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ePaper created 2016-09-14, 10:12:26 | version 1.38.0
| research 08 implants 3 2016 This questionnaire (Table 1), which was available in fivelanguages,wasadministeredbothbeforeandaf ter one hour of standardised presentations by a den tist in the language that the prison cohort under stood. The subjects of the presentation included general principles of oral health, the value of tooth replacement,theoptionsfortoothreplacementsand the advantages of each restorative option. The ques tionnaires were scored and a cross tabulation test performed for the group using SPSS.6 Result Theinterestofthecohortinreplacementofmissing teeth was significantly increased after attending the educationallecture(Table2,p<0.001).Thepreferred method of replacement was influenced by the pre sentation. Before the lecture, 30 % of the patients chose a bridge, 17.2 % a removable partial denture and 52.8 % an implant. After the lecture, there was a significant change in the preferences of the subjects (Table2).Only21.2 %ofpatientschosethebridgeop tion while the rest, 78.8 %, chose an implant as their preferablereplacementoption(p<0.001).Beforethe lecture, 57.6 % of the patients had received informa tion about implant therapy. This significantly in creasedto95.2 %afterthelecture(Table3,p<0.001). However, both before and after the lecture, the cost was the main reason for patients not selecting im plants (Table 4). Before the lecture, 34 % of the pa tients chose insufficient information about implant procedure as an obstacle to treatment. After the lec ture, this number decreased to 10.8 %. Discussion Theopportunitytoobtainfurtherinformationand become aware of new options and opportunities for healthimprovementfrequentlyhasasignificantim pact both on attitudes and dental healthcare deci sions.Ingeneral,theinternetisutilisedbyindividuals of higher economic class who frequently are better educated. Individuals who are economically or edu cationally disadvantaged are less likely to apply these opportunities to gain information for dental healthcaredecision-making7,8 andthusothermeans of information surfing are needed. This study, utilis ingaprisonpopulation,demonstratedtheeffective ness of a presentation by a dental professional. The presentationtothepopulationchangedthepercep tionofthegroupandmotivatedasignificantnumber of the subjects to consider implant treatment as an optiontoimprovetheiroralhealthandtheirappear ance. In a similar study, Alani et al. showed that dis cussion as well as the opportunity to review options andreflectuponthediscussionresultedinanumber of subjects reconsidering their original treatment decisions.9 The utilisation of advanced technologies in health care in countries with large uneducated populations, is challenging. In studies by Chow dhaty10 , Al-Omiri11 and Shigli12 , lack of knowledge and the perception that implants were extremely costlywascommonandpreventedthird-worldpop ulationsfromconsideringdentalimplantsasatreat ment option. However, even in more affluent coun tries, e.g. Swedish, Japanese, and American people, reported that dental implants were too costly.13 However,arelationshipoftrustbetweenpatientand dentistcanimprovethereceptivityofpatientstoim plant treatment.14 TheseresultsaresimilartothoseofAlanietal.who reported that reflection and discussion can make in Before After Significance level Awareness of implant therapy Yes 57.6 % 95.2 % 0.000 sig No 42.4 % 4.8 % Tab. 3: Percentage of public awareness about implants. Before After Significance level Interested in replacing missing teeth Yes 87.2 % 97.6 % 0.000 sig No 12.8 % 2.4 % Tab. 1: Percentage of interest in replacing missing teeth before and after informative lectures. Before After Significance level Most probable obstacle cost 52.4 % 54 % 0.077 N.S. fear 9.6 % 9.6 % unclear 34 % 10.8 % cost and fear 4 % 25.6 % Tab. 4: Percentage of obstacle effecting implant selection. Tab. 2: Percentage of each treatment option selected. Before After Significance level Preferable treatment option Bridge 30 % 21.2 % 0.000 sig Removable P.D. 17.2 % 0.0 % Implant 52.8 % 78.8 % 32016