University of Vale do Paraiba, Sao Paulo, Brazil.
Int J Prosthodont. 2012 Sep-Oct;25(5):484-90.
Patient variables and expectations may influence patients' evaluations of treatment outcomes, which are essential to the success of therapy. The main objective of this study was to compare patients' expectations before and satisfaction after receiving implant-supported fixed partial dentures (FPDs) and single crowns. A secondary objective was to evaluate other variables that may affect patient satisfaction.
The sample comprised 52 volunteers (mean age: 51.2 ± 10.6 years) who had received implant-supported FPDs (n = 25) and single crowns (n = 27). A visual analog scale (VAS) was used to assess their expectations before and satisfaction after therapy with regard to mastication, esthetics, comfort, and phonetics. Patients also completed a questionnaire concerning other variables involved in the treatment and their evaluation of their clinician's conduct.
Patient expectations before treatment were higher than satisfaction after treatment, but this difference was significant only for esthetics in patients who had received implant-supported FPDs. Negative correlations were found between satisfaction and age and between number of absent teeth and number of post delivery adjustments, but only for implant-supported FPDs. A positive relationship was found for the majority of questions concerning patients' evaluations of clinician conduct and VAS scores.
Patients' evaluation of clinician conduct appears to be an important factor that influences their expectations before and satisfaction after receiving implant-supported FPDs and single crowns.
患者的个体变量和期望可能会影响其对治疗结果的评价,而这对治疗的成功至关重要。本研究的主要目的是比较患者在接受种植体支持的固定修复体(FPD)和单冠修复前的期望和治疗后的满意度。次要目的是评估可能影响患者满意度的其他变量。
该样本包括 52 名志愿者(平均年龄:51.2 ± 10.6 岁),他们接受了种植体支持的 FPD(n = 25)和单冠修复(n = 27)。使用视觉模拟量表(VAS)评估患者在治疗前对咀嚼、美观、舒适度和发音的期望以及治疗后的满意度。患者还填写了一份关于治疗中涉及的其他变量以及对临床医生行为评估的问卷。
治疗前患者的期望高于治疗后的满意度,但这一差异仅在接受种植体支持的 FPD 的患者的美观方面具有统计学意义。满意度与年龄呈负相关,与缺失牙数量和交付后调整次数呈负相关,但仅在种植体支持的 FPD 中如此。对于患者对临床医生行为评估的大多数问题和 VAS 评分,均存在正相关关系。
患者对临床医生行为的评估似乎是影响其对接受种植体支持的 FPD 和单冠修复的期望和满意度的重要因素。