Multiple factors may influence edentulous patients' intentions and behaviors toward oral rehabilitation, including their perceptions of costs, opportunity costs, perceived needs, and access to dental care [1]. However, another relevant aspect of adherence to treatment is how patients perceive the burdens associated with treatment. 'Treatment burdens' may be defined as both the workload and impact of treatment regimens on the function and well-being of patients [2]. These can produce significant negative impacts in implant treatments, which patients often associate with discomfort, pain, and temporary disability symptoms. These negative perceptions can also adversely impact patient-professional relationships [3,4]. As a result, some health interventions have been associated with poor adherence to treatment and unfavorable outcomes.For edentulous patients, managing their impaired oral condition often requires physiological and functional adaptation, which influences their perceived oral treatment needs and treatment-seeking behavior [5]. However, their adherence to treatment regimens requires significant time investment affecting the patient, their family, or careers, including the need to navigate dental services, interact with multiple professionals, undergo diagnostic procedures, receive treatment, and change their diet and oral function during treatment, especially for implant-based rehabilitation. Non-adherence results when a patient does not initiate or continue care that a provider has recommended and is related to the value given to treatment, incorporating how the patient evaluates the treatment's effectiveness, side effects, costs of care, and their views regarding the burdens associated with the intervention.
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