Effect of dentist's clinical experience on treatment satisfaction of a complete denture

Abstract

The relationship between the prosthodontic experience of dentists and satisfaction of complete denture wearers remains unknown. To investigate whether a prosthodontist's clinical experience affects treatment satisfaction of a complete denture wearer. From April 2004 to July 2006, we conducted a randomised controlled trial at two centres, including 74 edentulous patients; of these, 32 and 30 were randomly allocated to the ED or ID group, respectively. All the patients rated their satisfaction with dentures, including general satisfaction and satisfaction of chewing ability, speaking, cleaning, stability, retention, comfort and aesthetics. These satisfaction ratings were measured by a 100-mm visual analog scale (VAS). Perceived chewing ability to foods, divided into five grades, was measured using a questionnaire. The mastication index (MI) was calculated for each grade. General satisfaction and satisfaction of speaking, stability and retention were significantly higher in the ED than in the ID group (P = 0·049, 0·003, 0·019 and 0·041, respectively). No significant difference existed between the MI of the ED (71·3 ± 18·4) and ID group (64·1 ± 16·53). However, the perceived chewing ability of grade 5 food, whose texture was the hardest among all the grades, was significantly higher in the ED group than in the ID group. Within its limitations, this study showed that a clinician's prosthodontic experience affects a complete denture wearer's satisfaction ratings.

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“…It is proposed that patients' decisions to continue, discontinue, or alter medical treatments are influenced by several factors including health status of the patient, prior experiences with particular treatment choices, desire to participate in treatment‐related decision making and real or anticipated beliefs regarding the effectiveness or harms of treatment . Patients' satisfaction with their medication or the services they receive has been shown to predict treatment success, continuation of pharmaceutical treatment, appropriate use of services, medical compliance and follow‐up with treatment plans . Treatment satisfaction may be a very useful outcome in clinical studies to provide insight into a patient's attitude towards hypertension treatment.…”

Predictors of Patient Satisfaction with Removable Denture Renewal: A Pilot Study

“…Ambiguous results on satisfaction have been found concerning the effect of anatomic and physiological parameters and technical denture quality . The clinical experience of the treating or attending dentists, the relationships between patients and practitioners as well as the demographic and psychological profile of patients have also been reported to play a role . Instead of one single factor, interaction of psychological, biological, anatomical, and technical elements seemed to determine patient satisfaction …”

“…10,23,27,[29][30][31][32][33][34] The clinical experience of the treating or attending dentists, the relationships between patients and practitioners as well as the demographic and psychological profile of patients have also been reported to play a role. 10,26,[35][36][37][38][39][40][41][42] Instead of one single factor, interaction of psychological, biological, anatomical, and technical elements seemed to determine patient satisfaction. 16,43 For dental clinicians, those factors might be considered most relevant that can be detected before starting the treatment without being too obtrusive.…”

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