Tim Hacker1, Guido Heydecke2, Daniel R Reissmann3. 1. Department of Periodontology, University Medical Center Münster, Waldeyerstraße 30, 48149 Münster, Germany. 2. Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. 3. Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. Electronic address: d.reissmann@uke.de.
Abstract
OBJECTIVES: To assess patient-perceived process-related quality of care in patients undergoing different prosthodontic treatments, and to investigate whether perceived burdens are related to specific procedures during prosthodontic treatments, i.e., to specific treatment components. METHODS: In this non-randomised prospective intervention study, 104 dental patients (mean age: 52.2±13.9 years, 50% female) were included. Burdens during treatments with fixed dental prostheses (FDP, n=90), removable dental prostheses (RDP, n=10), and complete dentures (CD; n=4) were assessed with the Burdens in Prosthetic Dentistry Questionnaire (BiPD-Q). The BiPD-Q total score was calculated as mean of all 25 items, and subscale scores were derived from items corresponding to six specific treatment components (anesthesia, preparation, impression, provisional care/try-in, fixation, global perception), with values ranging from 0 (best) to 100 (worst). Subscale scores were compared by using repeated-measures ANOVA, paired t-tests, and effect sizes, to identify treatment components with highest burdens. RESULTS: Mean BiPD-Q total score was 22.1, ranging from 8.6 for patients with CD to 24.0 for FDP patients. Perceived burdens differed significantly between treatment components, with highest burdens for anesthesia (score: 34.0), followed by preparation (score: 26.8) and impression (score: 24.7). When subscale score for anesthesia was compared to scores for other treatment components, effect sizes were medium to large. CONCLUSION: While prosthodontic treatment is overall perceived as only moderately burdening, specific treatment components differ significantly in perceived burdens. CLINICAL SIGNIFICANCE: Anesthesia, preparation, and impression are treatment components with most unpleasant perceptions, offering the highest potential for improvements for patient-perceived process-related quality of care in prosthetic dentistry.
OBJECTIVES: To assess patient-perceived process-related quality of care in patients undergoing different prosthodontic treatments, and to investigate whether perceived burdens are related to specific procedures during prosthodontic treatments, i.e., to specific treatment components. METHODS: In this non-randomised prospective intervention study, 104 dental patients (mean age: 52.2±13.9 years, 50% female) were included. Burdens during treatments with fixed dental prostheses (FDP, n=90), removable dental prostheses (RDP, n=10), and complete dentures (CD; n=4) were assessed with the Burdens in Prosthetic Dentistry Questionnaire (BiPD-Q). The BiPD-Q total score was calculated as mean of all 25 items, and subscale scores were derived from items corresponding to six specific treatment components (anesthesia, preparation, impression, provisional care/try-in, fixation, global perception), with values ranging from 0 (best) to 100 (worst). Subscale scores were compared by using repeated-measures ANOVA, paired t-tests, and effect sizes, to identify treatment components with highest burdens. RESULTS: Mean BiPD-Q total score was 22.1, ranging from 8.6 for patients with CD to 24.0 for FDP patients. Perceived burdens differed significantly between treatment components, with highest burdens for anesthesia (score: 34.0), followed by preparation (score: 26.8) and impression (score: 24.7). When subscale score for anesthesia was compared to scores for other treatment components, effect sizes were medium to large. CONCLUSION: While prosthodontic treatment is overall perceived as only moderately burdening, specific treatment components differ significantly in perceived burdens. CLINICAL SIGNIFICANCE: Anesthesia, preparation, and impression are treatment components with most unpleasant perceptions, offering the highest potential for improvements for patient-perceived process-related quality of care in prosthetic dentistry.
Authors: Matthew J Byrne; Martin Tickle; Anne-Marie Glenny; Stephen Campbell; Tom Goodwin; Lucy O'Malley Journal: Int Dent J Date: 2018-11-15 Impact factor: 2.607
Authors: Gunpreet Oberoi; Sophie Nitsch; Michael Edelmayer; Klara Janjić; Anna Sonja Müller; Hermann Agis Journal: Front Bioeng Biotechnol Date: 2018-11-22