OBJECTIVE: The aim of this study was to gain greater in-depth understanding of why elderly patients who are currently dissatisfied with conventional dentures decline implant treatment. BACKGROUND: There is strong evidence from high-quality randomised controlled trials to support the use of implant-supported overdentures for the restoration of the edentulous mandible. However, whilst recruiting for randomised clinical trials, researchers have found that a high proportion of potential subjects decline participation, despite the removal of financial constraints. MATERIALS AND METHODS: The study adopted a qualitative approach to provide a rich and deep understanding of people's reasons for refusal. Data were collected through focus group interviews in a two-centre study based in Montreal, Canada and Newcastle, UK. A semi-structured interview schedule was used and iteratively developed as analysis identified themes from previous focus groups. Transcripts of focus groups were coded and emergent themes determined. RESULTS: Two main themes emerged; patients' fear and anxiety (relating to the pain of surgery, complications of the procedure and immediate post-surgical denture use), and the appropriateness of the procedure in an elderly person. CONCLUSIONS: Fears of pain, complications and social embarrassment, exacerbated by age, are important factors that help explain refusal of implants by elderly patients.
OBJECTIVE: The aim of this study was to gain greater in-depth understanding of why elderly patients who are currently dissatisfied with conventional dentures decline implant treatment. BACKGROUND: There is strong evidence from high-quality randomised controlled trials to support the use of implant-supported overdentures for the restoration of the edentulous mandible. However, whilst recruiting for randomised clinical trials, researchers have found that a high proportion of potential subjects decline participation, despite the removal of financial constraints. MATERIALS AND METHODS: The study adopted a qualitative approach to provide a rich and deep understanding of people's reasons for refusal. Data were collected through focus group interviews in a two-centre study based in Montreal, Canada and Newcastle, UK. A semi-structured interview schedule was used and iteratively developed as analysis identified themes from previous focus groups. Transcripts of focus groups were coded and emergent themes determined. RESULTS: Two main themes emerged; patients' fear and anxiety (relating to the pain of surgery, complications of the procedure and immediate post-surgical denture use), and the appropriateness of the procedure in an elderly person. CONCLUSIONS: Fears of pain, complications and social embarrassment, exacerbated by age, are important factors that help explain refusal of implants by elderly patients.
Authors: Rasha A Alamoush; Wijdan R Elmanaseer; Yasmine W Matar; Salah Al-Omoush; Julian D Satterthwaite Journal: Biomed Res Int Date: 2022-07-11 Impact factor: 3.246
Authors: Raphael F de Souza; Christophe Bedos; Shahrokh Esfandiari; Nicholas M Makhoul; Didem Dagdeviren; Samer Abi Nader; Areej A Jabbar; Jocelyne S Feine Journal: Trials Date: 2018-04-23 Impact factor: 2.279
Authors: T P Hyde; H L Craddock; J C Gray; S H Pavitt; C Hulme; M Godfrey; C Fernandez; N Navarro-Coy; S Dillon; J Wright; S Brown; G Dukanovic; P A Brunton Journal: J Dent Date: 2014-07-01 Impact factor: 4.379