Abstract
Introduction: This article is aimed to evaluate the perception and satisfactory level of orthodontic patients towards orthodontic treatment on the basis of a questionnaire survey in Kist Medical College and Teaching Hospital.
Methods: This study included 250 patients who had reported in department of Orthodontics from first June to first July 2022. Data was collected through cross-sectional survey where each patient was required to fill a questionnaire in person after the approval of consent. The data was entered in SPSS software 26 then statistical analysis was done and results were obtained.
Results: While comparing the gender, females wait for the next appointment more than males (female- 45%, males-35.6%) whereas males respond to social media more than females (males- 31.3%, females- 1.3%). This gender difference was found to be statistically significant with p value < 0.05. Also, majority of males (44.4%) had undergone orthodontic treatment for the correction of bite whereas majority of females (38.8%) had undergone treatment for the improvement in appearance which was found to be statistically significant (P value: 0.022) Regarding the perception towards orthodontic treatment, statistically significant gender difference was observed in response to orthodontic treatment as painful procedure and pricey treatment. Regarding the satisfaction with orthodontic treatment, majority of males (71.1%) were pleased with dentofacial improvement after having braces than females(36.3%) and this was found to be statistically significant at p value 0.027.Females are more ready to undergo orthodontic treatment (53.3%) than males (41.3%) if they had to do it again which was statistically significant (p value: 0.037). Also, majority of females were optimistic about the result of orthodontic treatment and they were much more satisfied with the staffs in the orthodontic department than males and this result was found to be statistically significant with p value <0.05.
Conclusion: This study concluded that patients preferred metallic braces over ceramic braces and aligners and the main reason patients want orthodontic treatment is bite correction firstly, secondly improvement in appearance, thirdly improvement in smile and lastly oral hygiene maintenance. Mostly orthodontic patients perceived orthodontic treatment as a painful procedure and the frequency of brushing has been increased after orthodontic treatment and the patients are pleased and satisfied with their treating orthodontist.
Keywords: Satisfaction, Orthodontic treatment, Perception.
References
- Nasr, I.H; Sayers, M.; Newton T.: Do patient information leaflets affect patients’ expectation of orthodontic treatment? A randomized controlled trial. J Orthod. 38,257–68, 2011. .doi:10.1179/14653121141614.
- Alyasi, M; Al Halabi, M; Hussein, I; Khamis, A.H: Kowash, M.: Dentists’ knowledge of the guidelines of traumatic dental injuries in the United Arab Emirates. Eur J PaediatrDent.19(4), 271-6, 2018.
- Sun, H. M. Wong, and C. P. McGrath,“Relationship between the severity of Malocclusion and oral health related quality of life: a systematic review and meta-analysis,” Oral Health & Preventive Dentistry, vol. 15, no. 6, pp. 503–517,2017
- I. Isiekwe, O. O. Sofola, O. O. Onigbogi, I. L. Utomi, O. O.Sanu, and O. O. da Costa, “Dental esthetics and oral healthrelated quality of life in young adults,” American Journal of Orthodontics and Dentofacial Orthopedics, vol. 150, no. 4,pp. 627–636, 2016.
- Newsome PR, Wright GH. A review of patient satisfaction: Part2. Dental patient satisfaction: an appraisal of recent literature.Br Dent J. 1999;186(4 Spec No):166–170.
- Department of Health. High quality care for all: NHS Next Stage Review final report. http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_085825; 2017 Accessed10.5.2017.
- Tsichlaki A, O’Brien K. Do orthodontic research outcomes reflect patient values? A systematic review of randomized controlled trials involving children. Am J OrthodDentofacialOrthop. 2014;146:279–285.
- De Oliveira CM, Sheiham A. Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. J Orthod. 2004;31:20–27.
- Bennett ME, Tulloch JF, Vig KW, Phillips CL. Measuring orthodontic treatment satisfaction: questionnaire development andpreliminary validation. J Public Health Dent. 2001;61:155–160.
- Naqvi ZA, Shaikh S, Pasha Z. Perception of the facial profile and orthodontic treatment outcome - importance of patient’s opinion in the treatment plan. Int Dent Med J Adv Res 2015;1:1-5.
- Tayer BH, Burek MJ. A survey of adults’ attitudes toward orthodontic therapy. Am J Orthod 1981;79(3):305-15.
- Mayerson M, Wick Alexander RG, Moody Alexander C, et al. Management & marketing: Creating the compliant patient. J ClinOrthod 1996; 30:493-7.
- Reichmund,M.,Greene,K.A.,Orsinith, M., Greene, K. A., Orsini, M. G., Cisneros, G. J., King, G. J., & Kiyak, H. A. (2005). Occlusal perceptions of children seeking orthodontic treatment: Impact of ethnicity and socioeconomic status. American Journal of Orthodontics and Dentofacial Orthopedics, 128(5), 575–582. doi:10.1016/j.ajodo.2004.09.021
- Feu, D; Miguel, J.A; Celeste, R.K; Oliveira, B.H.: Effect of orthodontic treatment on oral health related quality of life. Angle Orthod.83,8928,2013,05; 128:575582. https://doi.org/10.1016/j.ajodo.2004.09.02PMid:16286204
- Sreenivas T, Parsad G. Patient satisfaction, A comparative study. J Acad Hosp Adm 2003;15(2):07-12.
- Bos A, Vosselman N, Hoogstraten J, Prahl-Andersen B. Patient compliance: a determinant of patient satisfaction? Angle Orthod 2005;75(4):526-31.
- Freeman R. A psychodynamic understanding of the dentist-patient interaction. Br Dent J1999; 186(10):5036.
- Amado, Joaquín; Sierra, Angela Maria; Gallón, Alejandro; Álvarez, Cristina; Baccetti, Tiziano (2008). Relationship between Personality Traits and Cooperation of Adolescent Orthodontic Patients. The Angle Orthodontist, 78(4), 688–691. doi:10.2319/0003-3219(2008)078[0688:RBPTAC]2.0.CO;2
- Bos A, Hoogstraten J, Prahl-Andersen B. Attitudes towards orthodontic treatment: a comparison of treated and untreated subjects. Eur J Orthod 2005;27(2):148-54.
- Bergius M, Kiliaridis S, Berggren U. Pain in orthodontics—a review and discussion of the literature. J Orofac Orthop/Fortschr Kieferorthop. 2000;61:125–137.
- Eberting, J. J., Straja, S. R., &Tuncay, O. C. Treatment time, outcome, and patient satisfaction comparisons of Damon and conventional brackets. Clinical Orthodo-ntics and Research.2001;4, 228–234. doi:10.1034/j.1600-0544.2001.40407.x
- Keles F, Bos A. Satisfaction with orthodontic treatment. Angle Orthod. 2013;83:507–511.
- Birkeland K, Boe OE, Wisth PJ. Relationship between occlusion and satisfaction with dental appearance in orthodontically treated and untreated groups: a longitudinal study. Eur J Orthod. 2000;22:509–18.
Corresponding Author
Rosha Shrestha
Department of Orthodontics, KIST Medical College and Teaching Hospital, Imadol, Kathmandu, Nepal