Predoctoral student, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa.
Biostatistician, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa.
J Prosthet Dent. 2017 Aug;118(2):159-165. doi: 10.1016/j.prosdent.2016.10.015. Epub 2017 Jan 31.
Understanding the factors affecting patients' satisfaction with their dentures is essential to achieving higher satisfaction rates.
The purpose of this clinical study was to test for possible relationships between the esthetic satisfaction of complete denture therapy and factors including age, sex, and esthetic expectations.
Data were integrated from 4 previous studies of complete denture satisfaction, and a secondary data analysis was performed. All studies, which had similar methodologies, recorded patients' esthetic expectation and satisfaction scores using a 0 to 10 visual analog scale. The Sign test was used to test the difference between satisfaction and expectations. The Fisher exact, Spearman rank correlation, Wilcoxon rank sum, and Kruskal-Wallis tests, as well as the Cochran-Mantel-Haenszel test using ridit scores, were used to assess the relationships regarding the heterogeneity among studies, satisfaction, and factors of interest.
Of the 283 participants studied, 52% were female, and the median age was 58 years. The satisfaction scores exceeded expectation scores significantly (P<.001), although they were both high. Age, sex, and expectations were different among studies (P<.008); age also differed between sexes (P=.004). After adjusting for the study, men had higher expectations than women (P=.005); there was no sex difference in level of satisfaction. Only in men was satisfaction positively correlated with expectations (r=0.300; P<.001).
Overall, patients were more esthetically satisfied than they expected after completing denture therapy; esthetic satisfaction did not differ between sexes or with age. The expectation of men was higher than that of women and was positively correlated with their level of satisfaction.
了解影响患者对义齿满意度的因素对于提高满意度至关重要。
本临床研究旨在检验全口义齿治疗的美学满意度与包括年龄、性别和美学期望在内的因素之间可能存在的关系。
整合了 4 项先前关于全口义齿满意度的研究的数据，并进行了二次数据分析。所有研究均采用相似的方法，使用 0 到 10 的视觉模拟量表记录患者的美学期望和满意度评分。使用符号检验来检验满意度和期望之间的差异。Fisher 确切检验、Spearman 秩相关、Wilcoxon 秩和检验、Kruskal-Wallis 检验以及 Cochran-Mantel-Haenszel 检验（使用 Ridit 评分）用于评估研究之间的异质性、满意度和感兴趣因素之间的关系。
在所研究的 283 名参与者中，52%为女性，中位年龄为 58 岁。满意度评分显著高于期望评分（P<.001），尽管两者都很高。年龄、性别和期望在研究之间存在差异（P<.008）；年龄在性别之间也存在差异（P=.004）。调整研究后，男性的期望高于女性（P=.005）；满意度在性别之间没有差异。只有男性的满意度与期望呈正相关（r=0.300；P<.001）。
总体而言，患者在完成义齿治疗后在美学上的满意度高于预期；美学满意度在性别或年龄之间没有差异。男性的期望高于女性，并且与他们的满意度呈正相关。
