Research Articles

Relationship between the quality of orthodontic treatment and patient satisfaction in patients attended at Universidad Santo Tomás from 2018 to 2019

Vol. 16 No. 2 (2020)
Published: 2020-12-31
Ethman Ariel Torres
Frank Nicolás Delgado Morales
Martha Juliana Rodríguez

Introduction: The increasing orthodontic service demands high-quality outcomes so the patient could be satisfied with the results, but scarce studies are addressing this topic. Objective: To assess the relationship between the quality of orthodontic treatment outcomes and patient satisfaction at an Orthodontic Clinic in a Colombian university. 

Methods: An observational cross-sectional study was conducted with a sample of 67 patients who completed their orthodontic treatment between February 2018 and June 2019. Satisfaction was assessed by a questionnaire consisting of 17 items. The quality of the orthodontic treatments was established with post-treatment study models and panoramic radiographs that were analyzed according to the eight criteria of the Objective Grading System (OGS) generated by the American Board of Orthodontics. Frequencies and proportions for qualitative variables and measures of central tendency and dispersion for quantitative ones were calculated. Chi-square test, Fisher exact test, and Pearson correlation coefficients were used as appropriate. P <0.05 was considered statistically significant. 

Results: Among the 67 participants, 49 (73.1%) were female, the average age was 21.4 ± 9.1 years, the average treatment duration was 32.3 ± 5.0 months, and the average defects was 28.8 ± 9.2. For the overall satisfaction score, 38.8% were very satisfied. There was not a relationship between patient satisfaction and the quality of the orthodontics treatments grouped in excellent, acceptable, and deficient according to the OGS criteria.

Conclusions: No relationship was found between the quality of the orthodontic treatment outcomes measured by OGS criteria and patient satisfaction. These results showed that it is necessary to propose continuous improvement plans at the university center.

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How to Cite

Relationship between the quality of orthodontic treatment and patient satisfaction in patients attended at Universidad Santo Tomás from 2018 to 2019. (2020). Revista Nacional de Odontología, 16(2), 1-18. https://doi.org/10.16925/2357-4607.2020.02.07

Porter ME, Teisberg EO. Redefining competition in health care. Harv Bus Rev. 2004;82(6):64-76, 136.

Lee R, Hwang S, Lim H, Cha JY, Kim KH, Chung CJ. Treatment satisfaction and its influencing factors among adult orthodontic patients. Am J Orthod Dentofacial Orthop. 2018;153(6):808-17. DOI: https://doi.org/10.1016/j.ajodo.2017.09.015

Utari E, Ati K, Ismah N. Relationship between orthodontic treatment outcome and patient satisfaction. Journal of International Dental and Medical Research. 2017;10:503-14.

Casko JS, Vaden JL, Kokich VG, Damone J, James RD, Cangialosi TJ, et al. Objective grading system for dental casts and panoramic radiographs. American Board of Orthodontics. Am J Orthod Dentofacial Orthop. 1998;114(5):589-99. DOI: https://doi.org/10.1016/s0889-5406(98)70179-9

Papageorgiou SN, Hochli D, Eliades T. Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview. Korean J Orthod. 2017;47(6):401-13. DOI: https://doi.org/10.4041/kjod.2017.47.6.401

Chung CH, Tadlock LP, Barone N, Pangrazio-Kulbersh V, Sabott DG, Foley PF, et al. Common errors observed at the American Board of Orthodontics clinical examination. Am J Orthod Dentofacial Orthop. 2017;152(2):139-42. DOI: https://doi.org/10.1016/j.ajodo.2017.05.012

Allareddy V, Shin K, Marshall SD, Southard TE. Characteristics of an excellent orthodontic residency program. Am J Orthod Dentofacial Orthop. 2019;156(4):522-30. DOI: https://doi.org/10.1016/j.ajodo.2018.10.026

Barbosa-Lis D, Zapata O, Carvajal A, Franco C, Rodriguez S, Florez A, et al. Outcome of orthodontic treatments and its relationship to malocclusion complexity. Int J Odontostomatol. 2014;8(2):201-6. DOI: https://doi.org/10.4067/S0718-381X2014000200008

Carvajal-Florez A, Barbosa-Lis DM, Zapata-Norena OA, Marin-Velasquez JA, Afanador-Bayona SA. Orthodontic treatment outcomes obtained by application of a finishing protocol. Dental Press J Orthod. 2016;21(2):88-94. DOI: https://doi.org/10.1590/2177-6709.21.2.088-094.oar

