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Altered expectations on dental implant therapy; views of patients referred for treatment of peri-implantitis

Journal article
Authors Kajsa H. Abrahamsson
Jan Wennström
Tord Berglundh
Ingemar Abrahamsson
Published in Clinical Oral Implants Research
Volume 28
Issue 4
Pages 437–442
ISSN 0905-7161
Publication year 2017
Published at Institute of Odontology, Section 2
Pages 437–442
Language en
Keywords Grounded theory, Interviews, Peri-implantitis, Qualitative method
Subject categories Other Health Sciences


© 2016 John Wiley & Sons A/S.Aim: The aim was to explore patients' reactions on being diagnosed with peri-implantitis, their opinions on dental implant therapy and expectations on treatment of the disease. Material and methods: The study subjects were patients referred to a specialist clinic for treatment of peri-implantitis. The method of grounded theory was used in collecting and analyzing data. Audiotaped, thematized open-ended interviews were conducted. The interviews were transcribed verbatim and consecutively analyzed in hierarchical coding processes that continued until saturation was met (n = 15). Results: In the analysis, a conceptual model was generated that illuminated a process among patients. From having very high initial expectations on dental implant therapy as a permanent solution of oral/dental problems, patients realized that dental implants, such as teeth, require continuous care and that there is no guarantee for that dental implants provides a treatment alternative free from future problems. The core concept of the model "altered expectations on dental implant therapy" was composed of three main categories: "initial expectations on dental implant therapy and living with dental implants", "being referred to periodontist and become diagnosed with peri-implantitis" and "investing again in an expensive therapy with no guarantee for the future". Conclusion: Patients may have unrealistically high expectations on dental implant therapy. The results illuminate the importance of patient-centered communication in dentistry and that treatment decisions should be based not only on professional expertise but also on expectations, abilities, wishes and life circumstances of the individual patient.

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