• Users Online: 42
  • Print this page
  • Email this page

Table of Contents
Year : 2022  |  Volume : 10  |  Issue : 1  |  Page : 13-16

Knowledge, attitude, and acceptance of dental implants as a treatment modality among patients visiting dental college in Himachal Pradesh, India

1 Department of Periodontics, Dental College, Mandi, Himachal Pradesh, India
2 Department of Prosthodontics, Himachal Dental College, Mandi, Himachal Pradesh, India
3 Department of Periodontics, Institute of Dental Sciences, Jammu, Jammu & Kashmir, India
4 Department of Oral Medicine & Radiology, Indira Gandhi Government Dental College & Hospital, Jammu, Jammu & Kashmir, India

Date of Submission08-Dec-2021
Date of Acceptance27-Dec-2021
Date of Web Publication12-Jan-2022

Correspondence Address:
Dr. Rohit Sharma
Department of Periodontology, Himachal Dental College, Sundernagar, Distt. Mandi 175019, Himachal Pradesh.
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/INJO.INJO_38_21

Rights and Permissions

Dental implants have turned out to be a prevalent prosthetic treatment option in recent years. However, a scarcity of public knowledge and the treatment’s expense function as roadblocks, limiting their application. Materials and Methods: The Department of Periodontics, Himachal Dental College, Sundernagar, Mandi, Himachal Pradesh performed a questionnaire-based survey to analyze participants’ knowledge, attitude, and acceptance of the worth of restoring missing teeth with dental implants. Analytical statistics version 7.0 of the Epi Info program was used. Results: A significant conclusion was that 55% of the population did not want any treatment, whereas 35% of those who took part in the survey selected fixed prosthesis to replace missing teeth. A considerable percentage of patients were cognizant of tooth replacement possibilities, but dental implants were not widely known. Conclusion: The biggest impediments to provide dental implant therapy appear to be high costs and a lack of information. Efforts to educate and raise knowledge of implants among the general public are required.

Keywords: Acceptance, attitude, dental implants, edentulism, knowledge

How to cite this article:
Sharma R, Sharma E, Singh P, Kaur S, Kaur K. Knowledge, attitude, and acceptance of dental implants as a treatment modality among patients visiting dental college in Himachal Pradesh, India. Int J Oral Care Res 2022;10:13-6

How to cite this URL:
Sharma R, Sharma E, Singh P, Kaur S, Kaur K. Knowledge, attitude, and acceptance of dental implants as a treatment modality among patients visiting dental college in Himachal Pradesh, India. Int J Oral Care Res [serial online] 2022 [cited 2022 May 25];10:13-6. Available from: https://www.ijocr.org/text.asp?2022/10/1/13/335716

  Introduction Top

An individual’s oral health reflects his or her overall health. It is a position of functional, structural, esthetic, physiological, and psychosocial welfare that is vital to one’s overall health and worth of life.[1],[2],[3],[4],[5] Dentistism is the most prevalent and ultimate indicator of disease burden for oral health, alternating from dental caries to lethal conditions like oral cancer.[2] Dental implants are becoming a more popular option for replacing lost teeth, although there are various treatment alternatives for this problem.[3] Although research proves that dental implants are a secure and simple approach to replace lost teeth with natural-looking results, there is still a stigma associated with them. A lack of knowledge, awareness, patient perception, treatment cost, and surgical fear are all barriers to their adoption.[4],[5] Patients should be given complete information about treatment options for missing teeth replacement, as a dearth of awareness can limit public admittance to available resources. Although patient health, gender, lifestyle, oral hygiene, and age groups all have an impact on the success, survival, and failure of dental implants, patients should be given complete information about treatment options for missing teeth replacement.[6],[7] Himachal Pradesh is a hilly state with a population density of 123 people per square kilometer, with urban areas accounting for 10.03% of the population and rural areas for 89.97%.[8] Himachal Pradesh is ranked 11th in total literacy, with an overall literacy rate of 83.7%, according to the latest recent census. In addition, the relevance of replacing missing teeth, as well as the knowledge and acceptability of dental implants as an auxiliary alternative, must be reviewed. The purposefulness of this research was to investigate patients’ knowledge, acceptability, and attitudes toward dental implant therapy.

