Hastaların Dental İmplant Tedavisine Yönelik Bilgi ve Tutumlarının Değerlendirilmesi

Abstract

Amaç: Dental implant cerrahisi günümüzde uygulanan yaygın bir cerrahi prosedürdür, ancak hastaların bu tedaviye yönelik bilgi ve tutumları hakkında çok az şey bilinmektedir. Bu çalışmanın amacı dental implant tedavisi görmek isteyen hastaların bilgi ve tutumlarını değerlendirmektir. Gereç ve Yöntemler: Çalışmaya implant tedavisi için başvuran 187 hasta dahil edilmiştir. Hastalar çalışma hakkında bilgilendirildikten sonra, 34 sorudan oluşan bir anket doldurmuştur. Anketten elde edilen veriler ki-kare testi kullanılarak analiz edilmiştir. Bulgular: Çalışmaya katılan hastaların %60,4'ü (113) kadın, %39,6'sı (74) erkekti. Hastaların %24,1'i (45) implantlar hakkında bilgi sahibi olmadığını, %17,6'sı (33) yeterli bilgi sahibi olduğunu ve %58,3'ü (109) kısmi bilgi sahibi olduğunu bildirmiştir. Hastaların %96,8'i (181) implant tedavisini cerrahi bir prosedür olarak kabul etmiştir. Sonuçlar, hastaların eksik dişlerin yerine implant tedavisi konusundaki farkındalıkları ile implant yerleştirmenin cerrahi bir prosedür olduğu konusundaki farkındalıkları arasında istatistiksel olarak anlamlı bir ilişki olduğunu göstermiştir (p < 0.05). Ankete katılan hastaların %85,6'sı (160) implantların çene kemiğine yerleştirildiğini, %3,2'si (6) diş etine yerleştirildiğini, %1,6'sı (3) komşu dişe sabitlendiğini, %9,6'sı (18) ise bu konu ile ilgili bilgi sahibi olmadığını belirtmiştir. Ankete katılım sağlamış hastaların %44,9'unun (84) implantın ağızda kalma süresinden habersiz olduğu, %21,9'unun (41) ise implantı ömür boyu kullanacaklarına inandıkları kaydedilmiştir. Hastaların implant tedavisi hakkındaki bilgileri öncelikle diş hekimlerinden (%57,2), arkadaşlardan (%19,3) ve medyadan (%12,8) aldığı görülmüştür. Sonuç: Bu çalışma, implant tedavisine ilişkin hasta eğitiminin iyileştirilmesi ihtiyacını vurgulamaktadır. İmplant tedavisi yaptırmak için kliniklere başvuran hastaların bile tedavi hakkında kapsamlı bir bilgi birikiminin olmadığı görülmüştür. Hekimler, hastaların implant tedavisi hakkında yeterli bilgiye sahip olmadığının farkında olmalı ve hastaları daha fazla bilgilendirmelidir.

Keywords

• Anket
• bilgidüzeyi
• implant
• farkındalık

Evaluation of Patients' Knowledge and Attitudes Towards Dental Implant Treatment

Abstract

Objectives: Dental implant surgery is a common surgical procedure, but little is known about the knowledge and attitudes of patients towards this treatment. The objective of this study is to evaluate the knowledge and attitudes of patients who require dental implant treatment. Materials and Methods: The study involved 187 patients for implant treatment. The patients completed a 34-question questionnaire. Data were analyzed using the chi-square test. Results: Among the participants, 60.4% (113) were female, 39.6% (74) were male. 24.1% (45) of the patients had no information about implants, 17.6% (33) had sufficient information, and 58.3% (109) had partial information. 96.8% (181) of the patients recognized implant treatment as a surgical procedure. The results demonstrated a significant relation between patients' awareness of implant treatment for replacing missing teeth and their awareness of implant placement as a surgical procedure (p < 0.05). Of patients participating, 85.6% (160) indicated that the implants were inserted to the jawbone, 3.2% (6) to the gingiva, 1.6% (3) to the adjacent tooth, and 9.6% (18) were unsure of this information. It was noted that 44.9% (84) of the patients were unaware of the lifetime of the implant, while 21.9% (41) believed they would use the implant for life. Information about implant treatments was primarily obtained from dentists (57.2%), friends (19.3%), and the media (12.8%). Conclusion: The study highlights the need for improved patient education regarding implant treatment; even patients seeking treatment need more knowledge. Dentists should be aware of this and provide patients with more detailed information.

