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Factors associated with long-term patient satisfaction.
Nair Galvão Maia1, David Normando, Francisco Ajalmar Maia
1Department of Pedodontics, Federal University of Rio Grande do Norte, Natal, Brazil.
The Angle Orthodontist
|August 4, 2010
Summary
Long-term patient satisfaction after orthodontic treatment is linked to treatment stability, not initial or final results. Maintaining a stable outcome is key for patient happiness years after braces.
Area of Science:
- Orthodontics
- Dental Research
- Patient Outcomes
Background:
- Patient satisfaction is a crucial measure of orthodontic treatment success.
- Understanding long-term satisfaction factors is essential for improving patient care and treatment planning.
Purpose of the Study:
- To identify factors influencing patient satisfaction at least five years post-orthodontic treatment.
- To assess the correlation between long-term satisfaction and treatment outcomes, stability, and patient demographics.
Main Methods:
- A cohort of 209 orthodontic patients was evaluated.
- Dental casts were assessed using the Peer Assessment Rating (PAR) Index at pretreatment, post-treatment, and long-term follow-up (mean 8.5 years).
- Patient satisfaction and daily living impacts were measured using a questionnaire at long-term follow-up; multiple regression analysis was employed.
Main Results:
- Orthodontic treatment significantly improved the PAR Index by 94.2% but this initial improvement did not correlate with long-term satisfaction.
- Patient satisfaction was significantly associated only with the long-term posttreatment PAR Index (treatment stability).
- No significant associations were found with initial malocclusion severity, final treatment results, age, treatment duration, gender, or extraction history.
Conclusions:
- Long-term patient satisfaction following orthodontic treatment is primarily associated with treatment stability.
- The initial severity of malocclusion and the final aesthetic or functional result do not significantly predict long-term patient satisfaction.
- Focusing on achieving and maintaining occlusal stability is important for ensuring lasting patient satisfaction.
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