Impact of procedures during prosthodontic treatment on patients' perceived burdens. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Hacker, Tim; Heydecke, Guido; Reissmann, Daniel R.
• Is Part Of: Journal of dentistry. Volume 43:Issue 1(2015:Jan.)
• Page Start: 51
• Page End: 57
• Publication Date: 2015-01
• Subjects: Dentistry -- Periodicals; Dentistry -- Periodicals; Dentisterie -- Périodiques; Electronic journals; 617.6005
• DOI: 10.1016/j.jdent.2014.10.013
• Languages: English
• ISSNs: 0300-5712

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Objectives</title> <p id="spar0005">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, <italic>i.e.</italic>, to specific treatment components.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">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, <italic>n</italic> = 90), removable dental prostheses (RDP, <italic>n</italic> = 10), and complete dentures (CD; <italic>n</italic> = 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 <italic>t</italic>-tests, and effect sizes, to identify treatment components with highest burdens.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">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.</p> </sec> <sec> <title id="sect0025">Conclusion</title> <p id="spar0020">While prosthodontic treatment is overall perceived as only moderately burdening, specific treatment components differ significantly in perceived burdens.</p> </sec> <sec> <title id="sect0030">Clinical significance</title> <p id="spar0025">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.</p> </sec> </abstract>