Medical

Communication

Biosci. Biotech. Res. Comm. 10(3): 490-496 (2017)

Evaluation of satisfaction rate of dental implants in

patients referred to private clinics of Kermanshah city

Hedaiat Moradpoor

, Amir Hossien Moradi

, Sara Taherzadeh

and Sahar Raissi

Assistant Professor, Prosthodontics Department, Faculty of Dentistry Kermanshah University of Medical

Sciences, Iran

Assistant Professor, Prosthodontics Department, Faculty of Dentistry Kermanshah University of Medical

Sciences, Iran

Faculty of Dentistry Kermanshah University of Medical Sciences, Iran

Assistant Professor, Prosthodontics Department, Faculty of Dentistry Kermanshah University of Medical

Sciences, Iran

ABSTRACT

The satisfaction of dental care has always been an important topic in the  eld of dentistry. Several studies in the

country from different parts of the dental patient satisfaction has been made. But few speci c studies on the satisfac-

tion of patients of the dental implant have been done. This study was aimed to assess the satisfaction of implantation

done in the city of Kermanshah. Since the present study, is a retrospective study, 108 cases of dental implants placed

in selected patients were asked to  ll a questionnaire that included demographic information and questions related

to the satisfaction of dental implants placed were asked. Data were collected and analyzed using software SPSS18

were analyzed. The results showed that the level of patient satisfaction in the satisfaction of the cost, 80%above the

average and 9.7 is weak. Patients’ satisfaction with the performance of, and only 2.7 percent of the poor were good

average 3/97. The  ndings also showed that mental satisfaction and overall satisfaction of patients was 100%.But

the satisfaction of performance including waiting time was less than the satisfaction rate of 51 percent good and 49

percent were poor.

KEY WORDS: FELDSPATHIC PORCELAIN, IPS E.MAX HEAT PRESS LAYERED, ENAMEL TOOTH WEAR

490

ARTICLE INFORMATION:

*Corresponding Author: saharRaissi0@gmail.com

Received 27

June, 2017

Accepted after revision 21

Sep, 2017

BBRC Print ISSN: 0974-6455

Online ISSN: 2321-4007 CODEN: USA BBRCBA

Thomson Reuters ISI ESC and Crossref Indexed Journal

NAAS Journal Score 2017: 4.31 Cosmos IF: 4.006

reserved.

Online Contents Available at:

http//www.bbrc.in/

DOI: 10.21786/bbrc/10.3/23

Hedaiat Moradpoor et al.

INTRODUCTION

Despite the many advantages that conventional pros-

thetics have in restoring the beauty and oral function

of patients, their de ciencies cause dissatisfaction of

patients in many cases, and this leads patients to tend to

use more durable and more satisfying treatments, one of

which is dental implants. The lack of serious defects and

the problems of moving and  xed prosthesis, such as

damage to adjacent teeth, Ridge jawbone fracture, unde-

sirable beauty, and other defects in conventional pros-

thesis by replacement of bone implants have increased

their usage worldwide, so that the use of dental implants

in the United States has grown ten times during 2002-

1983 years (Annear et al 2005) and (Karoussis et al

2003) and (Behneke 2002). With the advent of the oste-

ointegrationtheory in dentistry and proving that pure

titanium in direct contact with the bone could provide a

good support for replacing missing teeth, then it led to

the introduction of dental implants (Wheeler 2003).

At  rst, dental implants were used to maintain the

function of the patients, but later it was added to the

beauty. Along with the supply of various implant sys-

tems, many clinical studies have been conducted to

assess their durability rates. Edleau et al. (1981), in their

15-year review, reported success rates of 84% in upper

jaw and 93% in mandibles (Adell et al 1981). High suc-

cess and bene ts such as the lack of need for adjoining

tooth cuttin and the prevention of alveolar bone fraction

have led to an increase in the use of dental implants

(Hobo 1997) and (Lekholm 1999) and (Lindquist et al

1997).

Following the protocol provided by Branemark is

often recommended to succeed in achieving success-

ful osonetic secretion (De Bruyn et al 1995). Saha etal.

(2013) in a study questioned 403 people to assess the

awareness rate of dental implants whilethe results

showed that half of them had completely no informa-

tion about the implant (Saha et al 2013). These studies

are consistent with recent studies of the low level of data

about dental implants (Awad et al 2013). The lack of

accurate and true information is one of the reasons that

increase the unrealistic expectations of patients, which

reduces their satisfaction (Satpathy et al 2011). The aim

of this study was to evaluate the satisfaction of dental

implants in patients treated with dental implants.

MATERIAL AND METHODS

In this analytical-descriptive study, in order to evalu-

ate the satisfaction of implantation, 108 archival records

of patients treated with dental implants were randomly

selected using a randomized table referring to dental

clinics in Kermanshah. In order to collect the research

data, the researcher completed a questionnaire includ-

ing demographic data and researcher made questions to

assess the satisfaction of dental implant implantation by

calling the patients and inviting them to face-to-face

interviews. The scores of the questionnaire were ranked

based on three good/medium/bad grades, which 1-2 as

weak, 3-6 as average and 7 to 10 as good were ranked.

