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Qualitative studies of patients' perceptions of loss of teeth, the edentulous state and prosthetic rehabilitation: a systematic review with meta-synthesis.
Karolinska Institutet, Department of Dental Medicine.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences. The Swedish Council on Health Technology Assessment, Stockholm.
Karolinska Institutet, Department of Dental Medicine; Oral and Maxillofacial Centre, Visby Hospital.
Karolinska Institutet, Department of Learning, Informatics, Management and Ethics.
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2013 (English)In: Acta odontologica Scandinavica, ISSN 1502-3850, Vol. 71, no 3-4, 937-51 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To conduct a systematic review and meta-synthesis of qualitative studies addressing patients' perceptions of loss of teeth, edentulism and oral rehabilitation.

BACKGROUND: Qualitative studies can complement quantitative studies by achieving deep understanding of patients' subjective experiences of losing teeth and coping with edentulism. They can also explore the perception that the benefits of prosthetic rehabilitation extend far beyond primary clinical treatment goals of restoration of oral function.

MATERIALS AND METHODS: The major data bases were searched extensively for relevant qualitative and quantitative studies, followed by manual searching of the reference lists of included publications. Two authors independently read all abstracts. Relevant papers were retrieved in full-text and included or excluded according to a specially designed protocol. The included articles were then appraised and rated for quality: high, moderate or low. Articles of low quality were excluded.

RESULTS: The database search yielded 36 abstracts of qualitative studies; manual search disclosed one further article. All were read in full-text by two independent authors: 28 were excluded. Of the remaining nine, two (assessed as of low quality) were excluded for further analysis. Meta-synthesis, based on seven studies, disclosed two major themes: loss of quality-of-life associated with losing teeth and restored quality-of-life after oral rehabilitation.

CONCLUSIONS: In this relatively new field of research, there are few published papers. Nevertheless, the studies to date show that loss of teeth is associated not only with compromised oral function, but also loss of social status and diminished self-esteem. Oral rehabilitation has broad positive implications, restoring quality of life and self-worth.

Place, publisher, year, edition, pages
2013. Vol. 71, no 3-4, 937-51 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-105636DOI: 10.3109/00016357.2012.734421PubMedID: 23101439OAI: diva2:709175
Available from: 2014-03-31 Created: 2014-03-31 Last updated: 2014-03-31

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