Evaluation of the Dentures and Dental Implants Project in Honor of His Majesty the King on the Auspicious Occasion of His 72nd Birthday Anniversary, July 28, 2024, in Health Region 10, 2024
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Abstract
This research is cross-sectional study aimed to evaluate the dentures and dental implants in the 10th Public Health Region, (October 2022–September 2024) utilizing the CIPP model to assess program implementation, operational performance, and the quality of life among service recipients. The study covered the provinces of Ubon Ratchathani, Si Sa Ket, Yasothon, Amnat Charoen, and Mukdahan. Data collection was conducted from January to March 2024 through document review and fieldwork involving three groups: 1) 5 provincial public health office executives, 2) 28 project dentists, consisting of chief dental officers and program coordinators, both of which were purposively selected for evaluation. 3) 56 project recipients who had received Implant-retained overdentures for at least six months and consented to participate. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using statistical methods to compare mean scores of oral health-related quality of life with the Wilcoxon signed-rank test at a p-value of 0.05. In terms of context, there are 23 dental implant service units, which the responsibilities were being fairly distributed across the covered area.
In terms of input, there was a 100% adherence to every provincial placement implementation. For instance, support for developing dental personnel's skills in implant placement, dentures accessibility all healthcare schemes. Dental implant funding from the National Health Security Fund based on patient numbers. Material resources include support for innovative grade IV titanium dental implants. For process, denture patients were primarily treated at hospitals while proactively screened and provided with education outside service area. Output data, by the fourth quarter (September 30, 2024), both dental implant placements and denture services had reached 100% completion. Success factors included effective planning, supportive systems, and technological utilization. Quality of life improvements were significant in seven aspects: eating, speaking, oral hygiene, emotional stability, smiling, working, and social interactions (p-value < 0.05). Overall, project recipients reported high satisfaction. The study showed improvement in quality of life, and satisfaction in patients through effective proactive interventions. Expanding dental implant coverage is highly recommended.
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