Expected and perceived burdens in patients receiving mandibular overdentures retained by one or two implants

Abstract

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.

Impact of dental prosthetic treatment and patients' expectations on the seven domains and four‐dimensional scale of the Oral Health Impact Profile

“…Knowing what patients' expectations are and whether they are fulfilled after treatment is important for improving patient‐centred care and satisfaction 37 . In contrast to previous studies, we included patients treated with different dental prostheses and found that expectations of fixed and removable dental prostheses were fulfilled.…”

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

“…This is particularly relevant considering the concept of simplifying treatment and reducing the number of implants. Indeed, despite a largely accepted consensus of two implants as a requirement for the stabilization and retention of a complete mandibular denture, low economic resources, as well as reluctance to invasive surgical procedures still challenge this established treatment option (Feine et al, 2002; Garcia et al, 2022; Thomason et al, 2012). IODs retained by a single midline implant (1‐IOD) have been proposed as a more conservative and less costly alternative to the standard 2‐IOD (Bhat et al, 2016; Bryant et al, 2015; Hartmann et al, 2020b; Nogueira et al, 2017; Passia et al, 2019; Schwindling et al, 2018; Srinivasan et al, 2016; Walton et al, 2009).…”

New trends in implant dentistry: Toward a super-aging society

“…Furthermore, minimizing the number of hospital visits using digital workflow and accomplishing treatment as simply as possible is necessary [1,2]. In addition, as a minimally invasive treatment that exhibits potent effects despite a low cost, implant overdenture, is very effective for fully edentulous patients [3][4][5].…”