Also, 1-2questions evaluate cost satisfaction; 3-6 ques-

tions evaluate satisfaction from implant function, and

questions 7-10 assess mental satisfaction and satisfac-

tion with the stages of work. Mental satisfaction is one

of the modes of satisfaction (Levi et al 2003), which is

calculated based on the score that a person received from

the mental satisfaction questionnaire of the research

questionnaire from questions 7 to 9.

The study population was selected from patients

treated with dental implants who had undergone at least

one year of treatment. The sample size was calculated

based on a pilot study and considering the variables

of satisfaction such that S=3.17 (standard deviation),

 = 0.05 (con dence), and d = 0.6 (accuracy), while the

minimum sample size was 108, which was selected as

convenience.

The collected data was analyzed by SPSS software

version 18. In descriptive statistics, mean and frequency

distribution and in inferential statistics, Mann-Whitney

test were used.

RESULTS

The level of the cost satisfaction of the people was

assessed9.7% as weak, 47.8% moderate, and 42.5%

as good.The satisfaction of individuals with implant

function was evaluated as 2.7% weak, 4.4% moderate

and 92.9% good. The mental satisfaction of individu-

als was evaluated as 0% weak, 16.8% moderate and

83.2% good. The degree of satisfaction of the people

from the stages of work was evaluated as 48.7% weak

and 51.3% good (Table 4-6 and Fig. 4-8). The satis-

faction of beauty was evaluated 15% were weak and

85% good. The satisfaction rate of the whole popu-

lation was evaluated 0% weak, 10.6% moderate and

89.4% good. The total satisfaction of the individuals by

gender was evaluated in men, 0% weak, 10.6% moder-

ate and 89.4% % good and in women 0% weak, 10.8%

moderate and 89.1% good.

In order to determine the relationship between satis-

faction and age variables, implant loading years, gen-

der and education level, Chi-square and Fisher’s exact

tests were used. Chi-square test showed no signi cant

BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED 491

Hedaiat Moradpoor et al.

FIGURE 1. Distribution of Cost Satisfaction among Participants in the Study

FIGURE 2. A Distribution of satisfaction with implant function among participants in the

study

relationship between satisfaction and age (forty- ve

years or less - more than forty- ve years) (P-value =

33.93). Fisher’s exact test showed no signi cant rela-

tionship between satisfaction and implant loading years

(three years or less, more than three years) (P-value =

513). Chi-square test showed no signi cant relation-

ship between satisfaction and gender (P-value = -0.96).

Fisher’s exact test showed that there was no statistically

signi cant relationship between satisfaction level and

level of education (diploma and undergraduate - univer-

sity degree) (P-value = 0.96).

DISCUSSION AND CONCLUSION

Research  ndings in the area of satisfaction from the

cost of implanting showed that almost ninety percent of

492 EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS

BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED 493

Hedaiat Moradpoor et al.

FIGURE 3. Distribution of mental satisfaction of participants in the study

FIGURE 4. Distribution of satisfaction from work stages among participants in the study

participants were satis ed with the cost of implanting.

It is clear to everyone that the dental services in our

country are expensive due to the cost of dental materials

and its costs. Patients always expect the services to be

satisfactory and cost-effective. The results of this study

showed that the patients in this study were satis ed with

the cost of implant implantation, which indicates that

patients’ expectations have been met. This means that

although the inserted implant imposed cost on them, but

it has been able to keep them satis ed with this action.

The results of this study were consistent with the results

of study by Rismanchian et al. (2007). The Rismanchian

et al, in their study reported a satisfaction of over 90%.

In their study, 107 male and female patients were evalu-

ated. Their study was a two-year study, but the current

study was a one-year study after implant implantation,

494 EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS

Hedaiat Moradpoor et al.

FIGURE 5. Distribution of satisfaction with beauty among participants in the study

FIGURE 6. Distribution of satisfaction among participants in the study

however, high satisfaction was reported in both of the

mentioned studies.

The  ndings of the study showed that all individuals

are satis ed with implanted implants. More than 92%

of the patients in the study showed a moderate to high

satisfaction with implant function. Implant function is

very important for the patient. The results of this study

are consistent with the results of studies by Pjetursson et

al (2005), Levi et al. (2003). They reported in their stud-

ythat more than 90% of patients who have implants are

satis ed with implant function. In studies ofPjetursson

et al. (2005) implanting time was for 5 to 15 years. But

the current study was a one-year study, but the results in

both studies showed a high satisfaction of patients from

implantation.

It is worth noting that Pjetursson et al. (2005) used

VAS for measuring patients’ satisfaction in their study,

but in the current study, only a questionnaire was used

BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED 495

Hedaiat Moradpoor et al.

