Patients' self-perceived impacts and prosthodontic needs at the time and after tooth loss.
Identifieur interne : 006759 ( Main/Merge ); précédent : 006758; suivant : 006760Patients' self-perceived impacts and prosthodontic needs at the time and after tooth loss.
Auteurs : Linéia Tavares Te Filo [Brésil] ; Cláudio Rodrigues LelesSource :
- Brazilian dental journal [ 1806-4760 ] ; 2007.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (économie), Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Concept du soi, Consommation alimentaire (physiologie), Coûts des soins de santé, Dentisterie esthétique, Extraction dentaire (psychologie), Facteurs sexuels, Femelle, Humains, Jeune adulte, Mastication (physiologie), Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâchoire édentée (psychologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Perte dentaire (psychologie), Perte dentaire (rééducation et réadaptation), Prothèses dentaires (psychologie), Prothèses dentaires (économie), Relations interpersonnelles, Santé buccodentaire, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, Études de cohortes, Études de suivi, Études prospectives, Évaluation des besoins.
- MESH :
- physiologie : Consommation alimentaire, Mastication.
- psychologie : Extraction dentaire, Mâchoire partiellement édentée, Mâchoire édentée, Perte dentaire, Prothèses dentaires.
- rééducation et réadaptation : Mâchoire partiellement édentée, Mâchoire édentée, Perte dentaire.
- économie : Accessibilité des services de santé, Prothèses dentaires.
- Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Concept du soi, Coûts des soins de santé, Dentisterie esthétique, Facteurs sexuels, Femelle, Humains, Jeune adulte, Mâle, Relations interpersonnelles, Santé buccodentaire, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, Études de cohortes, Études de suivi, Études prospectives, Évaluation des besoins.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Cohort Studies, Dental Prosthesis (economics), Dental Prosthesis (psychology), Eating (physiology), Esthetics, Dental, Female, Follow-Up Studies, Health Care Costs, Health Services Accessibility (economics), Health Status, Humans, Interpersonal Relations, Jaw, Edentulous (psychology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Male, Mastication (physiology), Middle Aged, Needs Assessment, Oral Health, Prospective Studies, Self Concept, Sex Factors, Tooth Extraction (psychology), Tooth Loss (psychology), Tooth Loss (rehabilitation), Young Adult.
- MESH :
- economics : Dental Prosthesis, Health Services Accessibility.
- physiology : Eating, Mastication.
- psychology : Dental Prosthesis, Jaw, Edentulous, Jaw, Edentulous, Partially, Tooth Extraction, Tooth Loss.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially, Tooth Loss.
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Cohort Studies, Esthetics, Dental, Female, Follow-Up Studies, Health Care Costs, Health Status, Humans, Interpersonal Relations, Male, Middle Aged, Needs Assessment, Oral Health, Prospective Studies, Self Concept, Sex Factors, Young Adult.
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.
PubMed: 17982545
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pubmed:17982545Le document en format XML
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis (economics)</term>
<term>Dental Prosthesis (psychology)</term>
<term>Eating (physiology)</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Care Costs</term>
<term>Health Services Accessibility (economics)</term>
<term>Health Status</term>
<term>Humans</term>
<term>Interpersonal Relations</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (psychology)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mastication (physiology)</term>
<term>Middle Aged</term>
<term>Needs Assessment</term>
<term>Oral Health</term>
<term>Prospective Studies</term>
<term>Self Concept</term>
<term>Sex Factors</term>
<term>Tooth Extraction (psychology)</term>
<term>Tooth Loss (psychology)</term>
<term>Tooth Loss (rehabilitation)</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé (économie)</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Consommation alimentaire (physiologie)</term>
<term>Coûts des soins de santé</term>
<term>Dentisterie esthétique</term>
<term>Extraction dentaire (psychologie)</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mastication (physiologie)</term>
<term>Mâchoire partiellement édentée (psychologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Perte dentaire (psychologie)</term>
<term>Perte dentaire (rééducation et réadaptation)</term>
<term>Prothèses dentaires (psychologie)</term>
<term>Prothèses dentaires (économie)</term>
<term>Relations interpersonnelles</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>État de santé</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
<term>Évaluation des besoins</term>
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<term>Health Services Accessibility</term>
</keywords>
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<term>Mastication</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Eating</term>
<term>Mastication</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Extraction dentaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Perte dentaire</term>
<term>Prothèses dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dental Prosthesis</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Tooth Extraction</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Perte dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Accessibilité des services de santé</term>
<term>Prothèses dentaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Health</term>
<term>Cohort Studies</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Care Costs</term>
<term>Health Status</term>
<term>Humans</term>
<term>Interpersonal Relations</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Needs Assessment</term>
<term>Oral Health</term>
<term>Prospective Studies</term>
<term>Self Concept</term>
<term>Sex Factors</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Coûts des soins de santé</term>
<term>Dentisterie esthétique</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Relations interpersonnelles</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>État de santé</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
<term>Évaluation des besoins</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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