Tepper Gabor, Haas Robert, Mailath Georg, Teller Christoph, Zechner Werner, Watzak Georg, Watzek Georg
Department of Oral Surgery, Dental School of the University of Vienna, Austria.
Clin Oral Implants Res. 2003 Oct;14(5):621-33. doi: 10.1034/j.1600-0501.2003.00916.x.
The number of dental implants inserted annually worldwide has been estimated to come close to a million. But the level of information available to patients about realistic, evidence-based treatment options by implants is often enough more than fragmentary, and what is disseminated by the media and the industry does not always reflect evidence-based empirical data. This survey of 1000 adults presented with 18 questions was designed to shed light on several points. These were (1). level of subjective patient information, (2). sources of information and prejudices, (3). future demand for implant treatment and target groups for patient information campaigns, and (4). potential misinformation, information deficits, discrepancies of information and how these come about. Of those questioned, 20% said unprompted that implants were a possibility to replace missing teeth. When prompted, 72% said that they knew about dental implants. Most of those questioned felt poorly informed about the options for replacing missing teeth and many knew less about implants than about other alternatives. The dentist was said to be the desired source of information, but 77% of those questioned reported that their dentists did not practice implant dentistry. More than 79% of those questioned did not know whether their dentist worked with implants. Forty-four percent thought that implants should only be placed by specially trained doctors. Sixty-one percent were of the opinion that dentists who provide implant dentistry were better qualified than their nonimplanting colleagues. Half of those questioned attributed implant failures to allergies and incompatibilities, the other half to poor medical care. Only 29% incriminated poor oral hygiene as a cause of implant failure. Future strategies should be geared to more professional public relations and patient information. Internationally operating qualified implant institutions could contribute much to balance discrepant information.
据估计，全球每年植入的牙种植体数量接近100万。但是，患者所能获得的关于牙种植体切实可行的、基于证据的治疗方案的信息往往支离破碎，媒体和行业所传播的内容并不总是反映基于证据的经验数据。这项针对1000名成年人的调查提出了18个问题，旨在阐明以下几点：（1）患者的主观信息水平；（2）信息来源和偏见；（3）对种植治疗的未来需求以及患者信息宣传活动的目标群体；（4）潜在的错误信息、信息不足、信息差异以及这些情况是如何产生的。在接受调查的人中，20%在未被提示的情况下表示牙种植体是替代缺失牙齿的一种可能性。在被提示后，72%的人表示他们了解牙种植体。大多数接受调查的人觉得自己对替代缺失牙齿的选择了解不足，而且许多人对种植体的了解比对其他替代方案的了解更少。牙医被认为是理想的信息来源，但77%的接受调查者表示他们的牙医不从事种植牙科。超过79%的接受调查者不知道他们的牙医是否开展种植业务。44%的人认为种植体只能由经过专门培训的医生植入。61%的人认为提供种植牙科服务的牙医比不从事种植业务的同事资质更高。一半的接受调查者将种植失败归因于过敏和不相容，另一半归因于医疗护理不佳。只有29%的人认为口腔卫生差是种植失败的一个原因。未来的策略应着眼于更专业的公共关系和患者信息宣传。在国际上运营的合格种植机构可以为平衡差异信息做出很大贡献。
