The shortened dental arch — an assessment of patients' dental health state utility values
Identifieur interne : 007323 ( Main/Exploration ); précédent : 007322; suivant : 007324The shortened dental arch — an assessment of patients' dental health state utility values
Auteurs : Mohammad Zakaria Nassani [Royaume-Uni] ; Hugh Devlin [Royaume-Uni] ; J Fraser Mccord [Royaume-Uni] ; Elizabeth J. Kay [Royaume-Uni]Source :
- International Dental Journal [ 0020-6539 ] ; 2005-10.
English descriptors
- KwdEn :
- Analogue, Analogue scale, Brit dent, Cantilevered, Cantilevered bridge, Clinical procedures, Clinician, Comm dent hlth, Conventional cantilevered, Conventional cantilevered bridge, Decision analysis, Dent, Dental arch, Dental arches, Denture, Denture construction, Different treatment options, Different treatments, Female patients, Final bridges, First visit, Health state, High level, Illustrative models, Implant, Implant treatment, Kayser, Likely outcome, Local anaesthetic, Lower bridges, Male patients, Metal denture, Metal implants, Metal parts, More visits, Oral health, Oral hygiene, Oral rehab, Other side, Particular outcome, Patients value, Posterior teeth, Posterior tooth, Potential outcomes, Potential reduction, Previous experience, Prosthesis, Removable, Second visit, Significant differences, Subjective experience, Such prostheses, Surgical operation, Traditional approach, Treatment options, Trial insertion, Unit cost, Upper bridges, Utility gain, Utility value, Utility values, Visual analogue scale.
- Teeft :
- Analogue, Analogue scale, Brit dent, Cantilevered, Cantilevered bridge, Clinical procedures, Clinician, Comm dent hlth, Conventional cantilevered, Conventional cantilevered bridge, Decision analysis, Dent, Dental arch, Dental arches, Denture, Denture construction, Different treatment options, Different treatments, Female patients, Final bridges, First visit, Health state, High level, Illustrative models, Implant, Implant treatment, Kayser, Likely outcome, Local anaesthetic, Lower bridges, Male patients, Metal denture, Metal implants, Metal parts, More visits, Oral health, Oral hygiene, Oral rehab, Other side, Particular outcome, Patients value, Posterior teeth, Posterior tooth, Potential outcomes, Potential reduction, Previous experience, Prosthesis, Removable, Second visit, Significant differences, Subjective experience, Such prostheses, Surgical operation, Traditional approach, Treatment options, Trial insertion, Unit cost, Upper bridges, Utility gain, Utility value, Utility values, Visual analogue scale.
Abstract
Objectives: The aim of this study was to determine how patients value the potential outcomes from different treatments for the shortened dental arch (SDA). Methods: 110 partially dentate patients were interviewed and presented with illustrative models as well as a description of the process and likely outcome of six possible treatments for the shortened dental arch. The patients were asked to indicate on a standardised visual analogue scale how they would value the health of their mouth if they had received each of the treatments described. Results: With a utility value of 0.0 representing the worst possible health state for a mouth and 1.0 representing the best, the mean utility value for ‘no treatment’ for a SDA was 0.28 (sd=0.29). For a cobalt‐chromium based removable partial denture, an acrylic‐resin based removable partial denture, implant treatment, a resin‐bonded cantilevered bridge and a conventional cantilevered fixed bridge the utility values were 0.42 (sd=0.3), 0.49 (sd=0.31), 0.53 (sd=0.35), 0.63 (sd=0.26) and 0.64 (sd=0.28) respectively. Conclusions: The treatment outcome from a cantilevered bridge attracted the highest mean utility value. Participants did not value implant treatment as highly as fixed bridgework, but they did rate the utility of implants more highly than the utility value of removable dentures. However, the patients placed a very low value on the outcome from ‘no’ treatment. Thus, the appropriateness of the shortened dental arch as an oral health goal can be questioned.
