire about perceived impacts and prosthodontic treatment needs. Data were collected at the time of extraction and after a 3-month time interval. Perceived impacts were high (21 to 76% at the time and 35 to 87% after extraction). From 72.5% patients who expressed intention of immediate replacement of edentulous spaces, only 8.1% had actually been treated. Financial limitation was considered the most important factor that restricted access to treatment. Bivariate statistical analysis showed association between immediate dental replacement and anterior tooth loss (p=0.00) and extension of edentulous space (p=0.01). Position of lost teeth was associated to perceived functional limitation (p=0.03). Worsened appearance was associated to tooth loss in the maxillary arch (p=0.02), and desire of prosthodontic treatment was associated to the extension of edentulous space (p=0.05). Perceived impacts were more frequent in women than men. It was concluded that although patients usually expressed prosthodontic treatment needs, clinical and financial issues are determinant factors for tooth replacement.

Correlation of cost, time, need, access, and competence with the public interest in installing dentures at non-professional dentist

“…Similarly, a research conducted by Teo'Filo and Leles shows that 88.8% of the samples studied have financial constraints, thus, most of them prefer not to pursue denture treatment. 7 Economic status is the most important predictor for a person in making decisions to choose treatment. Socio-economic condition of a family can be measured by family income.…”

Comparação dos métodos tradicional e ativo de educação no aprendizado de um tema de Oclusão Dentária

“…Alguns estudos demonstrem tendência similar [1][2][3]5 , com maioria feminina em pesquisas. Pellizzer (2013) 2 afirma que este resultado ocorre porque no Brasil há um maior número de mulheres que homens.…”

“…Apesar da crescente preocupação dos órgãos de Saúde Pública com a saúde bucal e de estudos que comprovam a redução dos índices de perda dental no Brasil, é grande o número de pessoas parcial ou totalmente edentadas que necessitam de reabilitação bucal [1][2][3][4][5] . No Brasil, o Ministério da Educação recomenda que os cursos de Odontologia formem profissionais generalistas capazes de atender às necessidades de saúde bucal da comunidade 6 .…”

Relationship Between Prosthodontic Treatment Awareness with Number and Position of Tooth Loss

“…6 The median level awareness of prosthodontic treatment for the subject who has loss 1-4 first molar was 9 (0-16), loss up to 12 posterior teeth was 13 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), loss up to 12 teeth including an anterior tooth was 15 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and in loss more than 12 tooth group was 16 (13)(14)(15)(16)(17)(18)(19)(20).…”

“…8 Clinical factors, like number and location of absent teeth, age, gender, impaired function, discomfort and dissatisfaction with appearance, and other socio-demographic factors, cultural, and financial determinants are known as important ingredients to motivated individual to cope with tooth loss and, as consequence, essential aspect of clinical decision making. 13 However, awareness among individuals about impairment of oral functions followed by tooth loss and preference of awareness for prosthodontic treatment has not been investigated. The aim of this study was to determine status of tooth loss and perception of patients' awareness about prosthodontic treatment with number and position of tooth loss.…”