Keywords

• survey
• knowledge level
• dental implant
• awareness

References

1. Naert I, Koutsikakis G, Duyck J, Quirynen M, Jacobs R, Van Steenberghe D. Biologic outcome of implantsupported restorations in the treatment of partial edentulism: Part 1: A longitudinal clinical evaluation. Clin Oral Implants Res. 2002;13:381-389. DOI: 10.1034/j.1600-0501.2002.130406.x.
2. Kullar AS, Miller CS. Are there contraindications for placing dental implants? Dent Clin North Am. 2019;63:345-362. DOI: 10.1016/j.cden.2019.02.004.
3. Khosya B, Devaraj C. Awareness of dental implants as a treatment modality among people visiting Mahatma Gandhi Dental College & Hospital, Jaipur. National Journal of Medical Research 2015;5:61-63.
4. Berge TI. Public awareness, information sources and evaluation of oral implant treatment in Norway. Clin Oral Implants Res. 2000;11:401-408. DOI: 10.1034/j.1600- 0501.2000.011005401.x.
5. Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontol 2000 2017;73:7-21. DOI: 10.1111/prd.12185.
6. Götz, Werner, Gedrange, Tomasz, Bourauel, Christoph and Hasan, Istabrak. "Clinical, biomechanical and biological aspects of immediately loaded dental implants: a critical review of the literature" Biomedical Engineering / Biomedizinische Technik , vol. 55, no. 6, 2010, pp. 311- 315. DOI:10.1515/bmt.2010.045
7. Blomberg S, Lindquist L. Psychological reactions to edentulousness and treatment with jawbone-anchored bridges. Acta Psychiatr Scand. 1983;68:251-262. DOI: 10.1111/j.1600-0447.1983.tb07005.x.
8. Nitschke I, Krüger K, Jockusch J. Age-related knowledge deficit and attitudes towards oral implants: Survey-based examination of the correlation between patient age and implant therapy awareness. BMC Oral Health 2024;24:403. DOI:10.1186/s12903-024-04134-8

