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一所大学牙科学院的部分牙列缺损患者对牙齿缺失修复的认知、态度、需求和期望

Awareness, attitudes, need and demand on replacement of missing teeth among a group of partially dentate patients attending a University Dental Hospital.

作者信息

Jayasinghe Rasika Manori, Perera Janana, Jayasinghe Vajira, Thilakumara Indika P, Rasnayaka Sumudu, Shiraz Muhammad Hanafi Muhammad, Ranabahu Indra, Kularatna Sanjeewa

机构信息

Department of Prosthetic Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka.

Australian Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Brisbane City, Australia.

出版信息

BMC Res Notes. 2017 Jul 27;10(1):334. doi: 10.1186/s13104-017-2655-0.

Abstract

OBJECTIVE

Our objective was to assess awareness, attitudes, need and demand on replacement of missing teeth according to edentulous space, age, gender, ethnicity, educational level and socio-economical status of the patient.

RESULTS

76.2% of the study group was opined that the missing teeth should be replaced by prosthetic means. Majority were keen in getting them replaced mainly for the comfort in mastication. Although 77.9 and 32.9% were aware of the removable prostheses and implants respectively, only 25.2% knew about tooth supported bridges as an option of replacement of missing teeth. Participants' awareness on tooth and implant supported prostheses is at a higher level. Participants' opinion on need of regular dental visit was statistically significant when gender, ethnicity and education level were considered. The highest demand for replacement of missing teeth was observed in Kennedy class I and II situations in both upper and lower arches. Demand for fixed prostheses was significantly highest in Kennedy class II in upper and lower arches. In conclusion, although removable prosthodontic options are known to most of the patients, their awareness on tooth and implant supported prostheses is also at a higher level. The highest demand for replacement of missing teeth is by patients with Kennedy class I and II situations whereas Kennedy class II being the category with highest demand for fixed prostheses. We recommend that the location of missing teeth to be considered as a priority when educating patients on the most appropriate prosthetic treatment options. Dentists' involvement in educating patients on prosthetic options needs to be improved.

摘要

目的

我们的目的是根据患者的无牙间隙、年龄、性别、种族、教育水平和社会经济状况,评估对缺失牙修复的认知、态度、需求和要求。

结果

76.2%的研究组认为缺失牙应采用修复手段进行替换。大多数人渴望进行修复主要是为了咀嚼舒适。虽然分别有77.9%和32.9%的人知晓可摘义齿和种植体,但只有25.2%的人知道牙支持式桥体作为缺失牙替换的一种选择。参与者对牙支持式和种植体支持式修复体的认知处于较高水平。在考虑性别、种族和教育水平时,参与者对定期看牙需求的看法具有统计学意义。在上颌和下颌弓的肯尼迪I类和II类情况中,观察到对缺失牙修复的需求最高。在上颌和下颌弓的肯尼迪II类情况中,对固定修复体的需求显著最高。总之,虽然大多数患者知晓可摘义齿修复选项,但他们对牙支持式和种植体支持式修复体的认知也处于较高水平。对缺失牙修复需求最高的是肯尼迪I类和II类情况的患者,而肯尼迪II类是对固定修复体需求最高的类别。我们建议,在向患者介绍最合适的修复治疗方案时,应将缺失牙的位置作为优先考虑因素。牙医在向患者介绍修复选项方面的参与度有待提高。

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