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Secrets of Successful Dent 1 - Removable Prosthodontics

Secrets of Successful Dent 1 - Removable Prosthodontics

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Patient Satisfaction<br />

Patient Satisfaction<br />

More than good anatomy<br />

More than well constructed denture<br />

Includes expectations<br />

• Difficult to quantify, unpredictable<br />

• Not directly correlated with quality<br />

• Small percentage never satisfied<br />

• Low quality results in lower satisfaction<br />

• Patients more satisfied with dentures<br />

than eyeglasses and hearing aids<br />

Satisfaction With various<br />

prosthesis<br />

Patient Characteristics<br />

Percentage <strong>of</strong> patients satisfied with prosthesis<br />

•Not correlated with satisfaction:<br />

• Personality<br />

• Age<br />

• Attitude toward aging<br />

•Reduced salivary flow & reduced ridge<br />

negatively correlated<br />

Smedley TC, Friedrichsen SW, Cho MH: A comparison <strong>of</strong> self-assessed satisfaction among wearers <strong>of</strong> dentures, hearing aids, and eyeglasses. J Prosthet <strong>Dent</strong>. 1989; 62: 654-661.<br />

Fabrication Variables<br />

Patient Expectations<br />

• Related to satisfaction:<br />

• clinical remounts<br />

• accurate impressions & occlusal records<br />

• patient involvement in denture esthetics<br />

• High expectations if currently<br />

dissatisfied<br />

• Unrealistic expectations negatively<br />

correlate with satisfaction<br />

• Pre-treatment interview can help<br />

determine expectations<br />

3

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