The assessment of the psychological dimension with the view to apply the complex social rehabilitation

Authors: Catalin Ionita, Vasile Burlui

Abstract:

Purpose: So as to demonstrate the existing relationship between the possibility of implant prosthetic therapy and the psychology of the persons who request medical dental assistance, we have performed a complex psychosomatic study to conclude that the psychological
dimension in the rehabilitation of the physiognomic function of the stomatognate system by implant application plays a significant importance in choosing the specific therapeutic arsenal. Material and method: Under the conditions of carrying out a medical dental assistance within a dental medicine practice equipped with 2 working units and its necessary annexes, and placed in the proximity of a university centre, we have performed a study for a period of 5 years. A representative group formed of 35 cases representing a percentage of 21% of the total cases solved within the practice, over the last 5 years, was chosen for the study. The duration of the study was mostly caused by the necessity of observing the patients over the long term, so as to be sure of the obtained results. Part of the information concerning the general characteristics of the patient�s psychological profile is recorded in the bservation record sheet for anamnesis. Results: The percentage of the obtained results, indicate that in 70% of the cases, the prosthetic solutions by implant achieved a maximum aesthetic satisfaction, in accordance with the psychological profile. Good results were achieved in 18% of the cases, following a negotiation of the personal desires and standards. In a percentage of 12%, the therapy by implant could not be achieved as a result of the unfavorable bio-psycho-social and spiritual conditions.
Conclusions : The value of the data obtained at various tests is likely to be influenced by the lack of cooperation on behalf of the subject and by the manner of performance of the examinations, by the clinical preparation, and in particular by the examiner�s attitude.

Keywords:
  • dentures by implant
  • personal aesthetic satisfaction.
  • psychological profile