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Prosthetic treatment need in a representative German sample.

M H Walter¹, B H Wolf, C Rieger

¹Department of Prosthetic Dentistry, University Hospital Carl Gustav Carus, Dresden University of Technology, Dresden, Germany. m.walter@rcs.urz.tu-dresden.de

Journal of Oral Rehabilitation

|September 15, 2001

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Epidemiological data reveals a high normative need for oral rehabilitation in Germany, yet subjective patient need is significantly lower. Understanding patient preferences is crucial for future oral health planning.

Area of Science:

Dental Public Health
Epidemiology
Oral Health Research

Background:

Declining resources necessitate accurate epidemiological data on oral rehabilitation needs.
Oral health surveys are essential for understanding population-level dental requirements.

Purpose of the Study:

To assess the normative and subjective needs for prosthetic treatment in the adult population of Saxony, Germany.
To identify factors influencing subjective perceptions of prosthetic treatment need.

Main Methods:

A two-stage random sample of the over 14-year-old population in Saxony was surveyed.
Normative need was assessed via dental examination using consensus-developed guidelines.
Subjective need was determined using self-complete questionnaires.

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Main Results:

Approximately 81% of the sample exhibited a normative need for prosthetic treatment.
The rate of subjective need (13%) was significantly lower than the normative need (p < 0.01).
Factors associated with subjective need included dentist's recommendation, self-perceived oral health, and existing prosthetic restorations.

Conclusions:

The developed guidelines are suitable for assessing normative prosthetic treatment needs in oral health surveys.
Further research is needed to incorporate patient preferences into oral rehabilitation need definitions.
Bridging the gap between normative and subjective need is vital for effective resource allocation in dental care.