{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:48:12Z","timestamp":1777589292014,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:00:00Z","timestamp":1677024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011970","name":"International Team for Implantology","doi-asserted-by":"publisher","award":["1447_2019"],"award-info":[{"award-number":["1447_2019"]}],"id":[{"id":"10.13039\/501100011970","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2023,5]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Several complete denture wearers have major complaints and may be benefitted from implant treatment. However, the factors that shape the demand for and utilization of implants need further investigation.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The aim was to evaluate edentulous patient's willingness to accept or refuse the offer and provision of implant\u2010retained treatment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n As part of a clinical trial, edentulous subjects were offered a mandibular overdenture retained by four mini\u2010implants opposing a conventional maxillary denture. Treatment was offered without any financial costs for the patients. Patients' level of interest in receiving treatment was assessed using a 5\u2010point Likert scale, and they were asked to respond to a list of reasons that led to their decision to accept or refuse implants. Those who refused implants received conventional prosthodontic interventions as required, and those who accepted implant treatment underwent surgical planning and implant placement.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 175 eligible subjects, 147 accepted the offer of treatment and were invited to take part in the study (69.4% women, mean age 67.4\u00a0\u00b1\u200910.0\u2009years). Overall, 111 patients (75.5%) expressed a positive intention to undergo implant treatment at the initial contact. Implant treatment was performed for 56.3% (9\/16) of those who answered \u2018probably yes\u2019 about their level of interest in implant treatment on the Likert scale, and 69.6% (64\/92) of \u2018certainly yes\u2019 (\n p<\/jats:italic>\n \u00a0<\u2009.001). Older subjects were less likely to receive implants (OR\u00a0=\u00a00.93;\n p<\/jats:italic>\n \u00a0=\u2009.036), whilst those with a positive intention towards implants (OR\u00a0=\u00a03.15;\n p<\/jats:italic>\n \u00a0=\u2009.001), those previously treated by the dental team (OR\u00a0=\u00a07.89;\n p<\/jats:italic>\n \u00a0<\u2009.001), and who actively demanded implants (OR\u00a0=\u00a018.1;\n p<\/jats:italic>\n \u00a0<\u2009.001) were more likely to accept treatment. Improved chewing was the most common reason for accepting implants, whilst fear of surgery was the most reported reason for refusal.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Refusal of implants was high among edentate patients even when financial costs were removed. Patients' initial attitude towards acceptance is a key factor in the demand for and uptake of implant therapy.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.13429","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T03:19:29Z","timestamp":1676431169000},"page":"392-399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Willingness to accept or refuse mandibular implant overdenture treatment: A prospective study on edentulous enrolled in a clinical trial"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6812-4849","authenticated-orcid":false,"given":"Cl\u00e1udio Rodrigues","family":"Leles","sequence":"first","affiliation":[{"name":"School of Dentistry Federal University of Goias Goiania Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lays Noleto","family":"Nascimento","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Goias Goiania Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2152-9654","authenticated-orcid":false,"given":"J\u00e9sio Rodrigues","family":"Silva","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Goias Goiania Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcella Silva","family":"de Paula","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Goias Goiania Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-4217","authenticated-orcid":false,"given":"Thalita Fernandes Fleury","family":"Curado","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Goias Goiania Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-1673","authenticated-orcid":false,"given":"Gerald","family":"McKenna","sequence":"additional","affiliation":[{"name":"Centre for Public Health Queen's University Belfast Belfast UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9700-5534","authenticated-orcid":false,"given":"Martin","family":"Schimmel","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland"},{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva 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