An Analysis of Patient Perceptions and Expectations to Dental Implants: Is There a Significant Effect on Long-Term Satisfaction Levels?

McCrea, S.J.J.

doi:10.1155/2017/8230618

Cited by 13 publications

(24 citation statements)

References 20 publications

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“…To reconcile differences in expectations, patients and clinicians must establish an effective method of communication. This allows patients to voice their wishes and expectations, and clinicians can clearly explain the limitations of the planned treatments in a way that patients are able to understand . The importance of this communication was also evident when analyzing the results of the linear modeling approach presented here.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have investigated patients’ expectations and satisfaction with different prosthetic treatments, such as removable dentures and implant‐supported FDPs . However, the dental literature still lacks consensus about predictors of patient satisfaction for different types of prosthetic rehabilitations, as well as the influence of different types of prosthetic treatment on patients’ expectations and satisfaction.…”

mentioning

confidence: 99%

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Patient Expectation and Satisfaction with Different Prosthetic Treatment Modalities

Colvin

Dawson

et al. 2018

Journal of Prosthodontics

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Purpose To investigate the relationships between gender, age, patients’ perceptions about the dentists’ conduct, number of adjustments, treatment type, and expectation prior to prosthetic treatment and patient satisfaction with their treatments. Materials and Methods Data were integrated from four studies that measured patient expectations before treatment and satisfaction after treatment using a visual analog scale (VAS) from 0 to 10. These scores were given for each of four aspects of the therapeutic outcomes: chewing, esthetics, phonetics, and comfort. Patients’ perceptions about the dentists’ conduct was also assessed using a Likert‐scale questionnaire. The total sample size, after combining the data from all four studies, was 223 subjects. Bivariate and multivariable analyses were performed. The covariates entertained were gender, age, treatment type, patients’ perceptions about the dentists’ conduct, number of adjustments, and expectation prior to denture fabrication. Results In the entire sample, 115 (51.57%) patients were females and 108 (48.43%) were males. They ranged in age from 28 to 81 years old; the mean age was 53.2 years (SD = 11.5). Combining four treatments together, there was no significant difference between patients’ expectation and satisfaction scores for all four items. There were no significant differences between expectation and satisfaction for different genders. Multivariable analysis showed that patient expectation, satisfaction and the difference (satisfaction score–expectation score) scores for all four aspects were associated with treatment type (implant treatments were favored), and expectation prior to prosthetic treatment (the higher the expectation, the higher the satisfaction) was associated with satisfaction and difference scores. Satisfaction and difference scores for chewing were associated with number of adjustments and satisfaction, and satisfaction and difference scores for phonetics and comfort were associated with how well the dentist explained the intended treatment before performing it. Conclusions Patient satisfaction was associated with treatment type (implant treatments were favored), expectations prior to prosthetic treatment (the higher the expectation, the higher the satisfaction), and how well the dentist explained the intended treatment before performing it.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patient Expectation and Satisfaction with Different Prosthetic Treatment Modalities

Colvin

Dawson

et al. 2018

Journal of Prosthodontics

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“…The most informed patient will have realistic expectations, which are realized finally in a high degree of satisfaction. 25 Our study has shown that adaptation to fixed dentures is accompanied by a period of relatively high and unusual loads on the mounted dentures owing to increased functional activity of the masticatory muscles. As a result, within 3 to 6 months' period of adaptation to intraosseous implant-supported nonfixed dentures, almost two-thirds of patients returned to the usual functionally dominant side of chewing.…”

Section: Discussionmentioning

confidence: 70%

“…[20][21][22][23] Chewing is one of the most important elements of the digestive function; it is characterized by complicated motor-sensory activity, which consists of rhythmic motor acts aimed at size reduction, food grinding, and moisturizing, which should lead to the formation of a bolus that can be swallowed. 24,25 The functional significance of occlusal disorders for the masticatory system has been extensively studied, primarily because of the idea that they may have an undesirable effect on the dentofacial system. 26 Various electrophysiological and video-fixing techniques have been proposed for the dynamic study of the chewing function.…”

