Authors : Arbaz Sajjad; Solachuddin Jauhari Arief Ichwan

Volume/Issue : Volume 11 - 2026, Issue 3 - March

Google Scholar : https://tinyurl.com/54ptedh8

Scribd : https://tinyurl.com/dmj7sj3

DOI : https://doi.org/10.38124/ijisrt/26mar461

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Abstract : Background: Edentulism remains a significant public health concern affecting oral function, aesthetics, and quality of life. Limited research has examined patient attitudes toward tooth replacement in Malaysia's Northern region.  Objective: This study evaluated patient awareness and attitudes toward tooth replacement options and assessed the prevalence of edentulism among outpatients visiting Penang International Dental College (PIDC).  Methods: A cross-sectional study was conducted using convenience sampling to recruit 100 participants aged ≥18 years with partial or complete edentulism. Data were collected via a structured, closed-ended questionnaire comprising 15 items across three sections covering sociodemographic characteristics, edentulism patterns (Kennedy's classification, tooth loss location, duration), preferred replacement options, perceived need, barriers, and awareness of implants, bridges, and dentures. Chi-Square Tests of Independence assessed associations between demographic variables and awareness indicators.  Results: Fifty participants completed the survey (mean age >60 years: 32/50, 64%; female: 25/50, 50%). Partial edentulism was reported by 31/50 (62%), with 45/50 (90%) edentulous for >3 months. Kennedy Class II was most prevalent (10/32, 31.3%). Mastication was the primary reason for replacement 50/50 (100%), followed by speech 26/50 (52%) and aesthetics 22/50 (44%). The most common barriers were time constraints, 36/50 (72%), and cost, 22/50 (44%). Removable prostheses were preferred by 49 of 50 respondents (98%). Limited awareness of implants, bridges, or dentures was observed in 25/50 participants (50% lacked any knowledge). Knowledge was primarily obtained through acquaintances with treatment experience 30/50 (60%) rather than dental professionals 24/50 (48%) or the internet 6/50 (12%). No statistically significant associations were found between age or gender and awareness indicators (p > 0.05). Higher educational attainment was associated with greater awareness of tooth replacement options.  Conclusion: The findings revealed a high prevalence of edentulism (62% partial, 38% complete) with predominantly functional motivations for tooth replacement. Economic barriers, time constraints, and limited awareness of prosthodontic options represent critical obstacles to treatment. Enhanced patient education, targeted oral health promotion initiatives, and improved accessibility to information through dental professionals and community channels are essential to support timely, patient-centred prosthetic rehabilitation.

Keywords : Edentulism, Tooth Replacement, Patient Awareness,Removable Prosthodontics, Attitudes.

References :

1. Permanent dentition as an indicator of quality of life. Prosthodontic Review, 2024.
2. Jaafar, A., Sinor, M. Z., Saddki, N., & Hasan, R. (2020). Edentulism and factors associated with community-dwelling elderly in Pasir Puteh, Kelantan, Malaysia. International Medical Journal, 27(3), 156-163.
3. Rastogi, I., Mahendra, A., Anand, Y., & Mishra, S. S. (2017). Assessment of prosthodontic awareness and edentulism in populations of Lucknow: A clinical survey. International Journal of Dental and Oral Health, 3(2), 23-30.
4. Shigli, K., Hebbal, M., & Angadi, G. S. (2007). Attitudes towards replacement of teeth among patients at the Institute of Dental Sciences, Belgaum, India. Journal of Dental Education, 71(11), 1467-1475.
5. Shetty, K. B., Alshaqha, E. M., Koosa, A. B., Jambi, S. F., & Jamal, N. O. (2021). Trends, awareness, and attitudes of patients towards replacement of missing teeth in the Western Region of Saudi Arabia. Journal of Clinical and Diagnostic Research, 15(5), 51-56.
6. Shamdol, Z., Ismail, N. M., Hamzah, N. T., & Ismail, A. R. (2008). Prevalence and associated factors of edentulism among elderly Muslims in Kota Bharu, Kelantan, Malaysia. Journal of the Islamic Medical Association of North America, 40(4), 182-189.
7. Amanat, M. A., John, J., Pin, T. M., Danaee, M., Malhotra, V., Abbas, S. A., & Kamaruzzaman, S. B. (2020). Dentition status among an ethnically diverse older urban Malaysian population. Journal of Public Health (Oxford), 42(2), 304-311. https://doi.org/10.1093/pubmed/fdz014
8. Jayasinghe, R. M., Perera, J., Jayasinghe, V., Thilakumara, I. P., Rasnayaka, S., Shiraz, M. H., Ranabahu, I., & Kularatna, S. (2017). Awareness, attitudes, need and demand on replacement of missing teeth among a group of partially dentate patients attending a University Dental Hospital. BMC Research Notes, 10(1), 571.
9. Mall, V., Banga, P. S., Sachdev, S. S., Shekatkar, Y., Dole, V., & Banga, J. K. (2022). Knowledge and attitude of patients with edentulism pertaining to various treatment modalities: A cross-sectional survey in Navi Mumbai. International Journal of Orofacial Research, 9(6), 111-118.
10. Thillaigovindan, R., Eswaran, M. A., Kesavan, R., Ashi, H., Raj, A. T., & Patil, S. (2022). Awareness and attitude toward the replacement of missing teeth among patients at a dental institute: A cross-sectional study. Journal of Contemporary Dental Practice, 23(5), 195-201.
11. Rathi, A., & Chhetri, S. (2019). Attitude towards replacement of missing teeth among the patients visiting Nobel Medical College and Teaching Hospital. Journal of Nepalese Prosthodontic Society, 3(2), 6-10.
12. Duraiswamy, R., & Harrita, S. (2021). A questionnaire survey to assess the attitude of patients about replacement of teeth. International Journal of Science Engineering Development Research, 6(4), 17-20.
13. Nitschke, I., Kräger, K., Jockusch, J. (2024). Age-related knowledge deficit and attitudes towards oral implants: Survey-based examination of the correlation between patient age and implant therapy awareness. BMC Oral Health, 24(1), 403. https://doi.org/10.1186/s12903-024-04403-1
14. Kumar, S., Nooji, R., & Alam, S. (2020). Awareness and attitudes of patients towards prosthodontic rehabilitation: A comparative study in urban and rural populations. International Journal of Prosthodontics and Restorative Dentistry, 10(2), 78-85.
15. Tiwari T, Kelly A, Randall CL, Tranby E, Franstve-Hawley J. : Association Between Mental Health and Oral Health Status and Care Utilization. . Front Oral Health. 2022, 2:10.3389/froh.2021.732882.
16. Cawood, J. I., & Howell, R. A. (1988). A classification of the edentulous jaws. International Journal of Oral & Maxillofacial Surgery, 17(4), 232-236.
17. Andari SE, Ghandour LA, Chaaya M, Ghafari JG. [18] Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: the approach of the WHO Global Oral Health Status Report. Community Dentistry and Oral Epidemiology, 33(5), 392-398.
18. Müller, F., Naharro, M., & Carlsson, G. E. (2007). Oral health status in Sweden: current conditions and future trends. International Journal of Dentistry, 2007, 3-10.