Patients' perspectives on dental implant and bone graft surgery: questionnaire‐based interview survey

Hof, M.A. van ‘t; Tepper, Gabor; Semo, Besnik; Arnhart, Christoph; Watzek, Georg; Pommer, Bernhard

doi:10.1111/clr.12061

Cited by 63 publications

(76 citation statements)

References 30 publications

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“…Most of studies aimed to assess patients’ knowledge, awareness, expectation, information level and acceptance to dental implant. The sample varied from general population without treatment need [8,9,27], patients who were seeking implants [25] and patients who had completed implant treatment [30,31]. …”

Section: Resultsmentioning

confidence: 99%

“…The most frequently used questions were about survival time (5 studies), cost (5 studies), special oral hygiene maintenance (4 studies), information sources (3 studies) and outcome improvements like functional and aesthetical changes (4 studies). For the longevity of dental implants, Hof and coworkers [25] found that 59% of the subjects believed implants could last for a lifetime. However, the same result in Pommers’ [8] was 24% and Teppers’ [27] 34%.…”

Section: Resultsmentioning

confidence: 99%

“…Most current studies pointed out that patients believed the cost of implant treatment to be high. The treatment cost related to income was one of the determinants to hinder subjects from making treatment decisions [9,25,26,28,31]. Three studies assessed the information sources of patients with regards to dental implants and showed the majority of the patients to be informed from the dentist, however to a varying extend of 68% [27], 41% [9] and 74% [8] respectively.…”

Section: Resultsmentioning

confidence: 99%

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Patients' expectations from dental implants: a systematic review of the literature

Yao

Tang

Gao

et al. 2014

Health Qual Life Outcomes

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ObjectiveTo examine the current literature on the impact of patients’ expectations on treatment outcomes or final patient satisfaction and to identify the theoretical frameworks, study designs and measurement instruments which have been employed to assess patients’ expectations within implant dentistry.MethodsA structured literature search of four databases Pubmed, Cochrane, Web of Science and PsychINFO was conducted following PRISMA guidelines. Any type of literature published in English discussing the topic of ‘patients expectations’ in oral health were identified and further screened. Studies reporting on expectations regarding dental implants were selected and a narrative review was conducted.ResultsThe initial search yielded 16707 studies, out of which 1051 ‘potentially effective studies’ were further assessed and final 41 ‘effective studies’ were included [Kappa = 0.76]. Ten observational studies, published from 1999 to 2013, dealt specifically with expectations of dental implants. There was a large degree of heterogeneity among studies in terms of assessment instruments. Expectations relating to aesthetics and function were primarily considered. Among the 10 studies, 8 were classified as quantitative research and 2 as qualitative research. The STROBE quality of reporting scores of the studies ranged from 13.5 to 18.0. Three of the 8 quantitative studies employed a before/after study design (prospective studies) and used visual analogue scales (VAS) to measure patient expectations.ConclusionsThere is a growing interest in patients’ expectations of dental implants. Most studies are cross sectional in nature and the quality of reporting varies considerably. Expectations with respect to aesthetics and function are key attributes considered. The use of visual analogue scales (VAS) provides quantitative assessments of patients’ expectations but the lack of standardization of measures prohibits meta- analyses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patients' expectations from dental implants: a systematic review of the literature

Yao

Tang

Gao

et al. 2014

Health Qual Life Outcomes

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“…• Hof et al 4 found that out of 150 consecutive patients seeking a dental implant, 59% expected it to last a lifetime and 31% at least ten years, and 9% shorter. Patients' estimation of the 10-year implant success rate was 84%.…”

Section: Medical/dental Evidencementioning

confidence: 99%

“…I would like to first focus on the tendency of the patients to overestimate benefits of treatment and consequently underestimate harms. There is very little specific literature, but I did find two qualitative dental studies and one medical systematic review that illustrates this bias:• Hof et al 4 found that out of 150 consecutive patients seeking a dental implant, 59% expected it to last a lifetime and 31% at least ten years, and 9% shorter. Patients' estimation of the 10-year implant success rate was 84%.…”

