Abstract
Objective: Patient satisfaction is critical to ensure patient adherence during orthodontic treatment. This study aimed to evaluate patient satisfaction with orthodontic care and related services provided for Iraqi sample at the College of Dentistry, University of Baghdad.
Materials and Methods: A questionnaire-based prospective study was conducted to assess patient satisfaction by using a three-point response rating. The questionnaire contained seven sections divided into 21 questions that covered overall patient relationship with the orthodontic staff, proposed treatment explanation, and orthodontic treatment quality. The questionnaire standard was set so that at least 90% “always” response should be shown by all the patients within the same item. The participants were recruited at different time points of the orthodontic treatment course. The data were allocated into two main groups according to patients’ age as adolescents (under 18 years old) and adults (18 years or older).
Results: The validated questionnaire successfully assessed patient satisfaction, showing different percentages of responses addressing various questions. The highest satisfaction “always” response percentages (up to 98.8%) were found in the orthodontist–patient relation section, whereas the highest dissatisfaction “never” responses (up to 16%) and “sometimes” answers (up to 59.3%) were observed in the patient waiting time section. Chi-square analysis showed non-significant differences (p>0.05) between age groups.
Conclusions: The first Arabic version of patient satisfaction questionnaire was successfully developed and validated. Overall satisfaction with the treatment process appeared to be significantly affected by orthodontist–patient relations, especially verbal communication. Waiting time and waiting room environment may adversely affect the satisfaction level.
References
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- 9. Misra S, Nazir M, Banks PA. Regional audit on patient satisfaction with orthodontic management during start, mid and end of treatment. BOS Clinical Effectiveness Bulletin 2012;28:37-39.
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- 13. Hassan WN, Yusof ZY, Makhbul MZ, Shahidan SS, Ali SF, Burhanudin R, Gere MJ. Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents. Health Qual Life Outcomes 2017;15:1-4.
- 14. Yassir YA, Kadhum AS, Saloom HF, Mcintyre GT, Bearn DR. Development of patient information leaflets for fixed, removable, and functional appliances for Arabic-speaking orthodontic patients. Saudi Dent J 2021;33:143-149.
- 15. 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;148:652-659.
- 16. Almasri AMH, Hajeer MY, Ajaj MA, Almusawi AOA, Jaber ST, Zakaria AS, Alam MK. Patient Satisfaction Following Orthodontic Treatment: A Systematic Review. Cureus 2024;25;16:e65339.
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- 18. Prinsen CA, Mokkink LB, Bouter LM, Alonso J, Patrick DL, De Vet HC., et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res 2018;27:1147-1157.
- 19. Oszlánszky J, Mensch K, Hermann P, Zrubka Z. Validation of the Hungarian version of the General Oral Health Assessment Index (GOHAI) in clinical and general populations. BMC Oral Health 2024;24:1-12.
- 20. Zadake SN, Kangane SK., Ambekar AS., Kondle M, & Kalekar R. Factors affecting satisfaction with the process of orthodontic treatment in young adults: A questionnaire study. J Indian Orthod Soc 2020:54:135-141.
- 21. Wong L, Ryan FS, Christensen LR, Cunningham SJ. Factors influencing satisfaction with the process of orthodontic treatment in adult patients. Am J Orthod Dentofacial Orthop 2018;153:362-370.
- 22. Dixon-Woods M, Baker R, Charles K, Dawson J, Jerzembek G, Martin G, McCarthy I, McKee L, Minion J, Ozieranski P, Willars J. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106-115.
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Abstract
References
- 1. Keles F, Bos A. Satisfaction with orthodontic treatment. Angle Orthod 2013;83:507-511.
- 2. Ibrahim MI, Muslim SJ. Patient Satisfaction and its Relationship to Dental anxiety among patients of Dental Clinics in Baghdad city. Journal of Educational and Psychological Researches 2018; 15: 563-585.
- 3. Taha TY. Qassim WJ. Evaluation of clients’ satisfaction towards primary health care centers services at Baghdad city INJNS. 2017;30:54-62.
- 4. Willson P, McNamara J. How perceptions of a simulated physician-patient interaction influence intended satisfaction and compliance Soc Sci Med 1982;16:1699-1704.
