TODENTJ-25-03-2019_TODENTJ-13-67 1553507727 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 02 28 2019 13 1 Ioannis Lyros Pavi Elpida Apostolos I. Tsolakis Makou Margarita Kyriopoulos John Objective: To evaluate patients’ satisfaction with their orthodontic care at the Department of Orthodontics of University of Athens. Materials and Methods: The study sample comprised of 100 individuals whose orthodontic treatment had been completed during the period May to October 2010. A questionnaire was designed and piloted before the telephone interviews were carried out. Questions concerned socio-demographic characteristics, reason for seeking care at the Dental School, level of satisfaction with treatment outcome, fees paid for treatment, and various aspects of organisation of care provision, assessed on 1-very dissatisfied to 5-very satisfied Likert type items. Results: Satisfaction score was particularly high as far as treatment outcome (53% were “very satisfied” and 31% were “satisfied”), dentist’s response to an emergency (81% were “very satisfied”), and personnel’s behavior at initial examination (81% were “very satisfied”) were concerned. Factors appearing to require improvement were the waiting time from initial examination to the beginning of treatment, the waiting room and the duration of treatment. Overall satisfaction was found to be significantly associated with total duration of treatment, fees paid by patients, treatment outcome, the behaviour of personnel who conducted first clinical examination, and dentist’s response to an emergency. Overall satisfaction was confirmed as the vast majority of patients (97%) would recommend the Orthodontic Clinic. Conclusion: While the Orthodontics Clinic enjoys overall highly satisfied patients, there is scope for improvement of organizational aspects of care provision like the waiting time between the initial examination and the beginning of treatment, the waiting room and the duration of treatment. 02 28 2019 67 75 TODENTJ-13-67 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2018-12-23 2019-01-22 2019-02-09 2019-02-28 https://creativecommons.org/licenses/by/4.0/legalcode 10.2174/1874210601913010067 1553507727 https://opendentistryjournal.com/VOLUME/13/PAGE/67/ https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.pdf https://opendentistryjournal.com/contents/volumes/V13/TODENTJ-13-67/TODENTJ-13-67.xml Health Care Manage. Rev. Ford R.C. 22 74 1997 10.1097/00004010-199704000-00009 Ford RC, Bach SA, Fottler MD. Methods of measuring patient satisfaction in health care organizations. Health Care Manage Rev 1997; 22 (2) : 74-89. Arch Hellenic Med Tountas Y. 20 497 2003 Tountas Y, Lopatatzidis A, Houliara L. Degree of satisfaction among IKA beneficiaries concerning primary health care services offered. Arch Hellenic Med 2003; 20 (5) : 497-503. Br. Dent. J. Newsome P.R.H. 186 161 1999 Newsome PRH, Wright GH. A review of patient satisfaction: 1. Concepts of satisfaction. Br Dent J 1999; 186 (4 Spec No) : 161-5. Community Dent. Oral Epidemiol. Ntabaye M.K. 26 289 1998 10.1111/j.1600-0528.1998.tb01963.x Ntabaye MK, Scheutz F, Poulsen S. Patient satisfaction with emergency oral health care in rural Tanzania. Community Dent Oral Epidemiol 1998; 26 (5) : 289-95. Community Dent. Oral Epidemiol. Goedhart H. 24 28 