Mitchell Sonya T, Funkhouser Ellen, Gordan Valeria V, Riley Joseph L, Makhija Sonia K, Litaker Mark S, Gilbert Gregg H
University of Alabama at Birmingham, SDB Room 609; Box 48, 1720 Second Avenue South, Birmingham, AL, 35294-0007, USA.
Department of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
BMC Oral Health. 2017 Mar 27;17(1):70. doi: 10.1186/s12903-017-0363-8.
The objectives were to: (1) quantify patient satisfaction with treatment for early dental caries overall, and according to whether or not (2a) the patient received invasive treatment; (2b) was high-risk for dental caries, and had dental insurance; and (3) encourage practitioners to begin using non-invasive approaches to early caries management.
Ten practitioners recorded patient, lesion, and treatment information about non-cavitated early caries lesions. Information on 276 consecutive patients with complete data was included, who received either non-invasive (no dental restoration) or invasive (dental restoration) treatment. Patients completed a patient satisfaction questionnaire and were classified as dissatisfied if they did not "agree" or "strongly agree" with any of 14 satisfaction items.
Patients had a mean (± SD) age of 41.8 (±15.8) years, 64% were female and 88% were white. Twenty-five percent (n = 68) were dissatisfied in at least one of the 14 satisfaction items. Satisfaction levels did not significantly vary by patient's gender, race, caries risk category, or affected tooth surface location. Overall, 11% (28 of 276) received invasive treatment; satisfaction did not differ between patients who had invasive or non-invasive treatment. Seven patients received invasive treatment at their request even though that was not what their practitioner recommended; 5 out of 6 were satisfied with their treatment nonetheless.
About one-fourth of patients treated for non-cavitated early caries were dissatisfied with at least some aspect of their dental care experience. Satisfaction of patients who received invasive treatment did not differ from those who received non-invasive treatment.
本研究目的如下：（1）总体量化患者对早期龋齿治疗的满意度，并根据以下情况进行分类：（2a）患者是否接受侵入性治疗；（2b）患者是否为龋齿高危人群且拥有牙科保险；（3）鼓励从业者开始采用非侵入性方法管理早期龋齿。
十名从业者记录了有关非龋洞型早期龋损病变的患者、病损及治疗信息。纳入了276例具有完整数据的连续患者，这些患者接受了非侵入性（无牙齿修复）或侵入性（牙齿修复）治疗。患者完成了一份患者满意度调查问卷，如果他们对14项满意度项目中的任何一项未“同意”或“强烈同意”，则被归类为不满意。
患者的平均（±标准差）年龄为41.8（±15.8）岁，64%为女性，88%为白人。25%（n = 68）的患者在14项满意度项目中至少有一项不满意。满意度水平在患者的性别、种族、龋齿风险类别或患牙表面位置方面没有显著差异。总体而言，11%（276例中的28例）接受了侵入性治疗；接受侵入性治疗和非侵入性治疗的患者满意度没有差异。7例患者应其要求接受了侵入性治疗，尽管这并非其从业者所推荐；尽管如此，6例中有5例对其治疗感到满意。
接受非龋洞型早期龋齿治疗的患者中，约四分之一对其牙科护理体验的至少某些方面不满意。接受侵入性治疗的患者与接受非侵入性治疗的患者满意度没有差异。
