title: Patients' experience of partial tooth loss and expectations to treatment: a qualitative study in Danish and Swedish patients.
abstract: Knowledge of impairments, wishes and expectations is essential to make correct decisions regarding oral rehabilitation. The purpose of this study was to investigate discomforts, wishes and expectations in patients' with partial edentulism before entering oral rehabilitation. In Copenhagen, Denmark, and Malmö, Sweden, respectively, 20 patients with partial edentulism seeking rehabilitation were interviewed in a semistructured qualitative manner. The interviews were transcribed and analysed yielding overall domains. Six themes appeared as overall domains: (i) experienced impairments, (ii) experienced social awareness, (iii) expectation to treatment, (iv) expectation to durability/survival, (v) coping strategies dealing with the tooth loss including explanations of the tooth loss and (vi) modifications to experienced impairment. The impairments were mostly experienced as problems in social settings. Most participants expressed a simple wish to function normally; a fixed solution was preferred. Many Danish participants accepted a removable solution whereas only few Swedish participants did so. The domains 'coping strategies' and 'modifications' were not part of the chosen topics of interest, indicating a high wish of the participants to explain their tooth loss and how they coped with it. In conclusion, a large degree of social impairment was found in the patient group along with several coping strategies. The impairments were modified by a number of factors indicating that highly individualised care and treatment is needed. A state of normality was described as the primary treatment wish with a higher acceptance of removable solutions in Denmark than in Sweden. For final decision-making, surrounding factors seemed to influence the patients' choices.
authors.affiliation: Department of Odontology, Section of Oral Rehabilitation, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark.
authors.forename: E B
authors.initials: EB
authors.lastname: Øzhayat
authors.affiliation: Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Åkerman
authors.affiliation: Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmö, Sweden.
authors.forename: N
authors.initials: N
authors.lastname: Lundegren
authors.affiliation: Department of Odontology, Section of Oral Rehabilitation, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark.
authors.forename: B
authors.initials: B
authors.lastname: Öwall
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health; D003718:Denmark; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research; D013548:Sweden; D016388:Tooth Loss / Q000523:psychology* / Q000534:rehabilitation*
keywords: decision-making; health expenditures; qualitative research; quality of life; rehabilitation; tooth loss