mentioning

confidence: 99%

Communicating the Evidence

Howe

2017

Evid Based Dent

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The 50-50-90 rule: Any time you have a 50-50 chance of getting something right, there's a 90% probability you'll get it wrong. 1 Have you thought that after spending considerable effort searching for the best evidence on a specific treatment or diagnosis how much will be lost in translation between yourself and the patient?The words 'guarded' or 'fair' come up a lot in communication with The Practice-Based StudyTo see how often dentists use the word 'guarded' I performed a small study with six experienced clinicians writing out hypothetical restorative dental treatment plans without any prompting as to what I was looking for. Eleven clinical cases were presented, and the clinicians were asked to draft out a letter assessing current dental health and future treatment options for each case. The results were collected and produced twenty-six descriptive terms relating to prognosis/risk and outcome. Chart 1.shows a truncated list of the most common WEPS used: Chart 1. Words of Estimative ProbabilityIn these results, 'guarded' was the third most common term used (18%), and in more specific conversations with the same team of clinicians we agreed that the key words (excellent (95% +/-5%), good (75% +/-15%), fair (50% +/-10%), guarded (25% +/-15%) or poor (5% +/-5%)) related to a quite specific scale of success probabilities. The chart shows quite clearly that the patients had a higher expectation of a successful outcome than the professionals and in relative terms this disconnect increased almost exponentially as the professional prognosis worsened (Table 1.) Medical/Dental EvidenceWhat can we conclude from these preliminary results and is there any evidence out there to support this observation? I would like to first focus on the tendency of the patients to overestimate benefits of treatment and consequently underestimate harms. There is very little specific literature, but I did find two qualitative dental studies and one medical systematic review that illustrates this bias:• Hof et al. 4 found that out of 150 consecutive patients seeking a dental implant, 59% expected it to last a lifetime and 31% at least ten years, and 9% shorter. Patients' estimation of the 10-year implant success rate was 84%.• A qualitative study 5 on public perceptions of dental implants concluded the participants 'expected dental implants to restore the patients' appearance, functions, and quality of life to absolute normality. They regarded dental implants as a panacea for all cases of missing teeth, overestimated their functions and longevity, and underestimated the expertise needed to carry out the clinical procedures.• In 2015 a medical systematic review 6 was undertaken with the objective to 'quantitatively assess patients' expectations of the benefits and/or harms of any treatment, test or screening test'.After reviewing 36 studies, 65% of patients overestimated a treatment benefit and 50% underestimated a possible harm from a treatment. Evidence from other professionsThe Intelligence and National Security community have been work...

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A comparative study of the influence of three pure titanium plates with different micro‐ and nanotopographic surfaces on preosteoblast behaviors

Zuo

Huang

Zhong

et al. 2013

J Biomedical Materials Res

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There is a great demand for dental implants with the ability to accelerate periimplant bone regeneration. Modification of surface micro- and nanotopographies has been revealed to affect bone cell metabolism. In this study, we utilized dielectric barrier discharge (DBD) technology to modify commercially pure titanium (Ti-tr) surfaces and then investigated the cytocompability of DBD-modified Ti surface when compared with machined (Ti-m) and polished (Ti-p) Ti surfaces. These three kinds of Ti plates exhibited different surface energies and topographies at the micro- and nanoscale levels. The DBD-treated pure Ti surface significantly enhances cell adhesion, spread, and proliferation of MC3T3-E1 preosteoblast cells compared with the Ti-p and Ti-m surfaces, suggesting that Ti-tr has better cytocompatibility compared with the other two surfaces. Preosteoblast cells on Ti-m surface exhibited higher alkaline phosphatase activity than cells on Ti-tr and Ti-p surfaces 14 days after seeding. No significant difference in alkaline phosphatase activity was observed between cells grown on Ti-tr and Ti-p surfaces. Our study demonstrated that DBD modification significantly enhanced cell adhesion, spread, and proliferation of preosteoblasts with no negative effects on cell differentiation. Microtopography and nanotopography of the surfaces of different materials and chemical/energetic properties have a synergistic effect on cell attachment, proliferation, and differentiation.

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Patients' perspectives on dental implant and bone graft surgery: questionnaire‐based interview survey

Cited by 63 publications

References 30 publications

Patients' expectations from dental implants: a systematic review of the literature

Patients' expectations from dental implants: a systematic review of the literature

Communicating the Evidence

A comparative study of the influence of three pure titanium plates with different micro‐ and nanotopographic surfaces on preosteoblast behaviors

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