Serveur d'exploration sur le patient édenté

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Subjective values of different treatments for missing molars in older Japanese

Identifieur interne : 005020 ( Main/Exploration ); précédent : 005019; suivant : 005021

Subjective values of different treatments for missing molars in older Japanese

Auteurs : K. Ikebe [Japon] ; T. Hazeyama [Japon] ; R. Kagawa [Japon] ; K. Matsuda [Japon] ; Y. Maeda [Japon]

Source :

RBID : ISTEX:4D9F7C709A7F3887C231803F180E35584ABACB58

Descripteurs français

English descriptors

Abstract

Summary  The purpose of this study was to determine how elderly Japanese people subjectively value treatment options for missing molars. Subjects were 528 independently community‐dwelling elderly people. They were presented with photographs and descriptions of the process and expected outcomes of five possible treatment options: cantilever fixed dental prosthesis (FDP); resin or metal removable partial denture prosthesis (RPDP); implant‐supported fixed prosthesis; and no replacement (shortened dental arch: SDA) for missing lower bilateral first and second molars. The participants filled in the questionnaire on subjective importance for treatment and indicated on a visual analogue scale how they valued the treatment (utility value: UV). Values were analysed by Mann–Whitney U‐tests and multiple logistic regression analyses. Overall, the UVs for the FDP and the metal RPDP were the highest, and the UV for the SDA was the lowest. With respect to subjective importance, ‘chewing ability’ and ‘no pain during function’ were significantly selected more frequently. Multiple logistic regression analyses showed that the UV for the resin RPDP had significant positive associations with denture wearers and low treatment cost, whereas the implant had significant negative associations with denture wearers and older age. The SDA had significant positive associations with men and low treatment cost and a negative association with appearance. In conclusion, these elderly Japanese preferred cantilever FDPs and metal RPDPs to implants and ‘no replacement.’ It suggests that the SDA as an oral health goal can be questionable from the patients’ point of view, even if it is biologically correct.

Url:
DOI: 10.1111/j.1365-2842.2010.02123.x


Affiliations:


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Le document en format XML

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<term>Aged</term>
<term>Attitude to Health</term>
<term>Aust dent</term>
<term>Blackwell publishing</term>
<term>Cantilever</term>
<term>Cantilever fdps</term>
<term>Chromium Alloys (chemistry)</term>
<term>Clinical decisions</term>
<term>Clinical practice</term>
<term>College degree</term>
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<term>Dental Materials (chemistry)</term>
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<term>Denture Design (psychology)</term>
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<term>Friedman test</term>
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<term>Health insurance</term>
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<term>Important items</term>
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<term>Independent variables</term>
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<term>Kazunori ikebe</term>
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<term>Natural teeth</term>
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<term>Negative associations</term>
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<term>Older group</term>
<term>Older japanese</term>
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<term>Oral function</term>
<term>Oral health</term>
<term>Oral health goal</term>
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<term>Oral rehabilitation</term>
<term>Osaka prefecture</term>
<term>Osaka university graduate school</term>
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<term>Pairwise comparisons</term>
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<term>Patient Care Planning</term>
<term>Patient Participation</term>
<term>Positive associations</term>
<term>Possible reason</term>
<term>Previous study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthetic treatment</term>
<term>Regression analyses</term>
<term>Removable</term>
<term>Removable denture</term>
<term>Removable denture wearers</term>
<term>Resin rpdp</term>
<term>Resin rpdps</term>
<term>Restorative dentistry</term>
<term>Rpdp</term>
<term>Rpdps</term>
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<term>Senior citizens</term>
<term>Sex Factors</term>
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<term>Statistical analyses</term>
<term>Study population</term>
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<term>Subjective values</term>
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<term>Treatment cost sensitivity</term>
<term>Treatment option</term>
<term>Treatment options</term>
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<term>Alliages de chrome ()</term>
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<term>Dental arch</term>
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<term>Dentistry</term>
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<term>Female</term>
<term>Friedman test</term>
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<term>Humans</term>
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<term>Independent variables</term>
<term>Kayser</term>
<term>Kazunori ikebe</term>
<term>Literature review</term>
<term>Lowest value</term>
<term>Male</term>
<term>Metal rpdp</term>
<term>Metal rpdps</term>
<term>Molar</term>
<term>Nancial status</term>
<term>Natural dentition</term>
<term>Natural teeth</term>
<term>Natural tooth</term>
<term>Negative association</term>
<term>Negative associations</term>
<term>Occlusal stability</term>
<term>Older group</term>
<term>Older japanese</term>
<term>Option</term>
<term>Oral comfort</term>
<term>Oral function</term>
<term>Oral health</term>
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<term>Oral rehabilitation</term>
<term>Osaka prefecture</term>
<term>Osaka university graduate school</term>
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<term>Patient Care Planning</term>
<term>Patient Participation</term>
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<term>Possible reason</term>
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<term>Prosthet dent</term>
<term>Prosthetic treatment</term>
<term>Regression analyses</term>
<term>Removable</term>
<term>Removable denture</term>
<term>Removable denture wearers</term>
<term>Resin rpdp</term>
<term>Resin rpdps</term>
<term>Restorative dentistry</term>
<term>Rpdp</term>
<term>Rpdps</term>
<term>Second molars</term>
<term>Senior citizens</term>
<term>Sex Factors</term>
<term>Side effects</term>
<term>Statistical analyses</term>
<term>Study population</term>
<term>Subjective importance</term>
<term>Subjective values</term>
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<term>Treatment Outcome</term>
<term>Treatment cost</term>
<term>Treatment cost sensitivity</term>
<term>Treatment option</term>
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<term>Treatment period</term>
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<front>
<div type="abstract">Summary  The purpose of this study was to determine how elderly Japanese people subjectively value treatment options for missing molars. Subjects were 528 independently community‐dwelling elderly people. They were presented with photographs and descriptions of the process and expected outcomes of five possible treatment options: cantilever fixed dental prosthesis (FDP); resin or metal removable partial denture prosthesis (RPDP); implant‐supported fixed prosthesis; and no replacement (shortened dental arch: SDA) for missing lower bilateral first and second molars. The participants filled in the questionnaire on subjective importance for treatment and indicated on a visual analogue scale how they valued the treatment (utility value: UV). Values were analysed by Mann–Whitney U‐tests and multiple logistic regression analyses. Overall, the UVs for the FDP and the metal RPDP were the highest, and the UV for the SDA was the lowest. With respect to subjective importance, ‘chewing ability’ and ‘no pain during function’ were significantly selected more frequently. Multiple logistic regression analyses showed that the UV for the resin RPDP had significant positive associations with denture wearers and low treatment cost, whereas the implant had significant negative associations with denture wearers and older age. The SDA had significant positive associations with men and low treatment cost and a negative association with appearance. In conclusion, these elderly Japanese preferred cantilever FDPs and metal RPDPs to implants and ‘no replacement.’ It suggests that the SDA as an oral health goal can be questionable from the patients’ point of view, even if it is biologically correct.</div>
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