Odločanje pacientov za standardni oziroma nadstandardni material pri fiksnoprotetični oskrbi : diplomsko delo

Bučar, Damjana (author), Rojko, Franc (mentor), Bohinc, Peter (reviewer)

Uvod: Fiksnoprotetična rehabilitacija vključuje nadomeščanje in obnovo poškodovanih zob z nadomestki, ki jih ni mogoče odstraniti iz ust. Namen rehabilitacije je obnoviti funkcijo in estetski videz ter pacientu omogočiti zdravo ustno votlino. Poznamo več načinov oskrbe s fiksnimi zobnimi nadomestki, med katere spadajo tudi standardne fasetirane prevleke in kovinsko-porcelanske prevleke. Izdelavo standardnih kompozitnih fasetiranih prevlek v Sloveniji pacientom v celoti krije zdravstveno zavarovanje. Če se pacient odloči za kovinsko-porcelanske prevleke, mora zanje doplačati, saj je porcelan nadstandarden material. Na pacientovo odločitev glede standardnega ali nadstandardnega materiala močno vplivajo demografski dejavniki, izobrazbena raven, ekonomsko stanje in zavedanje o videzu in estetiki svojihz zob. Namen: Namen diplomskega dela je z anketo ugotoviti in analizirati razloge pacientov za izbiro standardnega oziroma nadstandardnega materiala pri fiksnoprotetični oskrbi v primeru standardne fasetirane prevleke oziroma kovinsko-porcelanske prevleke. Metode dela: Uporabili smo deskriptivno metodo za pisanje uvodnega teoretičnega dela. Za empirični del smo uporabili kvantitativno raziskovanje, in sicer smo izbrali skupino pacientov, ki so ustrezali našim merilom, in jih povabili k izpolnjevanju anketnega vprašalnika, ki je vseboval vprašanja, povezana s tematiko diplomskega dela. Rezultati: Za raziskavo smo pridobili 36 pacientov, ki so izpolnili anketni vprašalnik. Ugotovili smo, da je razlog za izbiro standardnega materiala povezan s slabšo finančno zmogljivostjo in visoko starostjo pacientov. Prav tako je bilo ugotovljeno, da je razlog za izbiro nadstandardnega materiala povezan z estetiko in višjo stopnjo izobrazbe pacienta. Razprava in zaključek: V raziskavi smo ugotovili, da cena zobnega nadomestka močno vpliva na pacientovo odločitev glede vrste zobnega nadomestka. Glede na ugotovljeno lahko trdimo, da je cena ključni ali celo odločilni dejavnik pri izbiri standardnega oziroma nadstandardnega materiala zobnega nadomestka, saj so se nekateri pacienti odločili za standardni material, čeprav so jim bili dejavniki, kot so videz, funkcionalnost in kakovost materiala, pomembni. Menimo, da bi bilo treba v prihodnje v dobro zdravja pacientov omogočiti, da je nadstandardni material dostopen vsem brez doplačila.

• Language: Slovenian
• Keywords: diplomska dela, laboratorijska zobna protetika, fiksni zobni nadomestki, standardne fasetirane prevleke, kovinsko-porcelanska prevleke, odločanje pacientov, izbira materiala
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [D. Bučar]
• Year: 2022
• Number of pages: 31 str., [13] str. pril.
• PID: 20.500.12556/RUL-141366
• UDC: 616.31
• COBISS.SI-ID: 123510275
• Publication date in RUL: 29.09.2022

Secondary language

• Language: English
• Title: Patients' choice of standard or above-standard material in fixed prosthetic care : diploma work

Abstract

Introduction: Fixed prosthetic rehabilitation involves replacing and rebuilding injured teeth with substitutes that cannot be removed from the mouth. The purpose of rehabilitation is to restore the function and aesthetics and provide the patient with a healthy oral cavity. There are several ways to supply fixed dental replacements, including standard metal-acrylic crowns and metal-ceramic crowns. In Slovenia, the manufacture and price of standard metal-acrylic crowns for patients are fully covered by health insurance. In case that the patient opts for metal-ceramic crowns, they must pay a surcharge for them, as the porcelain is being considered as above-standard material. The patient's decision regarding a standard or above-standard material is highly influenced by demographic factors, educational level, economic status and self-awareness of dental appearance and aesthetics. Purpose: The main purpose of my diploma work has been to identify and analyze the patient's decision for standard or above-standard material at fixed prosthetic care in the case of standard metal-acrylic crown or metal-ceramic crown. Methods: We used a descriptive method for writing the introductory part of the thesis. For the empirical part, we used quantitative research. We selected a group of patients that met our criteria and invited them to complete a questionnaire containing questions related to the thesis theme. Results: For the study, we obtained 36 patients who completed the survey questionnaire. We found that the reason for choosing the standard material was associated with a lower patient's financial capacity and high patient age. It was also found out that the reason for the choice of the above-standard material was related to aesthetics and higher level of education of the patient. Discussion and conclusion: We came to the conclusion that the price of a dental replacement has a very significant impact on the patient's choosing the certain type of dental replacement. In view of the evidence, it can be claimed that price is a key factor or even a decisive factor in the selection of standard or above-standard material for dental substitute, as some patients chose standard material even though the factors such as the appearance, function and quality of the material were important to them. We think that, in the future, for the best of the patient's health, the above-standard material should be available to all at no extra charge.

• Keywords: diploma theses, laboratory dental prosthetics, fixed dental replacements, standard metal-acrylic crowns, metal-ceramic crowns, patient decision-making, choice of material