ABSTRACT
OBJECTIVE: The aim of this paper was to study the association between dental satisfaction and oral health-related quality-of-life (OHRQoL) when controlling for individual, clinical and psychological factors. MATERIALS: Secondary analysis was conducted using data from a large study carried out in the Swedish region of Värmland in 2004. The questionnaire included demographic variables, clinical assessment and the following instruments: the Dental Visit Satisfaction Scale (DVSS), the short version of Oral Health Impact Profile (OHIP-14) and a modified version of the revised helping alliance questionnaire. Internal consistency analysis was undertaken on the instruments to assess reliability; bivariate comparisons were assessed to compare DVSS scores with individual factors (age, gender and education). In addition, a three step hierarchical multiple regression analysis was performed with DVSS as a dependent variable. RESULTS: Data were completed for 485 randomly selected patients. The mean age of participants was 43.5 years, 54.6% were women,and 41.2% had high education. The median DVSS score was 48 (range 10-50) and the median OHIP was 3.0 (range 0-56). All the instruments showed good reliability. Bivariate analysis showed that females were more satisfied than males (p ≤ 0.01) and patients of 50 years or older were more satisfied than the younger ones (p ≤ 0.05). Finally, the following variables explained 31% of the variance of being very satisfied with dental visit: a good OHRQoL and patients' positive perceptions of the relationship with their care provider. CONCLUSION: This study showed positive associations between dental satisfaction and OHRQoL when controlling for related factors. The result suggests that care providers should take into account the various dimensions of OHRQoL rather than use only clinical measurements when they evaluate patient satisfaction.
Subject(s)
Dental Health Services/standards , Patient Satisfaction , Quality of Life , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , SwedenABSTRACT
El presente estudio evalúa la relación entre el pH salival y la enfermedad periodontal. Se evaluaron 60 pacientes que acudieron a la clínica de pregrado de la facultad de odontología de la UNMSM (30 pacientes con gingivitis y 30 pacientes con periodontitis). Asimismo, se contó con un grupo control de 20 estudiantes de odontología periodontalmente sanos. Se evaluó el estado periodontal y se tomó muestras de saliva antes y después de realizar el tratamiento de fase I. Se encontró que a diferencia de los pacientes del grupo control pacientes que presentaron un pH salival promedio de 6,9 los valores de 7,3 y 7,9 respectivamente. Después del tratamiento los pacientes que respondieron positivamente presentaron una disminución en los niveles de pH salival en relación al grupo control que se mantuvo. Los pacientes con gingivitis presentaron una reducción promedio de 0.3 (de 7,3 a 7,0). En el grupo de pacientes con periodontitis el pH se redujo de 7,9 a 7,3. El estudio concluyó que el pH salival presenta valores mayores en pacientes con enfermedad periodontal y se reduce luego de realizar un tratamiento periodontal adecuado.
The present study evaluates the relationship between salivary pH and periodontal disease. Sixty patients (30 gingivitis patients and 30 periodontitis). who when to the clinic of the dental School of the UNMSM were evaluated for the study. Also we counted with a control group that included 20 dental students with healthy periodontum. We evaluated he periodontal status and salivary samples were took before and after the phase I treatment. It was found difference between the control group that present a average pH of 6.9 and the gingivitis and periodontitis groups that showed values of 7.3 and 7.9 respectively. After the treatment the patients who had a positive evolution presented a decrease in their salivary pH levels in comparison with the control group that maintained its initial value. The gingivitis patients presented a average decrease of 0.3 (7.3 to 7.0). In the group of the periodontitis patients, pH presents higher values in patients with periodontal disease and it decreases after the realization of an appropriate periodontal treatment.
