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Pathways to full mouth extraction
J Bouma1, D Uitenbroek, G Westert
1Department of Social Sciences in Dentistry, University of Groningen, The Netherlands.
Community Dentistry and Oral Epidemiology
|December 1, 1987
Summary
Dental anxiety drives a cycle of tooth loss, leading to full mouth extractions. Understanding patient profiles—regular, symptomatic, and former attenders—reveals factors contributing to the need for full dentures.
Area of Science:
- Dentistry
- Psychology
- Public Health
Background:
- Dental anxiety is a significant factor in avoiding dental care.
- Full mouth extraction is often a consequence of prolonged non-attendance.
- Understanding reasons for extraction is crucial for preventative strategies.
Purpose of the Study:
- To describe dental histories and attendance patterns leading to full mouth extraction.
- To identify factors associated with full denture outcomes.
- To categorize patient profiles based on dental attendance and attitudes.
Main Methods:
- Retrospective analysis of patient dental histories.
- Categorization of patients into three distinct profiles based on attendance patterns.
- Exploration of factors such as age, attitude towards dentistry, and socioeconomic status.
Main Results:
- Three patient profiles identified: regular attenders (19%), symptomatic attenders (38%), and once regular attenders (43%).
- Symptomatic attenders exhibited anxiety possibly due to social learning, influenced by their environment and socioeconomic status.
- Once regular attenders developed negative perceptions of dental care due to anxiety, leading to delayed treatment and eventual full dentures.
Conclusions:
- Dental anxiety significantly contributes to the cycle of tooth loss and full mouth extraction.
- Social learning and cultural factors can influence dental attendance and outcomes.
- Targeted interventions addressing dental anxiety and promoting regular attendance are essential for preserving natural dentition.