Dr. Diksha Somkuwar1, Dr. Preetam Mahagaonkar2, Akanksha S. Dandwate3, Dr. Yogeshwari R. Abdare4, Dr. Pratik Nayade5, Dr. Parag Mahajan5
Senior Lecturer,
Reader,
Department of Prosthodontics, Crown & Bridge.
Intern,
Intern,
IV BDS,
SMBT Dental college and hospital
Keyword :
Introduction: Conventional complete denture therapy is the most extensively used form of treatment
for replacement of missing dentition. Patient satisfaction plays a major role in determining the success
during treatment procedures
Materials and methodology: 40 patients who received complete denture prosthesis selected randomly
from the outpatient section of department of prosthodontics, SMBT Dental college and hospital.
Results: Comfort of wearing gives the overall satisfaction to the wearer.
Conclusion: This study was done to evaluate the relationship between patient satisfaction and the newly constructed denture prostheses, as it would indicate the degree of success of the treatment given.
Keywords :
Patient Satisfaction, Denture Satisfaction, Psychological Factors
CITATIONS :
Somkuwar D, M Preetam, Dandwate A, Abdare Y, Nayad P, and Mahajan P : A Survey to assess patient satisfaction after receiving complete denture prosthesis in S.M.B.T dental college and hospital. J Prosthodont Dent. Mater. 2022:3(2):53-60
INTRODUCTION :
Edentulism occurs in about one-tenth to one-fifth of the general population in about half of the population over age 65. Loss of natural teeth has a significant impact on appearance and function. According to the World Health Organization (WHO) Global Oral Data Bank, the prevalence of edentulism older than 65 years was shown as 58% in Canada, 41% in Finland and 46% in the United Kingdom2. Dental prosthetics are an important part of dentistry because patients lose their teeth for different reasons and want to replace them by prostheses2. Conventional complete denture prostheses have been widely used for the replacement of missing dentition1. Quality of a denture depends upon a number of factors such as retention, stability, fit, vertical dimension, occlusion, esthetics, accumulation of food under denture, speech, difficulty in chewing, etc2. Advancements in complete denture fabrication and techniques have been improved over the years, however little attention has been paid towards the psychological impact of the patient after receiving the prostheses1. The psychologic status of a patient also appears to have great bearing on his or her ability to manage removable prostheses8. Studies in edentulous subjects strongly support the concept that patient based measures are more sensitive than functional measures for detecting differences between treatments5. Several other factors like mastication and speech also contribute to the ultimate success of the treatment1. This survey was done to investigate if clinical quality of new complete dentures predicts patient satisfaction, to investigate possible relationships between patient and clinical factors and patient satisfaction with new complete dentures.
Material and Methods:
40 Patients1 who received complete denture prostheses were randomly selected from the outpatient section of the Department of Prosthodontics and Crown and Bridge Implantology, SMBT dental college and hospital, Sangamner-Maharashtra. Patients were recalled after two weeks of receiving the prosthesis.
Exclusion criteria
Patients with implant supported complete denture prostheses, Patients with complete denture prostheses made elsewhere.
Methodology
The selected patients were made to sit on the dental chair comfortably. After obtaining their written consent to participate in the study, a questionnaire was filled in consultation with the patient. The details regarding the newly constructed prostheses was recorded as it was reported by the patient. The patient was encouraged to give frank opinion about his/her new denture and was assured that the identity would be kept confidential. The questions were asked in his/her own mother tongue. Once the questionnaire was completed for 40 patients[4], they were grouped for different parameters like i) Retention, ii) aesthetics, iii) speech, iv) mastication, v) Cleaning of the denture, and vi) overall satisfaction for maxillary and mandibular dentures
Questionnaire
NAME OF THE PATIENT-
AGE-
SEX-
The starting point for the questionnaire was a list of six clinical features related to the success of
complete dentures derived from standard prosthodontic textbooks (Smith and McCord, 2004). These
features were related to tasting, ease of chewing, ease of cleaning, comfort, the effects of dentures on
speech and general satisfaction of the patient; they were taken to represent the normative view of what
dentists thought edentulous patients were likely to expect from their dentures (Smith and McCord,
2004)4
The list of the questions had an analog scale with straight lines (10 cm in length), a random
question sequence and a reversed polarity of questions, the so-called visual analog scale (VAS). Filling
out the items was performed during recall consultation.The first 10 questions of the questionnaire were answered on a 7-point scale, while the 11th one was evaluated on a scale of 1–104. Mann Whitney test
and Independent t test were used for the statistical evaluation of the answers to the questionnaire
Results:
Table 1. How comfortably can you chew with your dentures?
