The objectives were to: (1) quantify patient satisfaction with treatment for early dental caries overall, and according to whether or not (2a) the patient received invasive treatment; (2b) was high-risk for dental caries, and had dental insurance; and (3) encourage practitioners to begin using non-invasive approaches to early caries management.
Ten practitioners recorded patient, lesion, and treatment information about non-cavitated early caries lesions. Information on 276 consecutive patients with complete data was included, who received either non-invasive (no dental restoration) or invasive (dental restoration) treatment. Patients completed a patient satisfaction questionnaire and were classified as dissatisfied if they did not “agree” or “strongly agree” with any of 14 satisfaction items.
Patients had a mean (± SD) age of 41.8 (±15.8) years, 64% were female and 88% were white. Twenty-five percent (n = 68) were dissatisfied in at least one of the 14 satisfaction items. Satisfaction levels did not significantly vary by patient’s gender, race, caries risk category, or affected tooth surface location. Overall, 11% (28 of 276) received invasive treatment; satisfaction did not differ between patients who had invasive or non-invasive treatment. Seven patients received invasive treatment at their request even though that was not what their practitioner recommended; 5 out of 6 were satisfied with their treatment nonetheless.
About one-fourth of patients treated for non-cavitated early caries were dissatisfied with at least some aspect of their dental care experience. Satisfaction of patients who received invasive treatment did not differ from those who received non-invasive treatment.
Newsome PR, Wright GH. A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature. Br Dent J. 1999;186(4):166–70. PubMed
Zimmermann RS. The dental appointment and patient behavior. Differences in patient and practitioner preferences, patient satisfaction, and adherence. Med Care. 1988;26(4):403–14. CrossRef
Thomson WM, Stewart JF, Carter KD, Spencer AJ. Patient mobility in Australian dentistry. Community Dent Health. 1996;13(2):99–104. PubMed
Sbaraini A, Carter SM, Evans RW, Blinkhorn A. Experiences of dental care: what do patients value? BMC Health Serv Res. 2012;12:177. http://www.biomedcentral.com/content/pdf/1472-6963-12-177.pdf. Accessed 2 Feb 2016. CrossRefPubMedPubMedCentral
Gopalakrishna P, Munnaleneni V. Influencing satisfaction for dental services. J Health Care Mark. 1993;13(1):16–22. PubMed
Burke L, Croucher R. Criteria of good dental practice generated by general dental practitioners and patients. Int Dent J. 1996;46(1):3–9. PubMed
Riley JL, Gordan VV, Hudak-Boss SE, Fellows JL, Rindal DB, Gilbert GH, National Dental PBRN Collaborative Group. Concordance between patient satisfaction and the dentist’s view; findings from The National Dental Practice-Based Research Network. J Am Dent Assoc. 2014;145(4):355–62. CrossRefPubMedPubMedCentral
Layton D, Walton T. Patient-evaluated dentistry: development and validation of a patient satisfaction questionnaire for fixed prosthodontic treatment. Int J Prosthodont. 2011;24(4):332–41. PubMed
Al-Omiri MK, Abu Alhaija ES. Factors affecting patient satisfaction after orthodontic treatment. Angle Orthod. 2006;76(3):422–31. PubMed
Nascimento MM, Gordan VV, Qvist V, Litaker MS, Rindal DB, Williams OD, Fellows JL, Ritchie LK, Mjör IA, McClelland J, Gilbert GH, Dental PBRN Collaborative Group. Reasons for placement of restorations on previously unrestored tooth surfaces by dentists in The Dental Practice-Based Research Network. J Am Dent Assoc. 2010;141(4):441–8. CrossRefPubMedPubMedCentral
Gordan VV, Bader JD, Garvan CW, Richman JS, Qvist V, Fellows JL, Rindal DB, Gilbert GH, Dental PBRN Collaborative Group. Restorative treatment thresholds for occlusal primary caries among dentists in The Dental Practice-Based Research Network. J Am Dent Assoc. 2010;141(2):171–84. CrossRefPubMedPubMedCentral
FDI Policy Statement: Minimal Intervention in the Management of Dental Caries. Adopted by the FDI General Assembly: 1 October 2002 – Vienna, Austria. http://www.fdiworlddental.org/resources/policy-statements-and-resolutions. Assessed 10 Mar 2017.
Guideline on Restorative Dentistry. American Academy of Pediatric Dentistry. Reference Manual 2014;37(6):15–16. http://www.aapd.org/media/policies_guidelines/g_restorative.pdf. Assessed 28 Sept 2016.