Section: Introductionmentioning

confidence: 99%

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Change in the Dominant Side of Chewing as a Serious Factor for Adjusting the Prophylaxis Strategy for Implant-Supported Fixed Dental Prosthesis of Bounded Lateral Defects

et al. 2020

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Objective The main purpose of this article is to study the effect of a change in the dominant side of chewing after prosthetics with fixed structures on implants on the main indicators of osseointegration, adaptation to dentures, and the clinical dental status of patients. Materials and Methods In a clinical trial, an analysis was made of the adaptation of 64 patients to intraosseous implant-supported fixed dentures and 56 apparently healthy volunteers. The examination complex included determination of the functionally dominant side of chewing, gnathodynamometry and electromyography indicators of masticatory muscles, and radiological osseointegration criteria. The overall treatment outcomes were evaluated using a visual analogue scale and an objective medical questionnaire, “Prognosis of Adaptation to Orthopedic Structures.” Results Patients were divided into two subgroups: with a change in the dominant side of chewing after completion of orthopaedic treatment (40 cases) and without a change in the dominant side of chewing (24 cases). In the second subgroup of patients, in contrast to the first subgroup, relatively better indicators of gnathodynamometer and electromyography were observed. So, in the first group, gnathodynamometry indicators on the dominant side were 255.7 N and in the second group 225 N after 9 to 12 months. Electromyography indices amounted to (198.5 μV s) to (166.3 μV s) after 9 to 12 months. Bone density remained at the required level, and overall treatment outcomes were higher. Namely, the compact plate of the alveolar ridge was preserved, and the condition of the bone tissue around the implants testified to stable osseointegration. The participation of surface masticatory muscles in adaptation of patients to intraosseous implant-supported fixed orthopaedic structures and the necessity and importance of changing the dominant chewing side for the general outcomes of orthopaedic treatment have been discussed. Conclusions It has been established that a change in the functionally dominant chewing side is accompanied by relatively unstable indicators of chewing function, which is combined with increased loads on the installed prostheses during 3 to 6 months of adaptation. This must be taken into account when planning an individual patient adaptation complex for dental orthopaedic structures.

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Bilateral vestibulopathy patients’ perspectives on vestibular implant treatment: a qualitative study

et al. 2021

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Objectives The aim of this study was to explore expectations of patients with bilateral vestibulopathy regarding vestibular implant treatment. This could advance the definition of recommendations for future core outcome sets of vestibular implantation and help to determine on which characteristics of bilateral vestibulopathy future vestibular implant research should focus. Methods Semi-structured interviews were conducted with 50 patients diagnosed with bilateral vestibulopathy at Maastricht UMC + . Interviews followed a semi-structured interview guide and were recorded and transcribed. Transcripts were analyzed thematically by two independent researchers. A consensus meeting took place to produce a joint interpretation for greater dimensionality and to confirm key themes. Results Overall, patient expectations centralized around three key themes: (physical) symptom reduction, functions and activities, and quality of life. These themes appeared to be interrelated. Patient expectations focused on the activity walking (in a straight line), reducing the symptom oscillopsia and being able to live the life they had before bilateral vestibulopathy developed. In general, patients indicated to be satisfied with small improvements. Conclusion This study demonstrated that patient expectations regarding a vestibular implant focus on three key themes: symptom reduction, functions and activities, and quality of life. These themes closely match the functional improvements shown in recent vestibular implantation research. The results of this study provide a clear guideline from the patient perspective on which characteristics of bilateral vestibulopathy, future vestibular implant research should focus. Trial registration NL52768.068.15/METC

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An Analysis of Patient Perceptions and Expectations to Dental Implants: Is There a Significant Effect on Long-Term Satisfaction Levels?

Cited by 13 publications

References 20 publications

Patient Expectation and Satisfaction with Different Prosthetic Treatment Modalities

Patient Expectation and Satisfaction with Different Prosthetic Treatment Modalities

Change in the Dominant Side of Chewing as a Serious Factor for Adjusting the Prophylaxis Strategy for Implant-Supported Fixed Dental Prosthesis of Bounded Lateral Defects

Bilateral vestibulopathy patients’ perspectives on vestibular implant treatment: a qualitative study

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