The Correlation Between Patients' Satisfaction and the Quality of Porcelain Fused to Metal and All Ceramic...

Patient satisfaction with dental restorations is influenced by functional outcomes, aesthetics, comfort, and longevity. However, limited evidence compares the quality of PFM and all-ceramic restorations with patient satisfaction. This study examines the correlation between patients' satisfaction and the quality of PFM and all-ceramic restorations.

A clinical examination was conducted on 100 patients using the modified USPHS evaluation criteria. Patients completed a questionnaire assessing sociodemographic factors, oral health habits, restoration characteristics, and overall satisfaction. Chi-square and Pearson correlation tests were used to analyze the data (P < 0.05).

Of the 100 patients, 62 had PFM restorations and 38 had zirconia/all-ceramic restorations. Satisfaction was reported by 84% of patients. Zirconia/all-ceramic restorations had significantly higher satisfaction (P = 0.02). Satisfaction correlated with anatomical form (P = 0.0001), marginal integrity (P = 0.0004), postoperative sensitivity (P = 0.0001), secondary caries (P = 0.03), and bleeding on probing (P = 0.0001). Bad odor was associated with poor marginal adaptation (P = 0.00), loss of restoration integrity (P = 0.017), and bleeding (P = 0.001).

Zirconia/all-ceramic restorations led to higher satisfaction compared to PFM restorations made off base metal alloys. Factors like marginal fit, anatomical form, and oral hygiene significantly impacted satisfaction.

Clinicians should focus on providing high-quality restorations to improve patient satisfaction.