1996 10.1111/j.1600-0528.1996.tb00808.x Goedhart H, Eijkman MAJ, ter Horst G. Quality of dental care: The view of regular attenders. Community Dent Oral Epidemiol 1996; 24 (1) : 28-31. J. Clin. Pediatr. Dent. Asl A.N. 41 399 2017 10.17796/1053-4628-41.6.1 Asl AN, Shokravi M, Jamali Z, Shirazi S. Barriers and drawbacks of the assessment of dental fear, dental anxiety and dental phobia in children: A critical literature review. J Clin Pediatr Dent 2017; 41 (6) : 399-423. Eur. J. Paediatr. Dent. Cianetti S. 18 121 2017 Cianetti S, Lombardo G, Lupatelli E, et al. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent 2017; 18 (2) : 121-30. Eur. J. Paediatr. Dent. Alyasi M. 19 271 2018 10.23804/ejpd.2018.19.04.4 Alyasi M, Al Halabi M, Hussein I, Khamis AH, Kowash M. Dentists’ knowledge of the guidelines of traumatic dental injuries in the United Arab Emirates. Eur J Paediatr Dent 2018; 19 (4) : 271-6. Community Dent. Oral Epidemiol. Gürdal P. 28 461 2000 10.1034/j.1600-0528.2000.028006461.x Gürdal P, Cankaya H, Onem E, Dinçer S, Yílmaz T. Factors of patient satisfaction/dissatisfaction in a dental faculty outpatient clinic in Turkey. Community Dent Oral Epidemiol 2000; 28 (6) : 461-9. Br. Dent. J. Freeman R. 187 141 1999 Freeman R. Barriers to accessing dental care: Patient factors. Br Dent J 1999; 187 (3) : 141-4. J. Am. Dent. Assoc. Collett H.A. 79 879 1969 10.14219/jada.archive.1969.0258 Collett HA. Influence of dentist-patient relationship on attitudes and adjustment to dental treatment. J Am Dent Assoc 1969; 79 (4) : 879-84. Br. Dent. J. Freeman R. 187 81 1999 Freeman R. Barriers to accessing and accepting dental care. Br Dent J 1999; 187 (2) : 81-4. Community Dent. Oral Epidemiol. Lahti S. 20 229 1992 10.1111/j.1600-0528.1992.tb01722.x Lahti S, Tuutti H, Hausen H, Kääriäinen R. Dentist and patient opinions about the ideal dentist and patient:Developing a compact questionnaire. Community Dent Oral Epidemiol 1992; 20 (4) : 229-34. Angle Orthod. Al-Omiri M.K. 76 422 2006 Al-Omiri MK, Abu Alhaija ES. Factors affecting patient satisfaction after orthodontic treatment. Angle Orthod 2006; 76 (3) : 422-31. Eur. J. Orthod. Shaw W.C. 3 151 1981 10.1093/ejo/3.3.151 Shaw WC. Factors influencing the desire for orthodontic treatment. Eur J Orthod 1981; 3 (3) : 151-62. Angle Orthod. Sheats R.D. 68 107 1998 Sheats RD, McGorray SP, Keeling SD, Wheeler TT, King GJ. Occlusal traits and perception of orthodontic need in eighth grade students. Angle Orthod 1998; 68 (2) : 107-14. Br. J. Orthod. Gosney M.B.E. 13 87 1986 10.1179/bjo.13.2.87 Gosney MBE. An investigation into some of the factors influencing the desire for orthodontic treatment. Br J Orthod 1986; 13 (2) : 87-94. Eur. J. Oral Sci. Bergius M. 110 92 2002 10.1034/j.1600-0722.2002.11193.x Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci 2002; 110 (2) : 92-8. Am. J. Orthod. Dentofacial Orthop. Wheeler T.T. 106 22 1994 10.1016/S0889-5406(94)70017-6 Wheeler TT, McGorray SP, Yurkiewicz L, Keeling SD, King GJ. Orthodontic treatment demand and need in third and fourth grade schoolchildren. Am J Orthod Dentofacial Orthop 1994; 106 (1) : 22-33. J. Oral Sci. Uslu O. 49 31 2007 10.2334/josnusd.49.31 Uslu O, Akcam MO. Evaluation of long-term satisfaction with orthodontic treatment for skeletal class III individuals. J Oral Sci 