Evidence Hub

Patient-driven limitations in dental implant therapy: a cross-sectional study of its barriers

Rakhshanda, Ali Waqar Qureshi, Adnan Sunny, Asma Ejaz Khan, Shujaat Hasan Idris, Sardar Waleed Babar

Pakistan journal of physiology, 2025

219 participants

Abstract

Background: Implant dentistry offers a reliable, advanced alternative to traditional prosthetics for replacing missing teeth. The objective of this study was to document patient’s related local and systemic causes that preclude dental implant prosthesis. Methods: This descriptive cross-sectional study was conducted over a period of 16 months in Prosthodontics Department, Peshawar Dental College, Peshawar, Pakistan. The study population consisted of patients seeking missing tooth/ teeth replacements. The data to identify factors hindering implant supported prosthesis was collected through a pre-structured proforma, interviews, clinical, and radiographic assessments. Data was analysed on SPSS-24 via post-stratification chi-square test. Results: The study involved 219 participants aged 19–65 years, with a mean age of 41.79±12.5 years. The implant supported prosthesis faced psycho-social obstacles (180, 82%) such as lack of information, time constraints, and procedure-related fear. Systemic causes included uncontrolled diabetes (26, 11.9%), active smoking (15, 6.8%), and age extremes (7, 3.2%), while local/oral factors included inadequate space and bruxism due to protracted tooth loss (11, 5%), and bruxism (13, 5.9%). Conclusion: Ignorance and cost are the major barriers to dental implant supported prosthesis selection, along with oral factors like bruxism and insufficient space, and systemic variables like diabetes and smoking. Public education regarding these issues is…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 219 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free