Url:
DOI: 10.1111/j.1875-595X.2005.tb00328.x
Affiliations:
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Kay</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Manchester</wicri:regionArea></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Royaume-Uni</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Dental Journal</title><title level="j" type="alt">INTERNATIONAL DENTAL JOURNAL</title><idno type="ISSN">0020-6539</idno><idno type="eISSN">1875-595X</idno><imprint><biblScope unit="vol">55</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="307">307</biblScope><biblScope unit="page" to="312">312</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-10">2005-10</date></imprint><idno type="ISSN">0020-6539</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0020-6539</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analogue</term><term>Analogue scale</term><term>Brit dent</term><term>Cantilevered</term><term>Cantilevered bridge</term><term>Clinical procedures</term><term>Clinician</term><term>Comm dent hlth</term><term>Conventional cantilevered</term><term>Conventional cantilevered bridge</term><term>Decision analysis</term><term>Dent</term><term>Dental arch</term><term>Dental arches</term><term>Denture</term><term>Denture construction</term><term>Different treatment options</term><term>Different treatments</term><term>Female patients</term><term>Final bridges</term><term>First visit</term><term>Health state</term><term>High level</term><term>Illustrative models</term><term>Implant</term><term>Implant treatment</term><term>Kayser</term><term>Likely outcome</term><term>Local anaesthetic</term><term>Lower bridges</term><term>Male patients</term><term>Metal denture</term><term>Metal implants</term><term>Metal parts</term><term>More visits</term><term>Oral health</term><term>Oral hygiene</term><term>Oral rehab</term><term>Other side</term><term>Particular outcome</term><term>Patients value</term><term>Posterior teeth</term><term>Posterior tooth</term><term>Potential outcomes</term><term>Potential reduction</term><term>Previous experience</term><term>Prosthesis</term><term>Removable</term><term>Second visit</term><term>Significant differences</term><term>Subjective experience</term><term>Such prostheses</term><term>Surgical operation</term><term>Traditional approach</term><term>Treatment options</term><term>Trial insertion</term><term>Unit cost</term><term>Upper bridges</term><term>Utility gain</term><term>Utility value</term><term>Utility values</term><term>Visual analogue scale</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Analogue</term><term>Analogue scale</term><term>Brit dent</term><term>Cantilevered</term><term>Cantilevered bridge</term><term>Clinical procedures</term><term>Clinician</term><term>Comm dent hlth</term><term>Conventional cantilevered</term><term>Conventional cantilevered bridge</term><term>Decision analysis</term><term>Dent</term><term>Dental arch</term><term>Dental arches</term><term>Denture</term><term>Denture construction</term><term>Different treatment options</term><term>Different treatments</term><term>Female patients</term><term>Final bridges</term><term>First visit</term><term>Health state</term><term>High level</term><term>Illustrative models</term><term>Implant</term><term>Implant treatment</term><term>Kayser</term><term>Likely outcome</term><term>Local anaesthetic</term><term>Lower bridges</term><term>Male patients</term><term>Metal denture</term><term>Metal implants</term><term>Metal parts</term><term>More visits</term><term>Oral health</term><term>Oral hygiene</term><term>Oral rehab</term><term>Other side</term><term>Particular outcome</term><term>Patients value</term><term>Posterior teeth</term><term>Posterior tooth</term><term>Potential outcomes</term><term>Potential reduction</term><term>Previous experience</term><term>Prosthesis</term><term>Removable</term><term>Second visit</term><term>Significant differences</term><term>Subjective experience</term><term>Such prostheses</term><term>Surgical operation</term><term>Traditional approach</term><term>Treatment options</term><term>Trial insertion</term><term>Unit cost</term><term>Upper bridges</term><term>Utility gain</term><term>Utility value</term><term>Utility values</term><term>Visual analogue scale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Objectives: The aim of this study was to determine how patients value the potential outcomes from different treatments for the shortened dental arch (SDA). Methods: 110 partially dentate patients were interviewed and presented with illustrative models as well as a description of the process and likely outcome of six possible treatments for the shortened dental arch. The patients were asked to indicate on a standardised visual analogue scale how they would value the health of their mouth if they had received each of the treatments described. Results: With a utility value of 0.0 representing the worst possible health state for a mouth and 1.0 representing the best, the mean utility value for ‘no treatment’ for a SDA was 0.28 (sd=0.29). For a cobalt‐chromium based removable partial denture, an acrylic‐resin based removable partial denture, implant treatment, a resin‐bonded cantilevered bridge and a conventional cantilevered fixed bridge the utility values were 0.42 (sd=0.3), 0.49 (sd=0.31), 0.53 (sd=0.35), 0.63 (sd=0.26) and 0.64 (sd=0.28) respectively. Conclusions: The treatment outcome from a cantilevered bridge attracted the highest mean utility value. Participants did not value implant treatment as highly as fixed bridgework, but they did rate the utility of implants more highly than the utility value of removable dentures. However, the patients placed a very low value on the outcome from ‘no’ treatment. Thus, the appropriateness of the shortened dental arch as an oral health goal can be questioned.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Nassani, Mohammad Zakaria" sort="Nassani, Mohammad Zakaria" uniqKey="Nassani M" first="Mohammad Zakaria" last="Nassani">Mohammad Zakaria Nassani</name></noRegion><name sortKey="Devlin, Hugh" sort="Devlin, Hugh" uniqKey="Devlin H" first="Hugh" last="Devlin">Hugh Devlin</name><name sortKey="Kay, Elizabeth J" sort="Kay, Elizabeth J" uniqKey="Kay E" first="Elizabeth J" last="Kay">Elizabeth J. Kay</name><name sortKey="Kay, Elizabeth J" sort="Kay, Elizabeth J" uniqKey="Kay E" first="Elizabeth J" last="Kay">Elizabeth J. Kay</name><name sortKey="Mccord, J Fraser" sort="Mccord, J Fraser" uniqKey="Mccord J" first="J Fraser" last="Mccord">J Fraser Mccord</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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