일부 농촌 지역 노인의 임플란트 치료 경험 및 의향 관련 요인

Abstract

Objectives: Dental implants are one treatment method for tooth loss. The advantage of dental implants that, compared to other traditional prosthetic methods, they do not affect adjacent teeth and can be performed for all teeth. The purpose of this study was to investigate the status of use and intention for dental implants and related factors among elderly. Methods: The participants were 244 rural elderly over 65 years old in Samhoeup, Yeongamgun and Jeollanamdo, Korea. General characteristics of study participants, health status and behaviors, oral health status and behaviors, characteristics related to dental treatment, knowledge, recognition and expectation of dental implants, experience of dental implant treatment, use and intention of dental implant were investigated by one-on-one interviews. Chi-square tests, t-tests, and a multiple logistic regression analysis were performed to investigate the factors influencing the use and intention of implants. Results: Many rural elderly had experienced tooth loss(83.3%). The proportion of dental implant use was 25.7% and intention to receive implants was 57.6%. The odds ratio(OR) for use of implants was significantly higher for participants with a lower number of chronic diseases(0: OR=12.48, 95% CI=2.12—73.38, 1: OR=4.95, 95% CI=1.66-14.72), they have dental treatment experience during the past 1 year(OR=6.61, 95% CI=1.83-23.89), higher dental implant recognition(OR=3.97, 95% CI=1.92-8.23) and they have surrounding person who experience of implant(OR=18.06, 95% CI=2.81-115.99). The odds ratio(OR) for dental implant intention was significantly higher for participants with a lower age(65-69: OR=8.18, 95% CI=2.38-278.08, 70-79: OR=3.17 95% CI=1.04-9.68), lower number of chronic diseases(0: OR=4.15, 95% CI=1.00-17.29), they have drink alcohol(OR=5.03, Cl=1.31-19.34), they have not experience of tooth loss(OR=4.65, Cl=1.22-17.70), higher dental implant recognition(OR=2. 69, 95% CI=1.55-4.67), and they have surrounding person who experience of implant(OR=3.22, 95% CI=1.30-8.02). Conclusion: Among the participants, 83.3% had lost teeth, 25.7% used implants, and 57.6% intended to obtain dental implants. These percentages have increased compared to the past findings. In the future, it is necessary to utilize the results of this study to address loss of teeth and to support dental implant treatment selection through increased awareness of the advantages and disadvantages of dental implants.