A survey of the willingness and influencing factors for dental implants among middle-aged and elderly patients with missing teeth in five cities of Liaoning

doi:10.12337/zgkqzzxzz.2024.10.012

Chinese Journal of Oral Implantology ›› 2024, Vol. 29 ›› Issue (5): 467-473.DOI: 10.12337/zgkqzzxzz.2024.10.012

• Original Article·Basic Research • Previous Articles Next Articles

A survey of the willingness and influencing factors for dental implants among middle-aged and elderly patients with missing teeth in five cities of Liaoning

Chai Haoran¹, Liu Yi¹, Wang Zunshuo¹, Lang Zheyu¹, Li Chenhui¹, Zhu Shenghui¹, Zhang Xuepu², Zhang Yue³

¹Jinzhou Medical University,Jinzhou 121001,Liaoning, China;
²The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning, China;
³The Affiliated Stomatological Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning, China

Received:2024-03-06 Online:2024-10-30 Published:2024-10-30
Contact: Zhang Yue, Email: 34916851@qq.com, Tel: 0086-416-2655134
Supported by:
Jinzhou Medical University 2022 (National) College Students' Innovation and Entrepreneurship Training Program (202210160017); The 14th Five-Year Plan of Education Science Project Proposal for 2021 in Liaoning Province (JG21DB201); Jinzhou Science and Technology Plan Project (JZ2023B088)

Abstract

Abstract: Objective To investigate the willingness and influencing factors for dental implants among middle-aged and elderly patients with missing teeth in five cities of Liaoning Province. Methods Using population proportionate sampling (PPS) and a three-stage random sampling method, middle-aged and elderly patients with missing teeth in Shenyang, Fushun, Jinzhou, Panjin, and Chaoyang in Liaoning Province were selected as research subjects for a questionnaire survey. T-tests, analysis of variance, and structural equation modeling were used to explore the factors influencing implant willingness. Results There were statistically significant differences in the expected treatment outcomes of dental implants among patients with different educational levels (P<0.05). Media channels used by patients to learn about implants also varied significantly across different income levels (P<0.05). Significant differences were found in implant willingness, expected treatment outcomes, media channels, price barriers, and perceived risks between urban and rural patients (P<0.05). Urban patients had higher scores for implant willingness (3.37), expected treatment outcomes (3.76), and media channels (3.52) compared to rural patients (2.91, 3.35, 3.12, respectively), while rural patients had higher scores for price barriers (2.94) and perceived risks (3.01) compared to urban patients (2.71 and 2.67, respectively). Structural equation modeling revealed that expected treatment outcomes (β=0.185) and media channels (β=0.277) had a significant positive impact on implant willingness, while price barriers (β=-0.212), perceived risks (β=-0.127), and geographical limitations (β=-0.227) had a significant negative impact. Conclusion Price barriers, perceived risks, and geographical limitations are important factors contributing to the low willingness for dental implants among middle-aged and elderly patients with missing teeth in Liaoning Province. Therefore, it is necessary to promote dental implants through coordinated efforts from hospitals, the public, and manufacturers, in order to increase the application of dental implants.

Key words: Tooth loss, Implant willingness, Middle-aged and elderly, Dental implants

Chai Haoran, Liu Yi, Wang Zunshuo, Lang Zheyu, Li Chenhui, Zhu Shenghui, Zhang Xuepu, Zhang Yue. A survey of the willingness and influencing factors for dental implants among middle-aged and elderly patients with missing teeth in five cities of Liaoning[J]. Chinese Journal of Oral Implantology, 2024, 29(5): 467-473.

References

[1] 罗津. 深度老龄化背景下城市社区居家养老的治理机制[J].上海交通大学学报(哲学社会科学版), 2021,29(4):63-70,129. DOI: 10.13806/j.cnki.issn1008-7095.2021.04.007.
[2] 郑真真, 周云. 中国老年人的健康行为与口腔健康[J].人口研究, 2014,28(2):83-91.
[3] 王睿捷, 李宏宇, 施红. 中国≥65岁老年人牙齿缺失与听力损伤的关联研究[J].中国全科医学,2024,27(1):45-50. DOI: 10.12114/j.issn.1007-9572.2023.0383.
[4] 国家统计局.中华人民共和国2022年国民经济和社会发展统计公报 [EB/OL].http://www.stats.gov.cn/sj/zxfb/202302/t20230228_1919011.html.2023-02-28/2023-03-06.
[5] 项鑫, 王乙. 中国人口老龄化现状、特点、原因及对策[J].中国老年学杂志, 2021,41(18):4149-4152. DOI: 10.3969/j.issn.1005-9202.2021.18.072.
[6] Boeskov Øzhayat E, Korduner EK, Collin Bagewitz I, et al.Impairments due to tooth loss and prosthetic expectations in patients from an urban area and a rural area in Sweden. A qualitative study[J]. Journal of Oral Rehabilitation, 2020, 47(2):212-220.DOI: 10.1111/joor.12911.
[7] 胡湘权, 朱文军. 广州市636名中青年干部牙齿缺失与修复情况分析[J].口腔颌面修复学杂志,2002,3(4):247-249. DOI: 10.3969/j.issn.1009-3761.2002.04.019.
[8] 江青松, 胡江琪, 路云萍, 等. 牙齿缺失与认知障碍相关性研究现状与展望[J].口腔颌面修复学杂志, 2023,24(2):81-86.DOI: 10.19748/j.cn.kqxf.1009-3761. 2023.2.001.
[9] Yang HL, Li FR, Chen PL, et al.Tooth loss, denture use, and cognitive impairment in chinese older adults: a community cohort study[J]. J Gerontol A Biol Sci Med Sci, 2022,77(1):180-187. DOI: 10.1093/gerona/glab056.
[10] 杨程, 马敏, 李晓洁, 等. 4042名成年人牙齿缺失与修复情况调查分析[J].宁夏医科大学学报,2013,35(2):150-153. DOI: 10.3969/j.issn.1674-6309.2013.02.009.
[11] 聂建芳. 影响种植牙远期效果的多因素分析[J].中国医学创新, 2016,13(33):23-26,27. DOI: 10.3969/j.issn. 1674-4985.2016.33.007.
[12] Tirone F, Salzano S.Esthetic treatment of alveolar ridge atrophy in the anterior maxilla via connective tissue graft performed simultaneously with implant placement: a three-case series[J]. Quintessence Int, 2018,49(10):801-807. DOI: 10.3290/j.qi.a41012.
[13] 阮映仪. 牙齿缺失的危害及修复方法[J].健康向导,2023,29(4):26-27. DOI: 10.3969/j.issn.1006-9038. 2023.04.016.
[14] 万碧涛, 刘卫国. 即刻种植治疗牙齿缺失的临床效果分析[J].中国社区医师,2023,39(26):35-37. DOI: 10.3969/j.issn.1007-614x.2023.26.013.

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A survey of the willingness and influencing factors for dental implants among middle-aged and elderly patients with missing teeth in five cities of Liaoning

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