  Materials and Methods Top

The major goal of this questionnaire-based study was to examine dental implant cognizance, knowledge, attitude, and acceptance as a treatment opportunity for missing teeth. Furthermore, the study was performed to provide dental education to the people of Himachal Pradesh to foster a positive mindset. All procedures performed in the study were conducted following the ethics standards given in the 1964 Declaration of Helsinki, as revised in 2013. The study proposal was submitted for approval and clearance was obtained from the ethical committee of our institution. Written informed consent was obtained from each participant. The Department of Periodontics, Himachal Dental College, Sundernagar, Mandi, Himachal Pradesh conducted a pilot study before finalizing the survey questionnaire. A questionnaire of 21 questions was created with the state’s educational, economic, and demographic profiles in mind. The responses of the participants were compiled after receiving the completed questionnaires, and the results were further analyzed by using statistical software to calculate the overall scores and percentages of accurate replies in relation to knowledge and awareness in regards to substituting missing teeth with dental implants.[3]

  Results Top

A total of 1000 accomplished survey questionnaires were gathered at the termination of the study period. Males made up 65% of the total participants, whereas females made up 35%. Only 3% of participants were over the age of 60. Approximately 77% of participants were between the ages of 26 and 40. When the participants’ literacy rates were compared, it was discovered that nearly all of them were educated. Approximately 60% of those surveyed had completed high school or had a bachelor’s degree or higher. The majority of people had a family income of up to 40,000 dollars (59%). In total, 32% of the participants worked for the government, whereas the rest worked in the private sector or were jobless. When asked if they were aware of missing teeth, the majority of the participants (72%) said they had more than one missing tooth. When asked about replacing lost teeth, just 45% said they had done so with a dental prosthetic. Approximately 67% of those polled thought replacing lost teeth was very important, and 63% were aware of the many treatment options available, with dentists being the most common source of knowledge (73%). A significant conclusion was that 55% of the population did not want any treatment, whereas 35% of those who took part in the survey selected fixed prosthesis to replace missing teeth [Figure 1]. Although 53% of participants had heard of dental implants, when asked to explain them, different participants gave different answers. Although the majority of people assumed a dental implant was a screw (38%) or a piece of metal (20%), others had no concept of what an implant was (42%). Seventy-three percent of participants desired to learn further about dental implants and considered they were a virtuous treatment choice for swapping lost teeth, whereas one-third thought they were an expensive and unaffordable option. Sixty-three percent of survey participants had a poor understanding of dental implant treatment. The high cost (52%) and fear of surgery (21%) were the two most often reported downsides of dental implants, whereas permanent replacement and function were the two most frequently mentioned pros [Figure 2]. Partakers who were uninformed or had schooling below the matriculation level had the least comprehension and awareness of implants. On the contrary, graduates and postgraduates were more knowledgeable about implants and willing to learn more. Individuals with salaries of 40,000 and above had the most knowledge and awareness, although there was no statistically significant difference in income levels.
Figure 1: Percentage of preferred treatment options by participants

Click here to view
Figure 2: Perception about dental implant disadvantages

Click here to view

  Discussion Top

Despite breakthroughs in preventative dentistry, edentulism is a serious public health issue around the world, with a slew of negative effects for oral and overall health.[5],[6],[7],[8],[9],[10] There are several treatment options for edentulism, the most popular of which is a fixed partial denture.[11],[12],[13],[14] A dental implant is a newfangled, more natural-looking tooth auxiliary alternative that can be used to replace lost teeth. Its use has grown in popularity as most patients who have received dental implants have experienced an enhancement in their worth of life. Dental implants have a number of advantages over other replacement options, including permanent replacement, comfort, appearance, stability, and functional efficiency. However, the high cost, fear of surgery, and unawareness and acuity among the affected population prevent them from taking advantage of the available resources.[5],[6],[7],[8],[9],[10] Recent scientific literature highlights the importance of removing the barriers to efficient treatment delivery, particularly in underdeveloped countries.[3],[7] Himachal Pradesh is a state in northern India with a population of 68,64,602 people, and it ranks fourth in the Indian Union in terms of per capita income.[8] Although the state is economically and socially stable, with a high literacy rate, awareness of dental implants among the Himachal Pradesh population has to be investigated, as no such study has been undertaken to the best of our knowledge. The purpose of this study was to investigate patient knowledge, attitude, and acceptability of dental implants in Himachal Pradesh. After the survey, it was interesting to learn that the bulk of the participants (77%) were between the ages of 26 and 40, with only 3% being over the age of 60. This could be because young adults and adults are more conscious of oral health than the rest of the population. It was gratifying to learn that girls and males had nearly equal knowledge, awareness, and perceptions regarding tooth replacement and dental implants. The explanation for this could be that men and women have nearly equal opportunity and literacy rates. However, the only half of those individuals had received treatment for their missing teeth, which could be related to the high expense of therapy or a lack of understanding about replacement choices among the general population. The majority of individuals did not seek treatment until they went to the dentist due to tooth loss or other oral health issues. When questioned about their preferred method of replacing missing teeth, many people believed that the replacement prosthesis should look and operate like actual teeth, which is likely why the majority of participants picked fixed prosthetic teeth over removable prosthetic teeth. Gbadebo et al.[11] published a study with similar findings. It was shocking to learn that only a small number of those who took part knew anything about dental implants. The high cost of dental treatment, the concentration of competent dental care facilities in cities, and the shortage of implant clinics in small towns and villages, where the bulk of the population resides, are all contributing factors.[12] Because the sample population was chosen from patients who attended various dental institutions and hailed from diverse regions and sectors of the state, all of whom were subjected to the same socioeconomic issues, the reasons outlined above apply to the current study as well. It was gratifying to teach people about dental implants because we got such a positive response from those who wanted to know more. Kumar et al.[13] conducted a study in Andhra Pradesh that yielded the same results. Our findings highlight the importance of increasing public awareness and education about dental implant procedures, as well as the maintenance of dental implants that have already been implanted. The study also discovered that talking with patients about treatment choices and dental implant procedures might significantly lessen their worry and anxiety.[14] The high cost of treatment associated with dental implant placement and upkeep appears to be one of the principal factors averting indigent people from choosing dental implants as a tooth replacement option, despite the importance of dental implant education and awareness. According to the authors, policymakers should design mechanisms to subsidize or reimburse dental implant therapy charges to make it more inexpensive and accessible to the general public.

