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Perceived Patient Barriers to Tooth-Retaining Treatment in Tanzania.
K K Nyamuryekung'e1, M M Mlangwa1, B W Chaffee2
1School of Dentistry, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
JDR Clinical and Translational Research
|September 22, 2022
Summary
Dental caries is common, but Tanzanian patients often receive extractions instead of restorative care. Addressing patient concerns like cost and treatment uncertainty is key to increasing tooth-saving procedures.
Area of Science:
- Public Health
- Dental Public Health
- Health Services Research
Background:
- Dental caries is the most prevalent chronic disease globally, frequently untreated in underserved regions.
- Tooth extraction is often prioritized over restorative dental services, even when care is accessible.
Purpose of the Study:
- To identify patient-perceived barriers to utilizing dental restorative services among patients in Tanzania.
Main Methods:
- A cross-sectional study surveyed 736 adult dental patients in 5 public dental facilities in Tanzania.
- Data collected included sociodemographics, oral care-seeking behavior, past experiences, and perceived barriers to restorative care.
- Logistic regression analyzed factors associated with receiving restorative treatment versus extraction for dental caries.
Main Results:
- Only 36.3% of patients diagnosed with dental caries received restorative treatment; extractions were more common.
- Key barriers included uncertainty about outcomes (43.1%), cost (31.5%), and fear of treatment (31.0%).
- Higher education, income, health insurance, and less uncertainty were linked to receiving restorative care.
Conclusions:
- Most public dental patients with caries in Tanzania undergo extractions rather than restorative procedures.
- Improving utilization of tooth-preserving treatments requires addressing patient concerns regarding cost, quality of care, and treatment uncertainty.
- Interventions should focus on patient awareness of restorative care benefits and promoting preventive dental visits.
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