9. MEMİŞ S. Türkiye’nin Batı Karadeniz Bölgesi’nde, Hastaların Dental İmplantlar Hakkındaki Bilgi ve Farkındalığı. Turkiye Klinikleri J Dental Sci. 2020;26. DOI: 10.5336/dentalsci.2019-72025
10. Al-Haj Husain A, De Cicco O, Stadlinger B, et al. A survey on attitude, awareness, and knowledge of patients regarding the use of dental implants at a Swiss university clinic. Dent J 2023;11:165.DOI: 10.3390/dj11070165.
11. Papaspyridakos P, Chen C-J, Singh M, Weber H-P, Gallucci G. Success criteria in implant dentistry: a systematic review. J Dent Res. 2012;91:242-248. DOI: 10.1177/0022034511431252.
12. Simonis P, Dufour T, Tenenbaum H. Long-term implant survival and success: a 10–16-year followup of non-submerged dental implants. Clin Oral Implants Res. 2010;21:772-777. DOI: 10.1111/j.1600- 0501.2010.01912.x.
13. Alajlan A, Alhoumaidan A, Ettesh A, Doumani M. Assessing Knowledge and Attitude of Dental Patients regarding the Use of Dental Implants: A Survey- Based Research. Int J Dent. 2019;2019:5792072. DOI: 10.1155/2019/5792072
14. Al-Nasser BMS, Katta PK, Al-Musawi MA, Al-jubran SMA, Alhmood AEA, NS PK. Patients’ Awareness about Dental Implants in Eastern Province Region of Saudi Arabia: A Questionnaire Based Study. J. Public Health Med. 2024.
15. Kohli S, Bhatia S, Kaur A, Rathakrishnan T. Patients awareness and attitude towards dental implants. Indian J Dent 2015;6:167. DOI:10.4103/0975-962X.168518
16. Pommer B, Zechner W, Watzak G, Ulm C, Watzek G, Tepper G. Progress and trends in patients' mindset on dental implants. I: level of information, sources of information and need for patient information. Clin Oral Implants Res. 2011;22:223-229. DOI: 10.1111/j.1600- 0501.2010.02035.x
17. Efan O, Mahmoody H. People's Knowledge and Opinions about getting Dental Implants with other Conventional Treatment Modalities in Herat City Habitats, Afghanistan. Open Dent J 2024;18. DOI: 10.2174/011874 2106272268240204143559
18. Özçakır Tomruk C, Özkurt-Kayahan Z, Şençift K. Patients' knowledge and awareness of dental implants in a Turkish subpopulation. J Adv Prosthodont. 2014;6:133- 137. DOI: 10.4047/jap.2014.6.2.133
19. Awooda EM, Eltayeb AS, Hussein SA, et al. Knowledge, attitude and acceptance of dental implants among patients attending Khartoum Dental Teaching Hospital. IOSR J. Dent. Med. Sci. 2014;13:19-23.
20. Al-Johany S, Al Zoman HA, Al Juhaini M, Al Refeai M. Dental patients’ awareness and knowledge in using dental implants as an option in replacing missing teeth: A survey in Riyadh, Saudi Arabia. Saudi Dent. J. 2010;22:183-188. DOI: 10.1016/j.sdentj.2010.07.006
21. Suwal P, Basnet BB, Shrestha B, Parajuli PK, Singh RK. Knowledge, attitude, and awareness regarding dental implants among patients visiting a university hospital and its teaching districts. Journal of Dental Implants 2016;6:57-61. DOI:10.4103/jdi.jdi_22_16
22. Suprakash B, Ahammed AY, Thareja A, Kandaswamy R, Kumar N, Bhondwe S. Knowledge and attitude of patients toward dental implants as an option for replacement of missing teeth. J Contemp Dent Pract 2013;14:115.DOI: 10.5005/jp-journals-10024-1282
23. Tepper G, Haas R, Mailath G, et al. Representative marketing-oriented study on implants in the Austrian population. I. Level of information, sources of information and need for patient information. Clin Oral Implants Res. 2003;14:621-633. doi: 10.1034/j.1600-0501.2003.00916.x
24. Faramarzi M, Shirmohammadi A, Chisazi M, Farhoodi E, Omrani A. Patient’s knowledge regarding dental implants in Tabriz, Iran. Avicenna J Dent Res.2012;4:40-45.
25. Fakheran Esfahani O, Moosaali F. Awareness and knowledge of patients toward dental implants as an option in replacing missing teeth: a survey in Kerman, Iran. J Periodontal Implant Sci. 2018;8:43-48. DOI:10.15171/ jpid.2016.008
26. Alanazi SA, Alduaiji KTA, Al-Enazi AS, Assiri MY, Almaghnam K, Alnwaihel AK. Knowledge, attitude, and awareness regarding dental implants among young patients visiting Al-Farabi Hospital. Oral Health Dent Manag. 2017;16:1-6.
27. Brunello G, Gervasi M, Ricci S, Tomasi C, Bressan E. Patients' perceptions of implant therapy and maintenance: a questionnaire-based survey. Clin Oral Implants Res. 2020;31:917-927. DOI: 10.1111/clr.13634