Understanding Perceived Needs for Tooth Replacement in Older Adults: A Case Study of Dan Kwian

Natthapol Thinsathid; Matana Kettratad

Authors

Natthapol Thinsathid Faculty of Dentistry, Thammasat University
Matana Kettratad Faculty of Dentistry, Thammasat University

Keywords:

dental care for aged, geriatric dentistry, dentures, tooth loss, health service need and demand

Abstract

Tooth loss holds a complex relationship with oral health-related quality of life. A recent national survey reported only half of Thai elderly population with fewer than 20 remaining teeth had their dentures made, despite a policy promoting denture fabrication free of charge. The aim of this study was to explore the perspectives of older adults’ perceived needs for tooth replacement. We purposefully selected older adults living in Dan Kwian subdistrict who were identified with a denture needed by a dental nurse but not currently wearing the prosthesis, for a face-to-face in-depth semi-structure interview. Data saturation was reached with 29 older adults. Inductive content analysis of the interview transcripts yielded two main themes. First, the factors influencing the needs for denture were: 1.1) “the word of mouth from neighbors & the village health volunteer as the main influencer” inducing the needs; 1.2) the socialization stimulated the needs; and 1.3) indirect cost despite free denture hindering the needs. Second, the dynamic of conflicting priorities: 2.1) from attach to detach once getting old or being ill; 2.2) changing perceived needs over time in response to changes in life circumstance. In sum, insights from this study may help reduce the discrepancies between professionally defined needs and the patient perceived needs.

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