Department of Prosthetic Dentistry, Dental Health Service, Uppsala, Sweden.
Int J Prosthodont. 2012 May-Jun;25(3):270-8.
The aims of this research were to describe the process leading to desire for implant treatment, describe how patients missing teeth gained information about implant treatment, identify gatekeeping factors for implant treatment, and note experiences in changes in oral health-related quality of life.
The constant comparative method for a grounded theory was used in collecting and analyzing data. Ten informants participated in the study, all of whom were treated with implant-supported fixed dentures during the past year.
The emerging core category was that participants experienced a journey from social stigma to exhilaration. This process ended in the perspective that the participants' new lives with dental implants were very good and meant an end to their social stigma, but gatekeeping factors before treatment, such as cost and dental anxiety, were noted. The dentist's opinion and suggestions were the most decisive part of the decision-making process, and trust in the dentist and dental team was crucial in the decision to undergo treatment and in the overall treatment experience. Great improvement in oral health-related quality of life was noted.
This qualitative study gives as the core category and main finding the importance of patients' trust and confidence in the dentist and his/her staff in the process of transforming desire for dental implant treatment into demand and also in making it more likely for patients to be satisfied with treatment regardless of complications.
本研究旨在描述患者对种植治疗的渴望产生的过程，描述缺牙患者获取种植治疗信息的方式，确定种植治疗的把关因素，并记录口腔健康相关生活质量变化的体验。
采用扎根理论的恒定比较法收集和分析数据。共有 10 名参与者参与了这项研究，他们都在过去一年中接受了种植体支持的固定义齿治疗。
出现的核心类别是参与者经历了从社会耻辱感到兴奋的旅程。这个过程的结果是参与者认为他们的新生活和种植牙非常好，结束了他们的社会耻辱感，但治疗前的把关因素，如费用和牙科焦虑，也被注意到。牙医的意见和建议是决策过程中最关键的部分，对牙医和牙科团队的信任对接受治疗的决策以及整体治疗体验至关重要。口腔健康相关生活质量得到了显著改善。
这项定性研究的核心类别和主要发现是患者对牙医及其团队的信任和信心在将对种植牙治疗的渴望转化为需求的过程中的重要性，也使患者更有可能对治疗感到满意，无论是否存在并发症。
