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VOLUME 6 , ISSUE 2 ( July-December, 2016 ) > List of Articles


Replacement of Missing Teeth among Patients – Factors Determining The Attitude

Kuldeep Singh Shekhawat, Prasanya R, Senthil M, Arunima Chauhan

Keywords : attitude, replacement of teeth, patient expectations, awareness

Citation Information : Shekhawat KS, R P, M S, Chauhan A. Replacement of Missing Teeth among Patients – Factors Determining The Attitude. 2016; 6 (2):23-29.

DOI: 10.5005/jsd-6-2-23

License: CC BY-NC 4.0

Published Online: 14-08-2020

Copyright Statement:  Copyright © 2016; The Author(s).


Background: Replacement of missing teeth is important since it restores the functional and/or esthetics component. Among the options, patient's attitude generally plays an important role in selecting the type of prosthesis. Aim and Objectives: To highlight the factors determining the attitude of patients for replacement of missing teeth reporting to a dental college in Puducherry, India. Materials and Methods: A ten-item, closed-ended questionnaire was used to record the responses of 50 patients followed by a clinical examination Existing and missing teeth were charted by a single trained investigator. Collected data were analyzed using chi-square test at a significance level of 0.05. Result: The age of the subjects ranged from 25 years to 67 years with more subjects in range of 25 – 44 years. Among the study subjects 64 percent of the subjects belonged to class II [upper middle] socioeconomic status; 46 percent reported missing posterior teeth; 36 percent cited lack of knowledge and 24 percent reported that financial constraints were the main reasons for not replacing their missing teeth. Dental caries and periodontal diseases were found to be the most common cause for tooth loss. Subjects with different levels of socioeconomic status reported different reasons for not replacing extracted teeth, and these differences were not statistically significant (x2=9.27, p>0.05, NS). Conclusion: The findings indicate that awareness needs to be improved on the importance of both functional and esthetic aspects of teeth, since more importance was given to functional rather than esthetics component.

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  1. Roessler DM. Complete denture success for patients and dentists. Int Dent J 2003; 53: 340-45.
  2. Omar R, Tashkandi E, Abdul jabbar T, Abdullah MA, Akeel RF. Sentiments expressed in relation to tooth loss: a qualitative study among edentulous Saudis. Int J Prosthodont 2003; 16:515-20.
  3. Levinson NA. Psychological facets of esthetic dental health care: a developmental perspective. J Prosthet Dent 1990; 64:486-91.
  4. Allen PF, McMillan AS. A review of the functional and psychosocial outcomes of edentulousness treated with complete replacement dentures. J Can Dent Assoc 2003; 69:662.
  5. Zarb GA, Bolender CL. Prosthodontic treatment for edentulous patients. 12th ed. St. Louis: Mosby, 2004:6-23.
  6. Kalk W, Koyser AF, Witter DJ. Needs for tooth replacement. Int Dent J 1993; 43: 41-9.
  7. Van Waas MAJ. Determinants of dissatisfaction with dentures: a multiple regression analysis. J Prosthet Dent 1990; 64:569- 72.
  8. Shigli k, Hebbal M, Angadi GS. Attitudes towards Replacement of Teeth among Patients at the Institute of Dental Sciences, Belgaum, India. J Dent Edu 2007; 71: 1467-75.
  9. Sharma R. Kuppuswamy's Socioeconomic Status Scale – Revision for 2011 and Formula for Real-Time Updating. Indian J Pediatr 2012; 79:961–62.
  10. Maupome G, MacEntee MI. Prosthodontic profiles relating to economic status, social network, and social support in an elderly population living independently in Canada. J Prosthet Dent 1998; 80:598-604.
  11. Elias AC, Sheiham A. The relationship between satisfaction with mouth and number and position of teeth (Review). J Oral Rehabil 1998; 25: 649-61.
  13. Gerritsen AE, Finbarr PS, Witter DJ, Bronkhorst EM, Creuger Nico HJ. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health and Quality of Life Outcomes 2010; 8:126.
  14. Marcus PA, Joshi A, Jones JA, Morgano SM. Complete edentulism and denture use for elders in New England. J Prosthet Dent 1996; 76:260-6.
  15. Al-Quran FA, Al-Ghalayini RF, Al-Zu'bi BN. Single-tooth replacement: Factors affecting different prosthetic treatment modalities. BMC Oral Health 2011; 11: 34.
  16. [25/6/2015].
  17. Osterberg T, Hedegard B, Sater G. Variation in dental health in 70-year-old men and women in Goteborg, Sweden: a crosssectional epidemiological study including longitudinal and cohort effects. Swed Dent J 1984; 8:29-48.
  18. Misra S, Daly B, Dunne S, Millar B, Packer M, Asimakopoulou K. Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance. Patient preference and adherence 2013; 7:543-9.
  19. Conny DJ, Tedesco LA, Brewer JD, Albino JE. Changes of attitude in fixed prosthodontic patients. J Prosthet Dent 1985; 53:451-4.
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