Citation Information :
Nandalur KR, Porwal A, Masmali SM, Mokli NK, Madkhli HY, Nandalur RR, Porwal P. Screening of Partially Edentulous Patients using the Prosthodontic Diagnostic Index and Post-treatment Satisfaction of Fixed Partial Dentures: A Cross-sectional Survey. World J Dent 2022; 13 (3):220-223.
Aim: The present study was conducted to understand the correlation between the severity/complexity of the prosthodontic status of the patient before the start of the fixed prosthodontic treatment as classified by the prosthodontic diagnostic index for partially edentulous patients prescribed by the ACP and the patient satisfaction post-treatment using the patient satisfaction questionnaire.
Materials and methods: An observational cross-sectional study was conducted among all the patients who underwent fixed prosthodontic treatment in the College of Dentistry, Jazan University. They were initially classified using the PDI for partially edentulous patients before treatment. A total of 128 patients were included into the study based on the inclusion criteria. The participants were interviewed post treatment using the Patient Satisfaction Questionnaire. Overall current satisfaction was calculated as the mean of current appearance, mastication, phonetics, cleansability, and cost satisfaction. The data was tabulated and subjected to statistical analysis using t-test and one way ANOVA.
Results: The mean satisfaction values were high for all the PDI groups, for both the males and females. The males showed overall higher mean satisfaction for all the questions compared to the females (p > 0.05). The PDI group 4 showed overall less mean satisfaction compared to the other groups and statistically significant lesser satisfaction compared to group 1 (p < 0.05).
Conclusion: Greater patient satisfaction was achieved for PDI class 1 which has less prosthodontic complexity of treatment when compared to a more complex PDI class 4. Student treatments should be limited to less complex PDI classes and clinicians with more experience are better suited to handle the more complex prosthodontic needs of the complex PDI patients.
Clinical significance: PDI classification is a useful adjunct in assessing treatment need and expected future patient satisfaction. Hence, it should be applied as a screening tool in all the clinical situations needing fixed dental prosthesis.
Kola MZ, Alqahtani F, Murayshed MS, et al. Assessment of prosthodontic preferences among ageing population in Alkharj town (Kingdom of Saudi Arabia): a survey based study. J Adv Med Dent Sci Res 2016;4(6):128–132. DOI: 10.21276/jamdsr.2016.4.6.29
Geiballa GH, Abubakr NH, Ibrahim YE. Patients’ satisfaction and maintenance of fixed partial denture. Eur J Dent 2016;10(2):250–253. DOI: 10.4103/1305-7456.178313
Sondell K, Söderfeldt B, Palmqvist S. Dentist–patient communication and patient satisfaction in prosthetic dentistry. Int J Prosthodont 2002;15(1):28–37.
Oates AJ, Fitzgerald M, Alexander G. Patient decision–making in relation to extensive restorative dental treatment. Part I: characteristics of patients. Br Dent J 1995;178(12):449–453. DOI: 10.1038/sj.bdj.4808801
Näpänkangas R, Salonen MA, Raustia AM. A 10–year follow–up study of fixed metal ceramic prosthodontics. J Oral Rehabil 1997;24(10):713–717. DOI: 10.1111/j.1365-2842.1997.tb00266.x
Creugers NH, De Kanter RJ. Patients’ satisfaction in two long–term clinical studies on resin–bonded bridges. J Oral Rehabil 2000;27(7):602–607. DOI: 10.1046/j.1365-2842.2000.00553.x
Stipetic J, Celebic A, Jerolimov V, et al. The patient's and the therapist's evaluation of bridges of different materials and age. Coll Antropol 2000;24(Suppl 1):25–29.
Tan K, Li AZJ, Chan ES. Patient satisfaction with fixed partial dentures: A 5–year retrospective study. Singapore Dent J 2005;27(1):23–29.
Anderson JD. The need for criteria on reporting treatment outcomes. J Prosthet Dent 1998;79(1):49–55. DOI: 10.1016/s0022-3913(98)70193-3
Guckes AD, Scurria MS, Shugars DA. A conceptual framework for understanding outcomes of oral implant therapy. J Prosthet Dent 1996;75(6):633–639. DOI: 10.1016/s0022-3913(96)90249-8
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):332–341.
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284–290. DOI: 10.1111/j.1600-0528.1997.tb00941.x
Ntala PC, Niarchou AP, Polyzois GL, et al. Screening of edentulous patients in a dental school population using the prosthodontic diagnostic index: prosthodontic diagnostic index. Gerodontology 2010;27(2):114–120. DOI: 10.1111/j.1741-2358.2009.00317.x
McGarry TJ, Nimmo A, Skiba JF, et al. Classification system for partial edentulism. J Prosthodont 2002;11(3):181–193. DOI: 10.1053/jopr.2002.126094
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990;54(11):680–687.
Chaudhary MA, Qamar K, Naeem S. Screening and treatment of completely edentulous patients on the basis of prosthodontic diagnostic index and the level of patient satisfaction. Pak Oral Dental J 2016;36(3): 503–506.
Lopes AS, Ceballos L, Alqhtani M, et al. The importance of the appropriate meso-structure for the success and retention of overdentures - case series. J Oral Bio 2016;3(2):7.
da Cunha MC, Santos JF, Santos MB, et al. Patients’ expectation before and satisfaction after full-arch fixed implant-prosthesis rehabilitation. J Oral Implantol 2015;41(3):235–239. DOI: 10.1563/AAID-JOI-D-12-00134
Walton TR, Layton DM. Cost satisfaction analysis: a novel patient-based approach for economic analysis of the utility of fixed prosthodontics. J Oral Rehab 2012;39(9):692–703. DOI: 10.1111/j.1365-2842.2012.02314.x
Bompolaki D, Edmondson SA, Katancik JA, et al. Clinical and patient-reported outcomes of single posterior implant-supported restorations completed by predoctoral students: a retrospective study with up to 10 years of follow up. J Prosthod 2021;30(2):111–118. DOI: 10.1111/jopr.13284
Singh V. A clinical study to evaluate satisfaction level among patients regarding fixed partial denture. J Adv Med Dent Sci Res 2014;2(3):242–244.
Kashbur N, Bugaighis I. Patients’ satisfaction, expectation, care, and maintenance of fixed prosthesis. Libyan Int Med Univ J 2019;4(1):26–32 DOI: 10.4103/liuj.liuj_42_18
Forrer FA, Schnider N, Brägger U, et al. Clinical performance and patient satisfaction obtained with tooth-supported ceramic crowns and fixed partial dentures. J Prosthet Dent 2020;124(4):446–453. DOI: 10.1016/j.prosdent.2019.08.012