Evidence map›Paper›PMID 40348998›Full record

ArticleBMC oral health2025

Patients' trajectory from tooth loss to dental rehabilitation and living with implant-supported dentures - a qualitative interview study.

Gabriele Müller-Mundt, Philipp-Cornelius Pott, Lara Prinz, Simone Schaumann, Meike Stiesch, Nils Schneider, Franziska A Herbst

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gabriele Müller-MundtInstitute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Philipp-Cornelius PottClinic for Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-1217-377X
Lara PrinzClinic for Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0009-0007-9289-0870
Simone SchaumannClinic for Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0009-0003-6156-4694
Meike StieschClinic for Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-5953-2517
Nils SchneiderInstitute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.ORCID http://orcid.org/0000-0003-3058-5954
Franziska A HerbstInstitute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. Herbst.Franziska@mh-hannover.de.ORCID http://orcid.org/0000-0003-2602-9277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince their introduction, implant-supported dentures have gained increasing popularity and are associated with high expectations. Nevertheless, as with other invasive procedures, implant treatment involves post-surgical risks as well as the risk of long-term complications. The present study aimed at exploring patients' experiences of the entire trajectory of dental implant-treatment, to reach a profound understanding of the patients' perception of the course of their journey from tooth loss to living with implant-supported dentures.

methodsThe single-site study employed an exploratory, qualitative design with semi-structured interviews conducted with patients who had received implant-supported dentures for different indications at least one year prior. Thirty-three patients were consecutively recruited by dentists during regular check-ups from March to September 2023 at a German university dental clinic. Interview data were analyzed using deductive-inductive qualitative content analysis.

resultsOf the 33 patients five patients did not return the consent-to-contact form, and one withdrew their consent, resulting in a final sample of 27 patients (82%). The participants held high expectations regarding the function, durability, and - in cases involving visible tooth gaps - aesthetic outcomes of their implants. Key concerns influencing treatment decisions included the need for bone augmentation and transplantation, age-related factors, and procedural risks. Notwithstanding the lengthy, stepwise nature of the treatment process, the considerable symptom burden, and the high financial cost, most patients considered the implant treatment worthwhile and felt well informed. With one exception the majority of participants (96.3%) reported that their implant-supported dentures functioned and appeared similar to their natural teeth. However, while satisfied with their implant-supported denture, two participants (7.4%) experienced persistent suffering due to temporomandibular disorder and persistent pain following treatment. The issue of prolonged facial pain has arguably been overlooked in aftercare of these patients.

conclusionsDental implants are generally viewed as preferred option for oral rehabilitation. The results underline the importance of comprehensive counselling and after care irrespectively of the complexity of the treatment. While iatrogenic complications and the risk of their chronification are rare, careful attention to these risks remains essential. Further research, encompassing prospective longitudinal studies, is needed, given the risk of recall bias. CLINICAL

trial registrationDoes not apply.

Indexed as

Dental Prosthesis, Implant-SupportedTooth LossAdultAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionQualitative ResearchDental implantsHealth services researchOral healthPatientsQualitative research

Identifiers

PMID40348998
PMCPMC12066058

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.