Department of Prosthodontics and Maxillofacial Prosthetics, Kathmandu Medical College, Duwakot, Bhaktapur, Nepal.
Department of Community and Public Health Dentistry, Kathmandu Medical College, Duwakot, Bhaktapur, Nepal.
JNMA J Nepal Med Assoc. 2020 Jan;58(221):15-19. doi: 10.31729/jnma.4720.
Dental treatment aims at correction of existing disease; prevention of future disease with rehabilitation of patient's lost functional capacity and aesthetics. Fixed dental prosthesis is any prosthesis that is cemented to a natural tooth or dental implants abutments that cannot be removed by patient. The success of prosthodontic treatment is related to prosthesis survival, with its ability to fulfil biologic and patient-evaluated objectives with patient satisfaction. This study is aimed to find the patient satisfaction with fixed prosthodontic treatment.
This descriptive cross-sectional study was done in a tertiary care hospital among 102 patients rehabilitated with fixed dental prosthesis from August to September 2019 after taking ethical approval from Institutional Review Committee of Kathmandu Medical College. (IRC No. 1207201918). Convenience sampling was done. The questionnaire assessed patient's satisfaction of fixed prosthesis on the basis of appearance, chewing ability, cleansibility, speech and awareness of oral hygiene measures for cleaning of the prosthesis. Data entry was done in Microsoft excel and analysed using Statistical Package for Social Sciences (SPSS)version 20.0, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
The majority of the patients 87 (85.3%) were satisfied with their fixed prosthesis, at 95% confidence interval (93.5- 81%). Eighty one (79.4%) were satisfied with their chewing ability; 99 (97.1%) satisfied with their speech, 78 (76.4%) satisfied with appearance of fixed prosthesis. Ninety eight patients (96.1%) were aware of oral hygiene measures, out of which only 66 (67.3%) used interdental aids for cleaning of their fixed prosthesis.
Several factors (chewing ability, appearance, speech, cleansibility of fixed prosthesis) had positive impact on overall satisfaction in majority of the patients. Dentists should continue to emphasise on the significance of maintaining good oral hygiene and use of interdental aids for the longevity of fixed prosthesis.
牙科治疗的目的是纠正现有的疾病；预防未来的疾病，恢复患者失去的功能和美观。固定义齿修复体是指通过粘结固定在天然牙或种植体基台上的修复体，不能由患者自行取出。修复治疗的成功与修复体的存活率有关，其能够满足生物学和患者评估的目标，并使患者满意。本研究旨在探讨患者对固定义齿修复的满意度。
这是一项在 2019 年 8 月至 9 月期间在一家三级保健医院进行的描述性横断面研究，研究对象为 102 名接受固定义齿修复的患者，该研究获得了 Kathmandu Medical College 机构审查委员会的伦理批准（IRB 号：1207201918）。采用便利抽样法。调查问卷根据外观、咀嚼能力、清洁度、言语和对清洁义齿的口腔卫生措施的意识来评估患者对固定义齿的满意度。数据录入 Microsoft excel 并使用 Statistical Package for Social Sciences（SPSS）version 20.0 进行分析，计算 95%置信区间的点估计值，同时对二项数据进行频率和比例分析。
大多数患者（85.3%）对他们的固定义齿感到满意，95%置信区间（93.5-81%）。81 名（79.4%）患者对他们的咀嚼能力感到满意；99 名（97.1%）对他们的言语感到满意；78 名（76.4%）对固定义齿的外观感到满意。98 名患者（96.1%）了解口腔卫生措施，其中只有 66 名（67.3%）使用牙间清洁工具来清洁他们的固定义齿。
在大多数患者中，许多因素（咀嚼能力、外观、言语、固定义齿的清洁度）对整体满意度有积极影响。牙医应继续强调保持良好口腔卫生和使用牙间清洁工具对固定义齿寿命的重要性。
