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Publication:
September/October 2001
Volume
14 , Issue
5
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Back
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A Transcultural Perspective on the Emotional Effect of Tooth Loss in Complete Denture Wearers
Brendan J. J. Scott, BSc, BDS, PhD, FDSRCS, Katherine C. M. Leung, BDS, MDS, FRACDS, Anne S. McMillan, BDS, PhD, FDSRCPS, FDSRCS, FHKAM, David M. Davis, LDS, BDS, PhD, FDSRCS, Janice Fiske, BDS, MPhil, FDSRCS
Pages: 461-465 PMID: 12066643
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Purpose: The purpose of this study was to compare the emotional effects of tooth loss in
three edentulous populations. Materials and Methods: A questionnaire study involved
142 edentulous subjects undergoing routine prosthodontic care at Guy’s, King’s and St
Thomas’s Dental Institute, London; the Dental School, Dundee, Scotland; and the Faculty
of Dentistry, University of Hong Kong. Data were analyzed using the chi-squared test.
Results: Difficulty in accepting tooth loss was a relatively common experience (44%) in
all groups, with almost half feeling that their confidence had been affected. The majority
(66%) felt that their choice of food was restricted and that the overall eating experience
was less enjoyable, particularly the Hong Kong group. A significant proportion of the
participants were concerned about their appearance without dentures, although the trend
was less marked in Hong Kong. Forty-three percent felt that they were not adequately
prepared for tooth loss, although the Hong Kong group was least concerned. Conclusion:
In general, the emotional effect of tooth loss was significant in all groups. The restrictions
on daily activities were generally greater in the Hong Kong group. However, this group
was much less inhibited by denture wearing. The differences observed in the Hong Kong
Chinese are most likely due to different cultural values and expectations associated with
these aspects of daily living.
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