Gordan VV, Mondragon E, Shen C. Replacement of resin-based composite: evaluation of cavity design, cavity depth, and shade matching. Quintessence Int. 2002;33(4):273–8. PubMed
Anusavice KJ. Present and future approaches for the control of caries. J Dent Educ. 2005;69(5):538–54. PubMed
Gilbert GH, Williams OD, Korelitz JJ, Fellows JL, Gordan VV, Makhija SK, Meyerowitz C, Oates TW, Rindal DB, Benjamin PL, Foy PJ, National Dental PBRN Collaborative Group. Purpose, structure, and function of the United States National Dental Practice-Based Research Network. J Dent. 2013;41(11):1051–9. CrossRefPubMed
Gordan VV, Garvan CW, Heft MW, Fellows JL, Qvist V, Rindal DB, Gilbert GH, Dental PBRN Collaborative Group. Restorative treatment thresholds for interproximal primary caries based on radiographic images: findings from The Dental Practice-Based Research Network. Gen Dent. 2009;57(6):654–63. PubMedPubMedCentral
Peer-reviewed Publications Page. Citations listing this current manuscript and appendices provided to supplement this manuscript. The National Dental Practice-Based Research Network. Development of a Patient-Based Provider Intervention for Early Caries Management. http://nationaldentalpbrn.org/study-results/development-of-a-patient-based-providerintervention-for-early-caries-management.php. Accessed 22 Mar 2017; Study Questionnaire for Dentist Survey. http://www.nationaldentalpbrn.org/tyfoon/site/fckeditor/F%2032%20Dentist%20questionnaire%20clean%20copy%20052008%20_4_.pdf. Assessed 29 Sept 2016; Study Questionnaire for Patient Telephone Survey. http://www.nationaldentalpbrn.org/tyfoon/site/fckeditor/F%2032%20Patient%20telephone%20survey%20092608%20clean%20copy%20_2_.pdf. Assessed 29 Sept 2016; Patient Education Brochure. http://www.nationaldentalpbrn.org/tyfoon/site/fckeditor/NIT%20Patient%20education%20brochure%20061509%20FINAL.pdf. Assessed 29 Sept 2016; Practitioner Individual Training Session. http://www.nationaldentalpbrn.org/tyfoon/site/fckeditor/F32%20Practitioner%20presentation%20FINAL.pdf. Assessed 29 Sept 2016; Study 10: Development of a patient-based provider intervention for early caries (Patient Survey). http://nationaldentalpbrn.org/tyfoon/site/fckeditor/F32_Study_Patient_Survey_012610.pdf. Assessed 29 Sept 2016; Dental PBRN Study 10: Caries Risk Assessment Form (Ages>18). http://nationaldentalpbrn.org/tyfoon/site/fckeditor/Caries%20Risk%20Assessment%20Form.pdf. Assessed 29 Sept 2016; DPBRN Study 10-phase 2: Consecutive Patient Log. http://nationaldentalpbrn.org/tyfoon/site/fckeditor/Consecutive%20patient%20log%20Study%2010%20Faculty%20practice%20012009%20clean%20copy.pdf. Assessed 29 Sept 2016; Dental PBRN Study 10: Development of a Patient-Based Provider Intervention for Early Caries. http://nationaldentalpbrn.org/tyfoon/site/fckeditor/Study%20F32%20Data%20Collection%20Form%20111209%20clean%20copy.pdf. Accessed 29 Sept 2016.
Corah NL. Dental anxiety: assessment, reduction and increasing patient satisfaction. Dent Clin North Am. 1988;32(4):779–90. PubMed
Chakraborty G, Gaeth GJ, Cunningham M. Understanding consumers’ preferences for dental services. J Health Care Mark. 1993;13(3):48–58. PubMed
Ståhlnacke K, Söderfeldt B, Unell L, Halling A, Axtelius B. Patient satisfaction with dental care in one Swedish age cohort. Part 1: descriptions and dimensions. Swed Dent J. 2007;31(2):103–11. PubMed
- Satisfaction with dental care among patients who receive invasive or non-invasive treatment for non-cavitated early dental caries: findings from one region of the National Dental PBRN
Sonya T. Mitchell
Valeria V. Gordan
Joseph L. Riley III
Sonia K. Makhija
Mark S. Litaker
Gregg H. Gilbert
National Dental PBRN Collaborative Group
- BioMed Central
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