2007; 49 (1) : 31-9. Angle Orthod. Anderson L.E. 79 821 2009 10.2319/120708-613.1 Anderson LE, Arruda A, Inglehart MR. Adolescent patients’ treatment motivation and satisfaction with orthodontic treatment. Do possible selves matter? Angle Orthod 2009; 79 (5) : 821-7. Dental Press J. Orthod. Oliveira P.G. 18 81 2013 10.1590/S2176-94512013000200018 Oliveira PG, Tavares RR, Freitas JC. Assessment of motivation, expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod 2013; 18 (2) : 81-7. Eur. J. Orthod. Birkeland K. 22 509 2000 10.1093/ejo/22.5.509 Birkeland K, Bøe OE, Wisth PJ. Relationship between occlusion and satisfaction with dental appearance in orthodontically treated and untreated groups. A longitudinal study. Eur J Orthod 2000; 22 (5) : 509-18. Am. J. Orthod. Dentofacial Orthop. Espeland L.V. 100 234 1991 10.1016/0889-5406(91)70060-A Espeland LV, Stenvik A. Perception of personal dental appearance in young adults: relationship between occlusion, awareness, and satisfaction. Am J Orthod Dentofacial Orthop 1991; 100 (3) : 234-41. J. Public Health Dent. Bennett M.E. 61 155 2001 10.1111/j.1752-7325.2001.tb03383.x Bennett ME, Tulloch JF, Vig KW, Phillips CL. Measuring orthodontic treatment satisfaction: Questionnaire development and preliminary validation. J Public Health Dent 2001; 61 (3) : 155-60. Angle Orthod. Keles F. 83 507 2013 10.2319/092112-754.1 Keles F, Bos A. Satisfaction with orthodontic treatment. Angle Orthod 2013; 83 (3) : 507-11. Angle Orthod. Bos A. 75 526 2005 Bos A, Vosselman N, Hoogstraten J, Prahl-Andersen B. Patient compliance: A determinant of patient satisfaction? Angle Orthod 2005; 75 (4) : 526-31. Angle Orthod. Feldmann I. 84 581 2014 10.2319/093013-710.1 Feldmann I. Satisfaction with orthodontic treatment outcome. Angle Orthod 2014; 84 (4) : 581-7. Eur. J. Orthod. Bergström K. 20 319 1998 10.1093/ejo/20.3.319 Bergström K, Halling A, Wilde B. Orthodontic care from the patients’ perspective: Perceptions of 27-year-olds. Eur J Orthod 1998; 20 (3) : 319-29. Am. J. Orthod. Dentofacial Orthop. Fernandes L.M. 115 227 1999 10.1016/S0889-5406(99)70322-7 Fernandes LM, Espeland L, Stenvik A. Patient-centered evaluation of orthodontic care: A longitudinal cohort study of children’s and parents’ attitudes. Am J Orthod Dentofacial Orthop 1999; 115 (3) : 227-32. Pediatr. Dent. Mascarenhas A.K. 27 451 2005 Mascarenhas AK, Vig K, Joo BH. Parents’ satisfaction with their child’s orthodontic care: A comparison of orthodontists and pediatric dentists. Pediatr Dent 2005; 27 (6) : 451-6. Aust. Orthod. J. Barker M.J. 21 87 2005 Barker MJ, Thomson WM, Poulton R. Personality traits in adolescence and satisfaction with orthodontic treatment in young adulthood. Aust Orthod J 2005; 21 (2) : 87-93. Angle Orthod. Mollov N.D. 80 468 2010 10.2319/102109-594.1 Mollov ND, Lindauer SJ, Best AM, Shroff B, Tufekci E. Patient attitudes toward retention and perceptions of treatment success. Angle Orthod 2010; 80 (4) : 468-73. J. Orofac. Orthop. Riedmann T. 60 308 1999 10.1007/BF01301244 Riedmann T, Georg T, Berg R. Adult patients’ view of orthodontic treatment outcome compared to professional assessments. J Orofac Orthop 1999; 60 (5) : 308-20. Angle Orthod. Maia N.G. 80 1155 2010 10.2319/120909-708.1 Maia NG, Normando D, Maia FA, Ferreira MA, do Socorro Costa Feitosa