Prosthodontic decision-making relating to dentitions with compromised molars: the perspective of Swedish General Dental Practitioners

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Korduner, Eva-KarinMalmö högskola,Odontologiska fakulteten (OD),Department of Prosthetic Dentistry, Public Dental Health Service, Malmö, Sweden (author)

Prosthodontic decision-making relating to dentitions with compromised molars : the perspective of Swedish General Dental Practitioners

Article/chapterEnglish2016

Publisher, publication year, extent ...

2016-09-16
Blackwell Munksgaard,2016
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:mau-5706
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5706URI
https://doi.org/10.1111/joor.12432DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

The aim of this investigation was to study the clinical prosthodontic decision-making process relating to dentitions with compromised molars among Swedish general dental practitioners (GDPs). Eleven Swedish GDPs were purposively selected, and all agreed to participate. Then, in-depth, semi-structured interviews were conducted and covered treatment considerations concerning two authentic patient cases, initially with complete dental arches, and later, a final treatment based on a shortened dental arch (SDA) was discussed. The cases involved patients with compromised teeth situated mainly in the molar regions. One patient suffered from extensive caries and the other from severe periodontal disease. Qualitative content analysis was used to analyse the data. In the systematic analysis, two main categories were identified: holistic and functional approach. Among the interviewed GDPs, focus was put on patients' needs, background history and motivation for treatment as well as the preservation of molar support. Within the limitations of this study, the following can be concluded: keeping a dental arch with molars seems to be important to Swedish general dental practitioners. The SDA concept does not seem to have a substantial impact on the prosthodontic decision-making relating to dentitions with compromised molars. The dentist's experiences, as well as colleagues' or consulting specialist advice together with aetiological factors and the patient's individual situation, influence the decision-making more than the SDA concept. The conflicting results in the prosthetic decision-making process concerning the relevance of age and the need for molar support need further investigation, for example based on decisions made in the dentists own clinical practice.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
decision-making
compromised molars
shortened dental arch
oral rehabilitation
qualitative research
dentists

Added entries (persons, corporate bodies, meetings, titles ...)

Collin Bagewitz, I.Department of Prosthetic Dentistry, Public Dental Health Service, Karlskrona, Sweden (author)
Von Steyern, Per VultMalmö högskola,Odontologiska fakulteten (OD)(Swepub:mau)odpevu (author)
Wolf, EvaMalmö högskola,Odontologiska fakulteten (OD)(Swepub:mau)odevwo (author)
Malmö högskolaOdontologiska fakulteten (OD) (creator_code:org_t)

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In:Journal of Oral Rehabilitation: Blackwell Munksgaard43:12, s. 967-9761365-28420305-182X

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