  Conclusion Top

The findings of this research showed a noteworthy gap amid the necessity of swapping missing teeth and knowledge of the most recent auxiliary opportunity, dental implants. Although implant dentistry has shown encouraging results, there is still a necessity to improve cognizance and remove the blockades that prevent dental implants from being used. To address these issues, dental health professionals and the government should collaborate to find solutions.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

  References Top

ADA POLICY- Definition of Oral Health; 2014. Available from: https://www.ada.org/en/about-the-ada/ada-positions-policies-andstatements/ada-policy-definition-of-oral-health. [Last accessed on 2021 Oct 02].  Back to cited text no. 1
Cunha-Cruz J, Hujoel PP, Nadanovsky P. Secular trends in socio-economic disparities in edentulism: USA, 1972-2001. J Dent Res 2007;86:131-6.  Back to cited text no. 2
Narayanan V, Karuppiah P, Rajasekar A, Mayavan LD. Awareness among patients regarding dental implants as a treatment option for replacing missing teeth in melmaruvathur population. Int J Prosthodont Restor Dent 2016;6:6-9.  Back to cited text no. 3
Satpathy A, Porwal A, Bhattacharya A, Sahu PK. Patient awareness, acceptance and perceived cost of dental Implants as a treatment modality for replacement of missing teeth: A survey in Bhubaneswar and Cuttack. Int J Public Health Dent 2011;2:1-7.  Back to cited text no. 4
Chowdhary R, Mankani N, Chandraker NK. Awareness of dental implants as a treatment choice in urban Indian populations. Int J Oral Maxillofac Implants 2010;25:305-8.  Back to cited text no. 5
Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent 1989;62:567-72.  Back to cited text no. 6
Bhat PR, Siddique EA, Kulkarni SS, Trasad VA, Thakur SL. Public awareness, knowledge, attitude and acceptance of dental implants as a treatment modality among patients visiting SDM College of Dental Sciences and Hospital, Dharwad. J Indian Soc Periodontol 2019;23:58-63.  Back to cited text no. 7
[PUBMED]  [Full text]  
India P. Census of India 2011 Provisional Population Totals. New Delhi: Office of the Registrar General and Census Commissioner; 2011.  Back to cited text no. 8
Health Index Report; 2019. Available from: http://www.dciindia.gov. in/Download/Books/NOHSBOOK. [Last accessed on 2021 Oct 12].  Back to cited text no. 9
Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI world dental federation opens the door to a universal definition of oral health. Br Dent J 2016;221:792-3.  Back to cited text no. 10
Gbadebo OS, Lawal FB, Sulaiman AO, Ajayi DM. Dental implant as an option for tooth replacement: The awareness of patients at a tertiary hospital in a developing country. Contemp Clin Dent 2014;5:302-6.  Back to cited text no. 11
[PUBMED]  [Full text]  
Tandon S. Challenges to the oral health workforce in India. J Dent Educ 2004;68:28-33.  Back to cited text no. 12
Kumar RC, Pratap KV, Venkateswararao G. Dental Implants as an option inreplacing missing teeth: A patient awareness survey in Khammam, Andhra Pradesh. Indian J Dent Sci 2011;3:33-7.  Back to cited text no. 13
Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: Literature review. Clin Cosmet Investig Dent 2016;8:35-50.  Back to cited text no. 14


  [Figure 1], [Figure 2]


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
   Materials and Me...
   Article Figures

 Article Access Statistics
    PDF Downloaded39    
    Comments [Add]    

Recommend this journal