Verma R, Utreja AK, Singh SP, Jena AK. Implementation of post treatment critical evaluation improved the quality of orthodontic care in postgraduate orthodontic clinic: A 10 years comparative study. Indian J Dent. 2015;6(3):125-9. DOI: https://doi.org/10.4103/0975-962X.163035

Pacheco-Pereira C, Pereira JR, Dick BD, Perez A, Flores-Mir C. Factors associated with patient and parent satisfaction after orthodontic treatment: a systematic review. Am J Orthod Dentofacial Orthop. 2015;148(4):652-9. DOI: https://doi.org/10.1016/j.ajodo.2015.04.039

Alfaro O, Echeverri A, Plata J. Validez y confiabiidad de un instrumento sobre satisfacción del paciente en ortodoncia [Trabajo de Grado). Bucaramanga: Universidad Santo Tomás; 2017.

Agudelo A, Valencia L, Oullón E, Betancur L, Restrepo L, Peláez L. Satisfacción y factores asociados en estudiantes usuarios del servicio odontológico de la institución prestadora de servicios de salud “IPS Universitaria” (Medellín). Rev Fac Odontol Univ Antioq. 2008;19(2):13-23.

Torres-González G, León-Manco R. Nivel de satisfacción de los pacientes atendidos en el Servicio de Ortodoncia de una Clínica Dental Docente peruana. Rev Estomatol Herediana. 2015;25(2):122-32.

Dean A, Sullivan K, Soe M. OpenEpi: Open Source Epidemiologic Statistics for Public Health. 2016 [Available from: www.OpenEpi.com).

Fayers PM, Machin D. Multi-item Scales. Quality of Life: The Assesment Analysis and Interpretation of Patient-Reported Outcomes. Second ed. Great Britain: Willey; 2007. p. 109-30.

Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Avances en Medición. 2008;6:37-48.

Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74.

República de Colombia, Ministerio de Salud. Resolución No. 08430 de 4 de octubre de 1993. Bogotá 1993.

Santiago JJ, Martinez CJ. Use of the Objective Grading System of the American Board of Orthodontics to evaluate treatment at the Orthodontic Graduate Program Clinic, University of Puerto Rico, 2007-2008. P R Health Sci J. 2012;31(1):29-34.

Cansunar HA, Uysal T. Relationship between pretreatment case complexity and orthodontic clinical outcomes determined by the American Board of Orthodontics criteria. Angle Orthod. 2014;84(6):974-9. DOI: https://doi.org/10.2319/010114-001.1

Song GY, Baumrind S, Zhao ZH, Ding Y, Bai YX, Wang L, et al. Validation of the American Board of Orthodontics Objective Grading System for assessing the treatment outcomes of Chinese patients. Am J Orthod Dentofacial Orthop. 2013;144(3):391-7. DOI: https://doi.org/10.1016/j.ajodo.2013.04.018

Barrera J, Meza D, Herrera C. Evaluación de los tratamientos terminados en un posgrado de ortodoncia según los parámetros ABOs 2014 [Available from: https://www.ortodoncia.ws/publicaciones/2014/art-15/#).

Campbell CL, Roberts WE, Hartsfield JK, Jr., Qi R. Treatment outcomes in a graduate orthodontic clinic for cases defined by the American Board of Orthodontics malocclusion categories. Am J Orthod Dentofacial Orthop. 2007;132(6):822-9. DOI: https://doi.org/10.1016/j.ajodo.2006.05.036

Yang-Powers LC, Sadowsky C, Rosenstein S, BeGole EA. Treatment outcome in a graduate orthodontic clinic using the American Board of Orthodontics grading system. Am J Orthod Dentofacial Orthop. 2002;122(5):451-5. DOI: https://doi.org/10.1067/mod.2002.128464

Papageorgiou SN, Höchli D, Eliades T. Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview. Korean J Orthod. 2017;47(6):401-13. doi: https://doi.org/10.4041/kjod.2017.47.6.401.

Tsichlaki A, Chin SY, Pandis N, Fleming PS. How long does treatment with fixed orthodontic appliances last? A systematic review. Am J Orthod Dentofacial Orthop. 2016;149(3):308-18. DOI: https://doi.org/10.1016/j.ajodo.2015.09.020

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