Pjetursson 2005). The primary purpose of the implant is

to help the patient’s function, and this goal is still impor-

tant for patients. An implant satisfaction survey shows

that satisfaction with implants is high in patients and

it has been able to meet patient expectations (Jie Yao

et al 2014). In their study, patients were satis ed with

the condition of the implant, shape, overall appearance,

effect on the speech, and the ability of the function. The

results of the current study also con rm this satisfac-

tion. Although satisfaction was used in their study using

email, the degree of satisfaction in the current study was

consistent with their study.

The  ndings of the research in the area of mental

satisfaction showed that more than 80% of the patients

had a high satisfaction with the implants, while the  nd-

ings showed that only 16% of the patients had low men-

tal dissatisfaction. Mental satisfaction is a condition in

which a person is satis ed with the work done and has

internal satisfaction (Levi et al2003), which is calculated,

based on the score obtained from the mental satisfaction

questionnaire of the research questionnaire, which are

these questions 7-9. The results of this study were con-

sistent with the results of Levi et al. (2003).

They reported in their study that patients who have

dental implants had a high degree of mental satisfaction

with their implants. Patient’s mental satisfaction can

reveal a set of person’s satisfaction with cost, function,

beauty. Patient mental satisfaction can be considered as

the most important type of satisfaction, because if there

is no mental satisfaction, it can be claimed that the work

has failed. But given the fact that some patients have

very high expectations from implants, their implant sat-

isfaction is not provided after implantation. This can be

argued that a dentist must reach the patient’s expecta-

tions before implantation, and moderate the unreason-

able mental expectations of the patient (Levi et al 2003).

Patients are expecting miraculous treatments by refer-

ring to dental centers and hearing some of the new tech-

niques. Dentists can make the patient’s mental expecta-

tions largely acceptable with a simple explanation of

the stages of work and problems that may occur during

work.

The  ndings of the study showed that only half of the

participants were satis ed with the stages of work, and

the other half were completely dissatis ed with the work

process. Dissatisfaction with the work process involved

the waiting time until the layout of the cover. Dental

services, and especially implants are usually time-con-

suming due to the collaboration of several specialists

and labs, but the patient expects to achieve the goal at

a very short time. It is necessary to the dentist explain

the required steps to increase the patient’s satisfaction,

the need for collaboration of several specialists and the

laboratory, and the time of implantation for the patient

prior to the implant implantation (Razmi et al 2010),

which would increase the patient’s satisfaction. Dental

services are always time-consuming due to the special

circumstances. Implanting will naturally be more time

consuming due to the collaboration of several specialists

and lab. This is necessary to tell the patient at the begin-

ning of treatment. Explaining the patient in addition to

patients about the collaboration reduces their expecta-

tions, can also increase patient satisfaction from work.

Also, the  ndings showed that approximately 90% of

total satisfaction in patients was well evaluated, and only

10% of the participants had a moderate overall satisfac-

tion rate. The results of this study were consistent with

the results of studies by Pjetursson et al. (2005), Levi et al.

(2003), Yi et al. (2001) and Riesmannchian etal. (2007).

In their studies, they reported total satisfaction in patients

who had implants, including satisfaction with function,

beauty, cost, and acceptable levels (Razmi et al 2010) and

(Yi et al 2001) and (Rismanchian et al 2007) and (Haji

et al 2010). The  ndings also reported the equal over-

all satisfaction in male patients and female patients, and

did not show any difference between the satisfaction of

women and men. It can be said that the most important

issue at the end of dental care is the patient’s satisfaction.

Although the work process and services provided by the

dentist may be con rmed, it is more important than the

patient’s own satisfaction, and it should be noted that sat-

isfaction is a mental issue. In the current study, the satis-

faction of implant implants was reported, which indicates

that dentists have been able to achieve a satisfactory level

of satisfaction at all stages. In all studies, overall satisfac-

tion has always been reported with high rates. This may

lead to an increase in implant implants in Iran and other

countries in recent years.

CONCLUSION

According to the mentioned materials, it can be said that

dental services in the  eld of implanting have been able

to achieve satisfactory patient satisfaction. Implanting

has been able to satisfy patients in the issue of satisfac-

tion with performance, cost, and satisfaction. Only on the

work process the patients were dissatis ed while it should

be noted that the dentist needed to justify the patient

from the beginning of the implant implantation timeli-

ness, the steps required, the need for several specialists

and the laboratory to work together, which could moder-

ate the patient’s expectations. This will increase patient

satisfaction. It should be noted that satisfaction is a men-

tal issue and dentists have to meet the expectations of

the patient, especially patients with unreasonable expec-

tations and many expectations of implant implantation

treatments, at the beginning of the treatment so that they

can increase the level of satisfaction of the patient.

496 EVALUATION OF SATISFACTION RATE OF DENTAL IMPLANTS IN PATIENTS REFERRED BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS

Hedaiat Moradpoor et al.

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