Page 143 - Impact of implant retained overdenture treatment and speech, oromyofunction, social participation and quality of life.

The impact of personality on social participation and OHRQoL after implant treatment and the use of multi-informant observations
The last aim of this thesis was to evaluate the impact of personality on social participation and OHRQoL after implant treatment and the use of external observations for evaluation. Personality is the set of psychological traits and mechanisms within the individual that influences our interaction with and adaptation to intrapsychic, physical and social environments 51. In short, it is a way of describing people’s behavior and possibility to adapt in certain situations. Personality may also affect the experiencing and reporting of health status and satisfaction with treatment. In paper 4 the results showed that the different personality traits were related to self-reported quality of life and social participation, but didn’t influence the effect of the treatment on social participation and OHRQoL.
Across patients, converge between self- and observer ratings of quality of life and social participation measures (frequency and diversity), was very poor, suggesting unique perspectives of patients and observers on the outcomes of dental treatment. This suggests that it is useful to rely on multiple observers to evaluate (dental) treatment impact and include evaluations by knowledgeable others beyond patient self-report.
It is important to always look from the point of view of the patient. As a professional, it is our aim to make his or her life more comfortable. The latter suggestion about using multiple observers does not conflict with this aim. Especially when treating certain patients with persisting subjective complaints or questions about their dental situation, it would be interesting to include the observation of a family member or close friend to be able to neutralize the negativity, and so give the patient better insight in the situation.
Strengths and weaknesses of this thesis
This thesis highlights a way of approaching patients undergoing implant retained overdenture treatment that was neglected in the past. The extensive part about impact on speech and OHRQoL and the sidetrack, exhibiting the role of personality and the possibility to use multiple informers when evaluating
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General discussion and future considerations
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