A sociodental approach in prosthodontic treatment decision making

Leles, Cláudio Rodrigues; Freire, Maria do Carmo Matias

doi:10.1590/s1678-77572004000200009

Cited by 12 publications

(18 citation statements)

References 27 publications

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“…Such an approach would consider the patient’s perceived need for and attitude towards treatment, general health status and financial capacity which is of major concern especially for older edentulous subjects (12). Overestimation of treatment needs in a normative approach increases the predisposition for more complex interventions and extensive intervention levels (2). Both subjects who receive implants replacing CD and subjects who request conventional replacement dentures experience significant benefits of treatment (13).…”

Section: Discussionmentioning

confidence: 99%

“…Longevity was also an important factor for preference for ID, as shown in Table 3 ( P = 0·023), suggesting that patients believe that implants are associated with a more ‘definitive’ treatment, in contrast with conventional treatment, which may be considered as a palliative or transitory solution. Extensive treatments, including advanced surgery for implants, are more likely to be accepted by patients with the ability to cope with the stress associated with treatment and with the likelihood of a long‐term favourable prognosis (2).…”

Section: Discussionmentioning

confidence: 99%

“…Patient preference is an important issue in the prosthodontic treatment planning process and an essential part of the evidence‐based approach, which includes integration of the best available scientific evidence, clinical expertise and patient values as key factors in the decision‐making process in health care (1). The preferences each patient brings to a clinical encounter are a result of subjective, socioeconomic and cultural factors including personal views, previous experiences, attitudes and beliefs about prosthodontics and, in some cases, may be purely an individual decision (2).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing edentulous patients’ preferences for prosthodontic treatment

Leles

Ferreira

Vieira

et al. 2010

Journal of Oral Rehabilitation

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The aim of this study was to identify factors influencing edentulous patients' preferences for treatment using conventional or implant dentures (ID). A consecutive sample of 112 patients was selected in a university facility. All patients responded to a questionnaire concerning preferences about treatment and factors influencing preferences for conventional complete dentures (CD), implant-retained overdentures (IRO) and fixed implant-supported prostheses (FISP). Subsequently, a set of 21 questions was presented, and patients were requested to rate the importance of various potential reasons influencing their choice of treatment. Preference for CD was more prevalent for maxilla (52·7%) and mandible (41·1%). Fixed implant-supported prostheses and IRO were preferred for the mandible (FISP=37·5%; IRO=21·4%) rather than maxilla (FISP=27·7%; IRO=19·6%). The most preferred treatment option among the subjects when evaluating both arches was the implant-supported fixed or removable prosthesis (FISP/IRO). A preference for combined upper and lower CD was also commonly reported (39·3%). Factor analysis identified six components that accounted for 72·2% of the total variance: (i) psychosocial benefits, (ii) functional performance, (iii) technical and financial concerns, (iv) post-insertion complaints, (v) removability and (vi) longevity. Technical and financial concerns (cost, complexity, surgery risks and duration of treatment) were more relevant for those who preferred ID (P<0·001). With the exception of post-insertion complaints, all mean scores of component factor loadings were positive for ID. Conventional complete dentures are associated with lower expected outcomes by patients, and cost-related issues are the major factors associated with the preferences for implant treatment of edentulous patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors influencing edentulous patients’ preferences for prosthodontic treatment

Leles

Ferreira

Vieira

et al. 2010

Journal of Oral Rehabilitation

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“…(5, 6), suggests barriers or ‘gatekeepers’ between need and demand (impact on quality of life, level of dental anxiety, perception of need, financial concerns, lack of access, health beliefs and social structure) and between demand and utilization of dental treatment (factors associated to health service availability, socio‐economic background, costs and insurance system). An another important determinant of treatment decisions is the patient’s individual preferences, which is regulated by subjective factors such as personal views, previous experiences, attitudes and beliefs about prosthodontics (12). The reasons for opting for types of prosthodontics are as diverse as the treatment options themselves.…”

Section: Introductionmentioning

confidence: 99%

Discriminant analysis of patients’ reasons for choosing or refusing treatments for partial edentulism

Leles¹,

Martins²,

Silva³

et al. 2009

J of Oral Rehabilitation

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The aim of the study was to explore partially edentulous patients' reasons for choosing or refusing prosthodontic treatment with removable partial dentures (RPD), fixed partial dentures (FPD) and implant partial dentures (IPD). Clinical and oral health-related quality of life measures were collected from 165 partially edentulous patients undergoing treatment. Patients' preferences were recorded and reasons for choosing or refusing treatments were measured with 32 questions using a five-point Likert scale. Descriptive statistics, chi-square and multiple logistic regression were used to compare patients' preferences according to clinical variables. Discriminant analysis was used to examine the impact of each reason for a patient's decision to choose or refuse treatment options. Results showed that older patients (P < 0.001) and with greater oral-related quality of life impacts (P < 0.05) were more likely to choose RPD. IPD were preferred by patients with higher education levels (P < 0.01). Discriminant functions revealed that the desire to have a fixed or removable denture had great impact on preferences. Removal of tooth structure was the main reason for refusing FPD and financial cost had a great impact on refusing IPD. Overall agreement between observed patients' decisions and those predicted by the discriminant function was >90% for all treatments. Reasons vary greatly among patients, and the role of individual perception of potential reasons for treatment selection was the most important determinants of patients' decisions. The main reasons for choosing or refusing treatments focused in this study can be used to guide shared decision-making, providing treatments that better match patients' expectations and desires.

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“…Thus, it is important to first visualize the intended final prosthesis based on which the existing bone is evaluated to determine the type and number of implants necessary to support the intended prosthesis. [13] In 1989, Misch proposed five prosthetic options FP-1, FP-2, FP-3, RP-4 and RP-5 [Table 1]. …”

Section: Prosthetic Options In Implant Dentistrymentioning

confidence: 99%

Prosthetic consideration in implant-supported prosthesis: A review of literature

Gowd

Shankar

Ranjan

et al. 2017

J Int Soc Prevent Communit Dent

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Modern dentistry has changed tremendously with implant therapy. For the successful implant therapy, making a proper treatment plan considering both surgical and prosthetic part in mind is the key of success. Often practitioners tend to create a treatment plan overlooking the basic principles of prosthetic part. This present review has discussed various prosthetic consideration of implant-supported prosthesis. A step-by-step detailed prosthetic option with their indications has been discussed to help all dental implant practitioners in making of an optimal treatment plan for each case.

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A sociodental approach in prosthodontic treatment decision making

Cited by 12 publications

References 27 publications

Factors influencing edentulous patients’ preferences for prosthodontic treatment

Factors influencing edentulous patients’ preferences for prosthodontic treatment

Discriminant analysis of patients’ reasons for choosing or refusing treatments for partial edentulism

Prosthetic consideration in implant-supported prosthesis: A review of literature

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