Refusal of implant supported mandibular overdentures by elderly patients

Gerodontology. 2011 Mar;28(1):62-8. doi: 10.1111/j.1741-2358.2009.00348.x.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Dental Anxiety / psychology
  • Dental Implantation, Endosseous / adverse effects
  • Dental Implantation, Endosseous / psychology
  • Dental Prosthesis, Implant-Supported*
  • Denture, Complete, Lower*
  • Denture, Overlay*
  • Fear / psychology
  • Female
  • Focus Groups
  • Humans
  • Interpersonal Relations
  • Interviews as Topic
  • Male
  • Middle Aged
  • Pain, Postoperative / psychology
  • Self Concept
  • Treatment Refusal*