- 5. Wiig S, Storm M, Aase K, Gjestesen MT, Solheim M, Harthug S, Robert G, Fulop N. The QUASER team. Investigating the use of patient involvement and patient experience in quality improvement in Norway: Rhetoric or reality? BMC Health Serv Res 2013;13:206.
- 6. Njio BJ, Heege GJ, Prahl-Andersen B. Quality development in a dental practice environment. A web-based system for measuring patient satisfaction J Orofac Orthop. 2008;69:448–462.
- 7. Bos A, Hoogstraten J, Prahl-Andersen B. Expectations of treatment and satisfaction with dentofacial appearance in orthodontic patients Am J Orthod Dentofacial Orthop. 2003;123:127-132.
- 8. Al-Omiri MK, Abu Alhaija ES. Factors affecting patient satisfaction after orthodontic treatment. Angle Orthod 2006;76:422-431.
- 9. Misra S, Nazir M, Banks PA. Regional audit on patient satisfaction with orthodontic management during start, mid and end of treatment. BOS Clinical Effectiveness Bulletin 2012;28:37-39.
- 10. Oliveira PG, Tavares RR, Freitas JC. Assessment of motivation, expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod 2013;18:81-7.
- 11. Bennett ME, Tulloch JF, Vig KW, Phillips CL. Measuring orthodontic treatment satisfaction: questionnaire development and preliminary validation. J Public Health Dent 2001;61:155-60.
- 12. Bos A, Vosselman N, Hoogstraten J, Prahl-Andersen B. Patient compliance: a determinant of patient satisfaction?Angle Orthod 2005;75:526–531.
- 13. Hassan WN, Yusof ZY, Makhbul MZ, Shahidan SS, Ali SF, Burhanudin R, Gere MJ. Validation and reliability of the Malaysian English version of the psychosocial impact of dental aesthetics questionnaire for adolescents. Health Qual Life Outcomes 2017;15:1-4.
- 14. Yassir YA, Kadhum AS, Saloom HF, Mcintyre GT, Bearn DR. Development of patient information leaflets for fixed, removable, and functional appliances for Arabic-speaking orthodontic patients. Saudi Dent J 2021;33:143-149.
- 15. 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;148:652-659.
- 16. Almasri AMH, Hajeer MY, Ajaj MA, Almusawi AOA, Jaber ST, Zakaria AS, Alam MK. Patient Satisfaction Following Orthodontic Treatment: A Systematic Review. Cureus 2024;25;16:e65339.
- 17. The Royal College of Surgeons of England. Faculty of Dental Surgery. Methodologies for clinical audit in dentistry. 2000. Available at: https://www.rcseng.ac.uk/library-and-publications/rcs publications/docs/methodologies-for-clinical-audit-in-dentistry/ (accessed 20 July 2023).
- 18. Prinsen CA, Mokkink LB, Bouter LM, Alonso J, Patrick DL, De Vet HC., et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res 2018;27:1147-1157.
- 19. Oszlánszky J, Mensch K, Hermann P, Zrubka Z. Validation of the Hungarian version of the General Oral Health Assessment Index (GOHAI) in clinical and general populations. BMC Oral Health 2024;24:1-12.
- 20. Zadake SN, Kangane SK., Ambekar AS., Kondle M, & Kalekar R. Factors affecting satisfaction with the process of orthodontic treatment in young adults: A questionnaire study. J Indian Orthod Soc 2020:54:135-141.
- 21. Wong L, Ryan FS, Christensen LR, Cunningham SJ. Factors influencing satisfaction with the process of orthodontic treatment in adult patients. Am J Orthod Dentofacial Orthop 2018;153:362-370.
- 22. Dixon-Woods M, Baker R, Charles K, Dawson J, Jerzembek G, Martin G, McCarthy I, McKee L, Minion J, Ozieranski P, Willars J. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106-115.
- 23. Garma NMH, Ibrahim AI. Bond Strength Survival of a Novel Calcium Phosphate-Enriched Orthodontic Self-Etching System after Various Ageing Protocols: An In Vitro Study Int J Dent. 2022;2022:3960362.
Details
| Primary Language | English |
|---|---|
| Subjects | Orthodontics and Dentofacial Orthopaedics |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 28, 2025 |
| Submission Date | April 29, 2024 |
| Acceptance Date | January 15, 2025 |
| Published in Issue | Year 2025Volume: 28 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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