Comparison of chewing using denture among males and females showed that significantly better chewing was reported by females as compared to males (p=0.048). None of the female subjects reported very uncomfortable or comfortable chewing using dentures.
Table 2. How is your attitude towards cleaning your dentures?
There was no difference in the attitude reported towards denture cleaning among male and female subjects.
Table 3. How comfortably can you speak with your dentures?
Discussion:
In the current study a questionnaire identifying the patient’s perception about the importance
of various features of complete dentures was developed. Various studies have used questionnaires
mostly non-standardized, custom-made evaluating satisfaction with conventional dentures (Celebric et
al., 2003; Strassburger et al., 2004; Veyroon et al., 2005; Anastassiadou and Heath, 2006). Baat et al.
(1997) claimed that the overall denture satisfaction depends on only one question, is questionable. It is
unknown, if dissatisfaction was caused by the mandibular or by the maxillary denture. However, other investigations suggested that the overall satisfaction seems to be a reflection of satisfaction with the mandibular denture (Berg, 1984, 1988)4. Patient satisfaction has been the ultimate goal in any dental treatment. In a patient receiving a complete denture prosthesis, many factors have a combined role in achieving his/her satisfaction. For an operating dentist efficient mastication, good aesthetics, comfortable speech and wearing comfort for the patient have been the ultimate concern. To meet both ends of patient dentist relationship and treatment outcome could be achieved by a psychological assessment as related to satisfaction1.
The present survey was conducted in the department at SMBT Dental college and hospital with
40 patients who had received complete denture prostheses recently. Denture satisfaction was assessed
based on retention, aesthetics (color of teeth, denture and appearance), speech, mastication, smoothness
and overall satisfaction.
According to Q.5, Comparison of chewing using denture among males and females showed
that significantly better chewing was reported by females as compared to males (p=0.048). None of the
female subjects reported very uncomfortable or comfortable chewing using dentures. (Table 1)
According to Q. 10, there was no difference in the attitude reported towards denture cleaning among
male and female subjects. (Table 2) According to Q. 13, there was no difference in the comfort in
speaking as reported by male and female subjects after using dentures. (Table 3) According to Q. 14,
Minimum and maximum satisfaction score reported were 1 and 10 with an average overall satisfaction
score being 7.33 ± 2.67. (Table 4) There were no statistically significant differences between the gender
subgroups in any factor of patient satisfaction.(Table 5)
According to Vinaya Bhat et al, assessment of patient satisfaction should be a routine part of
any practice after the treatment is complete1. According to Marinus et al , the patients’ attitude toward
dentures, measured by means of the presented questionnaire before new dentures are received, is a
prospective tool to predict patient dissatisfaction with new dentures11.
According to Marinus et al , Only 33 % of the variance in satisfaction could be explained by
means of the used variables. Thus, satisfaction with dentures must be individually determined and is
often unpredictable for both the dentist and patient10. Ellis JS et al , Patients’ reported satisfaction with
their dentures and the impact dentures had on their quality of life might not be useful measures for
determining the most appropriate technique for providing new dentures5.
Therefore, we draw the conclusion that no statistically significant differences were seen in our
40 patients, due to gender. Also, no statistically significant differences were seen the attitude reported
towards denture cleaning among male and female subjects. Significantly better chewing was reported
by females as compared to males. As a result, the Minimum and maximum satisfaction score reported
were 1 and 10 with an average overall patient satisfaction.
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