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Clinical evaluation and patient-reported satisfaction with post-retained restorations
Zakereyya S M Albashaireh1, Khawlah Z Albashaireh1, Nawaf A E Al Aamer1
1Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Purpose:
To clinically evaluate the performance of post-retained restorations, assess patient satisfaction, identify common complaints, and examine variables influencing these outcomes.
Methods:
Using modified Ryge criteria, clinicians assessed post-retained restorations performance in 4435 patients. Patient satisfaction was measured using a visual analogue scale (VAS) after recording their complaints. Clinical and subjective assessments of color, shade and texture were categorized as good, satisfactory, or poor, with overall outcomes rated as satisfactory or unsatisfactory. The Chi square test examined variable effects on evaluations with significant level set at p ≤ 0.05.
Results:
The prevalence of patients with at least one post-retained restoration was 4.2 %. with 72.7 % placed on maxillary teeth. Common features associated with the examined restorations included gingival bleeding on probing (86.14 %), faulty restorations margins (51.7 %), food impaction (20.6 %), and caries (4.6 %). Significant positive effects were observed for females, dental teaching clinics (DTC), undergraduate students, and subgingival restoration margins. Clinically, restorations in the 18-28 age group and those with less than one year of longevity were deemed superior, while those exceeding 5 years were significantly satisfactory for patients. Overall, 85.4 % of restorations were considered satisfactory by patients, while clinicians deemed 74.5 % satisfactory. Clinical evaluations and patient assessments coincided in 55.4 % of cases.
Conclusions:
The prevalence of post-retained restorations was 4.2 %. Dominant clinical features included gingival bleeding, defective restoration margins, and food impaction. Females, DTC, undergraduate students, significantly influenced assessments. Clinically, more recent restorations performed better while older restorations were more satisfactory for patients.
Clinical Significance:
Understanding the factors influencing post-retained restorations can enhance clinical decision-making. Optimizing restoration margins, minimizing food impaction, and enhancing esthetic integration can increase patient satisfaction and improve longevity. This study highlights the importance of prioritizing patient-important outcomes and aligning clinical assessments with patient perspectives to support patient-centered restorative care.
