Su-Hyun Shim; Seok-Gyu Kim; Bohm Choi

doi:10.4047/jkap.2009.47.3.286

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Shim, Kim, and Choi: The dentists’ perceptions and current prosthodontic treatment status for the disabled in Korea

ORIGINAL ARTICLE

J Korean Acad Prosthodont 2009;47(3):286-294.

Published online: 18 December 2009

DOI: https://doi.org/10.4047/jkap.2009.47.3.286

The dentists’ perceptions and current prosthodontic treatment status for the disabled in Korea

Su-Hyun Shim, DDS¹, Seok-Gyu Kim, DDS, MSD², Bohm Choi, DDS, MS^3,^∗

^¹Graduate student, Department of Prosthodontics, School of Dentistry, Catholic University of Korea, Korea

^²Associate professor, Department of Prosthodontics, School of Dentistry, Catholic University of Korea, Korea

^³Clinical lecturer, Department of Prosthodontics, School of Dentistry, Catholic University of Korea, Korea

Corresponding Author: Bohm Choi Department of Prosthodontics, School of Dentistry, Catholic University of Korea 65-1 Geumo-dong, Uijeongbu-si, Gyenggi-do, 480-717, Korea +82 31 820 3184: e-mail, bohmchoi@catholic.ac.kr

Received 7 June 20096 June 2009 Accepted 8 July 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Statement of problem

In spite of increasing dental treatment for the disabled, there was no collected data on prosthodontic treatment status and dentists’ perceptions in Korea.

Purpose

The purpose of this study was to research the dentists’ perceptions about current prosthodontic treatment status for the disabled in Korea and to suggest public health policies for the disabled.

Material and methods

Total of 68 dentists who have regularly treated the disabled were asked to fill questionnaires regarding prosthodontic treatment for the disabled.

Results

1. 45.6% of dentists felt the necessity of an esthetic prosthesis for the disabled. However, 54.3% of dentists reported the improvement of access to implant,orthodontic and esthetic treatment is needed. 2. Most (79.4%) of the dentists thought it is imperative for the government to support the disabled to maintain adequate oral health by providing at least 50% of charge in their prosthesis.

Conclusion

Through this research, 97.1% of dentists answered that the current prosthodontic treatment status for the disabled in Korea is poor. This indicated the necessity of the financial support from the government for the disabled. (J Korean Acad Prosthodont 2009;47:286-94)

Keywords: disabled, prosthesis, dental treatment status

REFERENCES

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Table I.

Distribution of dentists by their gender, age and number of years in treating the disabled

gender			age					period of time spent treating disabled patients
male	female	no answer	20s	30s	40s	50s	no answer	1 - 3 yrs	3 - 5 yrs	5 - 10 yrs m	more than 10 yrs	no answer
58.8	39.7	1.5	17.7	30.9	41.1	8.8	1.5	33.8	11.8	19.1	29.4	5.9
(40)	(27)	(1)	(12)	(21)	(28)	(6)	(1)	(23)	(8)	(13)	(20)	(4)

unit: % (number of person)

Table II.

Distribution of dentists by area

area									comprehensive category of practice area
1∗	2∗	3∗	4∗	5∗	6∗	7∗	8∗	9∗	big city	city	rural community
42.6	10.3	5.9	14.7	1.5	7.4	1.5	10.2	5.9	66.2	32.3	1.5
(29)	(7)	(4)	(10)	(1)	(5)	(1)	(7)	(4)	(45)	(22)	(1)

unit: % (number of person)

^∗ : 1- Seoul, 2- Gyeonggi-do, 3-Gangwon-do, 4-Jeollanam-do, 5-Jeollabuk-do, 6-Chungchungnam-do, 7-Chungcheongbuk-do, 8-Gyeongsangnam-do, 9-Gyeongsangbuk-do

Table III.

Types of employment

Practitioner	public hospital	university hospital	volunteer
39.7 (27)	19.1 (13)	20.6 (14)	20.6 (14)

unit: % (number of person

Table IV.

Opinions on the current status of prosthodontic treatment for the disabled in Korea

excellent	good	moderate	poor	very poor
0 (0)	0 (0)	2.9 (2)	41.2 (28)	55.9 (38)

unit: % (number of person)

Table V.

Reasons the prosthodontic treatment was not provided for the disabled

financial difficulty	technical problem	other	no answer
30.9 (21)	55.9 (38)	5.9 (4)	7.3 (5)

unit: % (number of person)

Table VI.

Difficulties of prosthodontic treatment

difficulty in behavior control	difficulty in communication	financial difficulty	extra time consuming	technical problem	stress for medical mistakes	unwelcomeness of other patient	extra investment (equipment, assistant)
60.3 (41)	5.9 (4)	25 (17)	4.4 (3)	0 (0)	0 (0)	0 (0)	4.4 (3)

unit:% (number of person)

Table VII.

Most needed prosthodontic treatment for the disabled

fixed partial denture	removable partial denture	esthetic prosthesis	implant	maxillofacial prosthesis	no answer
86.8 (59)	10.2 (7)	0 (0)	0 (0)	1.5 (1)	1.5 (1)

unit: % (number of person)

Table VIII.

Opinions on the esthetic prosthesis for the disabled

not necessary	almost not necessary	necessary
13.2 (9)	41.2 (28)	45.6 (31)

unit: % (number of person)

Table IX.

Opinions on the methods to cover treatment fee

charge less than normal people	charge more than normal people	free of charge	government support
11.8 (8)	4.4 (3)	4.4 (3)	79.4 (54)

unit: % (number of person)

Table X.

Opinions on the proper portion of the government support

only cost of material	50% of charge	80% of charge	100% support
11.1 (6)	42.6 (23)	24.1 (13)	22.2 (12)

unit:% (number of person)

Table XI.

Ways to propagate prosthodontic treatment for the disabled

understanding about the disabled	behavior management	government support system	education for support system	emergency control
8.8 (6)	14.7 (10)	69.1 (47)	5.9 (4)	1.5 (1)

unit:% (number of person)

Table XII.

An appropriate number of patients per day with prosthodontic treatment included

2 - 3/ day	4 - 6/day	6 - 10/day	10 - 15/day	more than 15	no answer
27.9 (19)	35.3 (24)	25.0 (17)	7.4 (5)	1.5 (1)	2.9 (2)

unit:% (number of person)

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