References: Shaha, M., Varghese, R. & Atassi, M. Understanding the impact of removable partial dentures on patients’ lives and their attitudes to oral care. Br Dent J (2021).
Introduction
The use of removable partial dentures (RPDs) has been increasing globally due to the rise in the number of partially dentate individuals. The need for RPDs correlates with an aging population and increased life expectancy. While RPDs provide a solution to replace missing teeth and improve appearance, masticatory function, and phonetics, the psychological and emotional effects of wearing them are less well understood. Studies have shown that patients with RPDs experience significant emotional trauma related to tooth loss, self-esteem, and social stigma. The objective of this study was to assess the psychological impact of losing teeth and receiving partial dentures to better manage the needs of these patients.
Methods
This research was based on four market research surveys. The surveys used a combination of quantitative and qualitative methods, including interviews, online surveys, and focus groups. These surveys were conducted across multiple countries, including the US, Japan, Malaysia, Colombia, Brazil, Poland, and Italy, involving over 7,000 respondents. The participants were individuals who wore either full dentures, full and partial dentures, or partial dentures. The data collected from the surveys were analysed using statistical software to identify trends and correlations between participants’ emotional responses and factors such as age, length of time wearing dentures, and satisfaction levels.
Fig 2: Full and partial denture wearers’ attitudes to dentures
Results
The findings from the surveys highlighted several psychological and emotional challenges faced by RPD wearers (RPDWs). More than half of the participants (54%) reported that losing teeth was difficult to accept, and 40% were concerned about their appearance. About 32% felt embarrassed about wearing dentures. A significant number (62%) wished they had received better oral care education at a younger age.
The surveys also revealed that RPDWs experienced anxiety regarding dental visits and self-esteem was negatively impacted for 51% of respondents. Furthermore, RPDWs showed a strong desire to protect their remaining natural teeth, and many sought advice from their dentist. However, a lack of knowledge about proper care for partial dentures was common, with many participants unaware of how to clean or maintain them properly.
Conclusion
The study concluded that RPDWs face significant emotional and practical challenges that are often overlooked by dental professionals. There is a need for improved education regarding denture care and greater psychological support for these patients. Dental healthcare providers should consider the emotional well-being of RPDWs, recognising their fear of further tooth loss and their need for reassurance. These insights can help inform patient care strategies, ensuring that RPDWs receive the support they need to maintain their oral health and self-esteem.
Research Summary Written By: Nour Al-arbi, University of Manchester- BDS2