Facilitators and barriers influencing the readiness to receive dental implants in a geriatric institutionalised population—A randomized non‐invasive interventional study

Merz, Miriam A.; Terheyden, Hendrik; Huber, Christian G.; Seixas, Azizi; Schoetzau, Andreas; Schneeberger, Andres R.

doi:10.1111/ger.12264

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…Gründe dafür sind vor allem die hohen Kosten (78,4 %) und die Angst vor einem operativen Eingriff (43,1 %). Allgemein fällt die Akzeptanz gegenüber Implantaten bei den männlichen Befragten etwas höher aus als bei den weiblichen Patienten [31].…”

Section: Merkeunclassified

Prothetische Therapiewege in der Seniorenzahnmedizin

Weber¹,

Nitschke²,

Hahnel³

2020

Zahnmedizin up2date

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Section: Merkeunclassified

Prothetische Therapiewege in der Seniorenzahnmedizin

Weber¹,

Nitschke²,

Hahnel³

2020

Zahnmedizin up2date

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“…10 The restricted demand for implants suggests that many older patients are able to accept the limitations of their conventional dentures and feel psychologically satisfied with their oral condition, which helps to explain the lack of interest in receiving dental implants. 15 The financial costs of implant therapy are recognised as a major barrier to accessing treatment. However, previous studies have suggested that even when financial cost factor is removed, the refusal rate remains high.…”

Section: Introductionmentioning

confidence: 99%

“…It had been suggested that only a small proportion of edentulous patients proceed with the placement of implants to retain a mandibular overdenture 10 . The restricted demand for implants suggests that many older patients are able to accept the limitations of their conventional dentures and feel psychologically satisfied with their oral condition, which helps to explain the lack of interest in receiving dental implants 15 …”

Section: Introductionmentioning

confidence: 99%

Willingness to accept or refuse mandibular implant overdenture treatment: A prospective study on edentulous enrolled in a clinical trial

Leles

Nascimento

Silva

et al. 2023

J of Oral Rehabilitation

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Background Several complete denture wearers have major complaints and may be benefitted from implant treatment. However, the factors that shape the demand for and utilization of implants need further investigation. Objective The aim was to evaluate edentulous patient's willingness to accept or refuse the offer and provision of implant‐retained treatment. Methods As part of a clinical trial, edentulous subjects were offered a mandibular overdenture retained by four mini‐implants opposing a conventional maxillary denture. Treatment was offered without any financial costs for the patients. Patients' level of interest in receiving treatment was assessed using a 5‐point Likert scale, and they were asked to respond to a list of reasons that led to their decision to accept or refuse implants. Those who refused implants received conventional prosthodontic interventions as required, and those who accepted implant treatment underwent surgical planning and implant placement. Results Of 175 eligible subjects, 147 accepted the offer of treatment and were invited to take part in the study (69.4% women, mean age 67.4 ± 10.0 years). Overall, 111 patients (75.5%) expressed a positive intention to undergo implant treatment at the initial contact. Implant treatment was performed for 56.3% (9/16) of those who answered ‘probably yes’ about their level of interest in implant treatment on the Likert scale, and 69.6% (64/92) of ‘certainly yes’ (p < .001). Older subjects were less likely to receive implants (OR = 0.93; p = .036), whilst those with a positive intention towards implants (OR = 3.15; p = .001), those previously treated by the dental team (OR = 7.89; p < .001), and who actively demanded implants (OR = 18.1; p < .001) were more likely to accept treatment. Improved chewing was the most common reason for accepting implants, whilst fear of surgery was the most reported reason for refusal. Conclusion Refusal of implants was high among edentate patients even when financial costs were removed. Patients' initial attitude towards acceptance is a key factor in the demand for and uptake of implant therapy.

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“…The search for less complex and less costly treatments is an important issue in implant dentistry, since the incremental cost of implant treatments compared to conventional treatments remains a recognised barrier to the delivery of implant‐supported dental prostheses 1 . Especially for geriatric patients, fear of surgery and pain, old age and high costs negatively influence their attitudes towards implant treatment 1‐3 . Hence, strategies to improve patient access to the benefits of dental implants may include appropriate shared decisions between patients and professionals regarding the most suitable treatment option for the individual patient considering the invasiveness of treatment, potential risk of complications and costs.…”

Section: Introductionmentioning

confidence: 99%

Cost‐effectiveness of three different concepts for the rehabilitation of edentulous mandibles: Overdentures with 1 or 2 implant attachments and hybrid prosthesis on four implants

Hartmann

Bandeira

Araújo

et al. 2020

J of Oral Rehabilitation

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Background There are scarce data regarding the combined assessment of the costs and effects of implant treatments for edentulous patients when multiple options are available. Aim This randomised clinical trial aimed to assess the cost‐effectiveness of three different concepts for treatment: mandibular overdenture retained by a single (Group I; n = 11) or two implants (Group II; n = 13) and fixed hybrid prosthesis on four implants (Group III; n = 13). Methods Treatment effectiveness was measured as the 1‐year before‐after changes in patient satisfaction with the mandibular prosthesis. Costs were prospectively quantified from the perspective of the health provider, including all direct cost items attributed to the delivery of treatments and up to the 1‐year follow‐up, using a “bottom‐up” costing estimation method. Results Patient satisfaction after treatment improved significantly for the three groups. The overall costs were R$ 2370.66, R$ 3185.21 and R$ 5739.52 for Groups I, II and III, respectively (P < .001). Analysis of incremental cost‐effectiveness ratios suggested that the overdentures retained by one or two implants were more cost‐effective than the fixed implant treatment, considering the mean cost and effectiveness values and the ±20% one‐way sensitivity analysis. Conclusion This study suggests that the incremental costs for the fixed hybrid prosthesis, compared to the overdenture treatments, is not proportional to the respective gain in effectiveness. Therefore, although all treatment options had satisfactory outcomes, the use of implants to retain a mandibular overdenture, irrespective of the use of one or two implants, is more cost‐effective than the fixed implant treatment for the edentulous mandible.

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Facilitators and barriers influencing the readiness to receive dental implants in a geriatric institutionalised population—A randomized non‐invasive interventional study

Cited by 10 publications

References 14 publications

Prothetische Therapiewege in der Seniorenzahnmedizin

Prothetische Therapiewege in der Seniorenzahnmedizin

Willingness to accept or refuse mandibular implant overdenture treatment: A prospective study on edentulous enrolled in a clinical trial

Cost‐effectiveness of three different concepts for the rehabilitation of edentulous mandibles: Overdentures with 1 or 2 implant attachments and hybrid prosthesis on four implants

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