Santos Beatriz Ferreira Oliveira, dos Santos Mateus Bertolini Fernandes, Santos Jarbas Francisco Fernandes, Marchini Leonardo
Dentistry Department, University of Taubaté, Taubaté, Brazil.
School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
J Prosthodont. 2015 Jul;24(5):351-7. doi: 10.1111/jopr.12286. Epub 2015 Apr 9.
Patient satisfaction is an important goal in complete denture therapy, and many factors influence this parameter. This study aimed to evaluate expectations before and satisfaction after therapy with complete dentures. As a secondary objective, other variables that may interfere with patient satisfaction were also evaluated.
A representative sample of 99 patients assigned visual analog scale (VAS) scores to their expectations before and satisfaction after therapy regarding chewing, esthetics, comfort, and phonetics. Demographic data and answers to a questionnaire concerning the dentists' conduct were recorded. Multiple linear regression was used to evaluate the association among studied variables and patients' expectation and satisfaction with their dentures.
The average VAS scores were high for both expectations and satisfaction, and satisfaction exceeded expectations. Patients' expectations about esthetics and comfort were associated with age and self-reported time of using complete dentures. Patient satisfaction regarding chewing was associated with the number of postdelivery adjustments. Also, patient satisfaction regarding esthetics was associated with gender and esthetic expectations. In regard to phonetic satisfaction, associations were verified among self-reported time of using complete dentures, comfort and phonetics expectations, and dentists' explanations. Comfort satisfaction was associated only with educational level.
Patient satisfaction regarding complete dentures exceeded expectations and an expressive majority of positive evaluations of the dentists was noticed. Many patient-related variables seemed to influence their evaluations of their dentures.
患者满意度是全口义齿治疗的一个重要目标，且许多因素会影响这一参数。本研究旨在评估全口义齿治疗前的期望与治疗后的满意度。作为次要目标，还评估了其他可能干扰患者满意度的变量。
99名患者的代表性样本对治疗前在咀嚼、美观、舒适度和发音方面的期望以及治疗后的满意度进行视觉模拟量表（VAS）评分。记录人口统计学数据以及关于牙医行为的问卷答案。采用多元线性回归来评估研究变量与患者对义齿的期望和满意度之间的关联。
期望和满意度的平均VAS评分都很高，且满意度超过了期望。患者对美观和舒适度的期望与年龄以及自我报告的使用全口义齿时间有关。患者对咀嚼的满意度与义齿交付后调整的次数有关。此外，患者对美观的满意度与性别和美观期望有关。关于发音满意度，在自我报告的使用全口义齿时间、舒适度和发音期望以及牙医的解释之间发现了关联。舒适度满意度仅与教育水平有关。
患者对全口义齿的满意度超过了期望，并且注意到对牙医的积极评价占绝大多数。许多与患者相关的变量似乎影响了他们对义齿的评价。