Alves M. Factors associated with long-term patient satisfaction. Angle Orthod 2010; 80 (6) : 1155-8. Eur. J. Orthod. Bos A. 27 148 2005 10.1093/ejo/cjh071 Bos A, Hoogstraten J, Prahl-Andersen B. Attitudes towards ortho-dontic treatment: A comparison of treated and untreated subjects. Eur J Orthod 2005; 27 (2) : 148-54. Am. J. Orthod. Dentofacial Orthop. Pachêco-Pereira C. 148 652 2015 10.1016/j.ajodo.2015.04.039 Pachêco-Pereira C, Pereira JR, Dick BD, Perez A, Flores-Mir C. Factors associated with patient and parent satisfaction after orthodontic treatment: A systematic review. Am J Orthod Dentofacial Orthop 2015; 148 (4) : 652-9. Angle Orthod. Pachêco-Pereira C. 86 495 2016 10.2319/040615-227.1 Pachêco-Pereira C, Abreu LG, Dick BD, De Luca Canto G, Paiva SM, Flores-Mir C. Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review. Angle Orthod 2016; 86 (3) : 495-508. Eur. J. Paediatr. Dent. Cianetti S. 18 15 2017 Cianetti S, Lombardo G, Lupatelli E, et al. Dental caries, parents educational level, family income and dental service attendance among children in Italy. Eur J Paediatr Dent 2017; 18 (1) : 15-8. Clin. Oral Investig. Liao Y.F. 2018 10.1007/s00784-018-2603-y Liao YF, Chen YF, Yao CF, Chen YA, Chen YR. Long-term outcomes of bimaxillary surgery for treatment of asymmetric skeletal class III deformity using surgery-first approach. Clin Oral Investig 2018. Epub ahead of print Gesundheitswesen Klingenberg A. 70 525 2008 10.1055/s-2008-1077061 Klingenberg A, Walther W, Dörfer CE, Szecsenyi J. Patient eval-uation of dental care. Results of a written patient survey in dental practices. Gesundheitswesen 2008; 70 (8-9) : 525-31. Soc. Sci. Med. Cohen G. 42 1085 1996 10.1016/0277-9536(95)00315-0 Cohen G. Age and health status in a patient satisfaction survey. Soc Sci Med 1996; 42 (7) : 1085-93. Br. Dent. J. Newsome P.R.H. 186 166 1999 Newsome PRH, Wright GH. Patient Management: A review of patient satisfaction: Dental patient satisfaction: An appraisal of recent literature. Br Dent J 1999; 186 : 166-70. J. Am. Dent. Assoc. Rankin J.A. 110 323 1985 10.14219/jada.archive.1985.0349 Rankin JA, Harris MB. Patients’ preferences for dentists’ behaviors. J Am Dent Assoc 1985; 110 (3) : 323-7. Community Dent. Oral Epidemiol. Lahti S. 24 240 1996 10.1111/j.1600-0528.1996.tb00852.x Lahti S, Tuutti H, Hausen H, Käärlänen R. Patients’ expectations of an ideal dentist and their views concerning the dentist they visited: do the views conform to the expectations and what determines how well they conform? Community Dent Oral Epidemiol 1996; 24 (4) : 240-4. Community Dent. Oral Epidemiol. Tuominen R. 26 95 1998 10.1111/j.1600-0528.1998.tb01934.x Tuominen R, Tuominen M. Satisfaction with dental care among elderly Finnish men. Community Dent Oral Epidemiol 1998; 26 (2) : 95-100. Gerodontics Tuominen R. 3 215 1987 Tuominen R, Paunio I. Utilization of oral health services among older adults in Finland: An epidemiologic and econometric analysis. Gerodontics 1987; 3 (5) : 215-8. Acta Odontol. Scand. Berg E. 43 199 1985 10.3109/00016358509046499 Berg E, Johnsen TB, Ingebretsen R. Social variables and patient acceptance of complete dentures. A study of patients attending a dental school. Acta Odontol Scand 1985; 43 (4) : 199-203. Health Mark. Q. Andrus D. 3 57 1985 10.1300/J026v03n01_08 