Assessment of motivation, expectations and satisfaction of adult patients submitted to orthodontic treatment

Abstract

Data obtained from previous published papers, and also from questionnaires answered by 54 patients, showed that adult patients stood out for their attention to details and high interest in the esthetic improvements provided by treatment, and also for a greater perception of their initial malocclusion. On the other hand, the same data showed that adult patients, once informed about the limitations of their treatment and having confidence on the orthodontist, presented a high level of satisfaction with treatment results, revealing themselves as good patients for indication and execution of orthodontic procedures.

Factors associated with patient and parent satisfaction after orthodontic treatment: A systematic review

“…The factors strongly associated with treatment outcome satisfaction were the final appearance of the teeth, 9,10,14,29,31,32 doctor-staff-patient relationship linked to quality of care and communication, 6,10,11,15,17,30,34 and personality. 12,13 The factors slightly associated with treatment outcome satisfaction were stability of the treatment, 8 sex (female patients more often link dental appearance and satisfaction with orthodontic outcome), 11,29 patient compliance, 8 appliances, 17 and treatment timing.…”

“…Four studies did not specify how long after orthodontic treatment the assessments were done. 14,29,31,33 All of the studies used questionnaires as assessment tools. The authors of 1 study interviewed parents by telephone first and later conducted a satisfaction evaluation using a questionnaire.…”

“…Finally, half of the studies did not apply previously validated questionnaires to assess satisfaction with orthodontic treatment. 8,9,13,14,17,28,30,31,33 The response rate was not analyzed or presented in any of the articles. Strategies to increase response rate (eg, a second mailing of questionnaires, telephone calls) were implemented in 2 studies.…”

“…Therefore, a professional assessment is not necessarily closely related to patient satisfaction. 4,5 Associations between patient satisfaction and factors such as doctor-patient relationships, 6 occlusion stability perception, 7-9 tooth alignment, 8 patients' commitment and interest, 10,11 personality and neuroticism traits, 12,13 and patient motivation 14 have been reported. The considerable variations among these factors and how closely they are related to patients' perceptions suggest that patients should become an integral part of the decision-making process and treatment outcome assessment in any orthodontic practice's efforts to be successful.…”

Malocclusion and Orthodontic Treatment Need in Children

“…Ortodontik hastaların çoğunluğunu çocuk hastalar oluşturmasına rağ-men, ortodontik tedaviye erişkin hastalarda da yüksek bir talep olduğu gözlemlenmiştir. 15 Ortodontik tedaviye ihtiyaç duyan erişkin hastalardaki problemler, sıklıkla diş kaybına bağlı dişlerin yer değiştirmesi olarak bildirilmiştir. Bu problemler, erken temaslar ve ciddi maloklüzyon problemleri ile sonuçlanan arklar arasında yaygın boşluklara, rotasyonlara neden olabilmektedir.…”