Andrus D, Buchheister J. Major factors affecting dental consumer satisfaction. Health Mark Q 1985; 3 (1) : 57-68. HERD Pati D. 4 124 2011 10.1177/193758671100400310 Pati D, Nanda U. Influence of positive distractions on children in two clinic waiting areas. HERD 2011; 4 (3) : 124-40. J. Surg. Educ. Gibler J. 68 360 2011 10.1016/j.jsurg.2011.03.008 Gibler J, Nyswonger G, Engel AM, Grannan K, Welling R. Improving satisfaction ratings of surgical patients from referral to follow-up in the faculty medical center clinic. J Surg Educ 2011; 68 (5) : 360-4. Swed. Dent. J. Ståhlnacke K. 31 137 2007 Ståhlnacke K, Söderfeldt B, Unell L, Halling A, Axtelius B. Patient satisfaction with dental care in one Swedish age cohort. Part II--What affects satisfaction. Swed Dent J 2007; 31 (3) : 137-46. Acta Odontol. Scand. Tuominen R. 70 21 2012 10.3109/00016357.2011.575079 Tuominen R, Eriksson AL. Patient experiences during waiting time for dental treatment. Acta Odontol Scand 2012; 70 (1) : 21-6. J. Am. Dent. Assoc. Corah N.L. 111 443 1985 10.14219/jada.archive.1985.0144 Corah NL, O’Shea RM, Bissell GD. The dentist-patient relationship: perceptions by patients of dentist behavior in relation to satisfaction and anxiety. J Am Dent Assoc 1985; 111 (3) : 443-6. J. Am. Dent. Assoc. Gale E.N. 109 444 1984 10.14219/jada.archive.1984.0413 Gale EN, Carlsson SG, Eriksson A, Jontell M. Effects of dentists’ behavior on patients’ attitudes. J Am Dent Assoc 1984; 109 (3) : 444-6. Rev. Med. Chil. Moore P. 139 880 2011 10.4067/S0034-98872011000700008 Moore P, Vargas A, Núñez S, Macchiavello S. A study of hospital complaints and the role of the doctor-patient communication. Rev Med Chil 2011; 139 (7) : 880-5. Community Dent. Health Schouten B.C. 20 11 2003 Schouten BC, Eijkman MA, Hoogstraten J. Dentists’ and patients’ communicative behaviour and their satisfaction with the dental encounter. Community Dent Health 2003; 20 (1) : 11-5. Am. J. Orthod. Dentofacial Orthop. Sinha P.K. 110 370 1996 10.1016/S0889-5406(96)70037-9 Sinha PK, Nanda RS, McNeil DW. Perceived orthodontist behaviors that predict patient satisfaction, orthodontist-patient relationship, and patient adherence in orthodontic treatment. Am J Orthod Dentofacial Orthop 1996; 110 (4) : 370-7. Ned. Tijdschr. Tandheelkd. Veldhuis B. 110 387 2003 Veldhuis B, Schouten BC. The relationship between communication styles of dentists and the satisfaction of their patients. Ned Tijdschr Tandheelkd 2003; 110 (10) : 387-90. Community Dent. Oral Epidemiol. Abrams R.A. 14 317 1986 10.1111/j.1600-0528.1986.tb01081.x Abrams RA, Ayers CS, Vogt Petterson M. Quality assessment of dental restorations: a comparison by dentists and patients. Community Dent Oral Epidemiol 1986; 14 (6) : 317-9. Angle Orthod. Bondemark L. 77 181 2007 10.2319/011006-16R.1 Bondemark L, Holm AK, Hansen K, et al. Long-term stability of orthodontic treatment and patient satisfaction. A systematic review. Angle Orthod 2007; 77 (1) : 181-91. Gen. Dent. Kress G.C. 35 454 1987 Kress GC Jr, Silversin JB. The role of dental practice characteristics in patient satisfaction. Gen Dent 1987; 35 (6) : 454-7. Health Mark. Q. Barnes N.G. 3 49 1985 10.1300/J026v03n01_07 Barnes NG. Open wide: an examination of how patients select and evaluate their dentist. Health Mark Q 1985; 3 (1) : 49-56.