Factors of Influencing Satisfaction with Orthodontic Treatment in Orthodontic Patients

치열교정치료시 교정환자의 만족도에 영향을 미치는 요인

  • Lee, Ka-Yean (Department of Dental Hygiene, Choonhae Health College) ;
  • Go, Eun-Jeong (Department of Dental Hygiene, Jinju Health College)
  • Received : 2010.03.02
  • Accepted : 2010.04.16
  • Published : 2010.04.30

Abstract

The purpose of this study was to research into the satisfaction with orthodontic treatment and the psychologically satisfactory condition to be expected, and to offer information in order to enhance medical-treatment service, by surveying the influential factors upon satisfaction with treatment targeting patients who receive orthodontic treatment. Targeting 382 patients who are under treatment at S dental clinic in Gyeonggi Province, B dental clinic in Daegu Metropolitan City, and Y dental clinic in Busan Metropolitan City, which specialize in orthodontic treatment, it carried out the direct interview survey of using the structured questionnaire from January 20, 2009 to February 28. The collected data was analyzed by using SPSSWIN 17.0 K. The following conclusions were obtained. 1. In the satisfaction with orthodontic treatment according to aesthetic factor, the group with bad aesthetic health condition was higher than the group with good health condition(p<0.05). As for the factor of tooth alignment, a case of good health condition was indicated to have higher(p<0.05) satisfaction than a case of being bad. 2. As for satisfaction according to necessity for orthodontic treatment, the satisfaction was high in a case of recognizing necessity much and of understanding medical-treatment contents much, and in a case of being well adjusted to the progression of orthodontic treatment. As for a psychological change after orthodontic treatment, the satisfaction was high in a case with a positive change(p<0.001). 3. The factors of influencing satisfaction with orthodontic treatment had significant influence in order of necessity for orthodontic treatment(p<0.001), adjustment to progression of orthodontic treatment(p<0.001), psychological change after orthodontic treatment(p<0.01), expectation level of dental health after orthodontic treatment(p<0.01), and understanding about treatment contents(p<0.01). As a result of research, the satisfaction with orthodontic treatment in patients with orthodontics is indicated to be relatively high. Thus, the careful consideration is considered to be probably necessary on qualitative part in medical treatment and on patients' expectation by grasping patents' mentally psychological condition.

본 연구는 치열교정치료를 받는 환자를 대상으로 치료 만족도 영향 요인을 조사하여 기대하는 치료만족도와 심리적 만족상태에 관하여 연구하고 진료서비스 향상을 위한 정보를 제공하고자 2009년 1월 20일부터 2월 28일까지 치열교정치료를 전문으로 하는 경기도 S치과의원, 대구광역시 B치과의원, 부산광역시 Y치과의원에서 치료 중인 382명의 환자와 보호자를 대상으로 구조화된 설문지를 이용한 직접면담조사를 실시하였다. 수집된 자료는 SPSS WIN 17.0K를 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 심미적(미용) 요인에 따른 교정치료의 만족도는 심미적 건강상태가 나쁜 집단이 4.07점으로 건강상태가 좋은 집단보다 높았으며(p<0.05), 치아배열 요인에 따라서도 건강상태가 좋은 경우가 4.04점으로 나쁜 경우의 3.93점보다 만족도가 높은 것으로 나타났다(p<0.05). 2. 교정치료의 필요성에 따른 만족도는 필요성을 많이 인식하고, 진료 내용의 이해도 많은 경우, 교정치료 진행 과정의 적응을 잘하고 있는 경우에 만족도가 높았으며, 교정 치료 후 심리적 변화는 긍정적으로 변한 경우 만족도가 높았다(p<0.001). 3. 교정치료 만족도에 영향을 미치는 요인은 교정치료의 필요성(p<0.001), 교정치료 진행 과정 적응(p<0.001), 교정 치료 후 심리적 변화(p<0.01), 교정치료 후 치아 건강 기대정도(p<0.01), 진료 내용에 대한 이해(p<0.01)의 순으로 유의한 영향을 미치고 있었다. 이러한 연구결과로 치열교정환자의 교정치료의 만족도는 비교적 높은 것으로 나타나므로 환자의 정신심리상태를 파악하여 진료의 질적인 부분과 환자의 기대부분에 세심한 배려가 필요할 것으로 사료된다.

Keywords

References

  1. Centofante DM, Brittin ME, Williams BH: Anterior malocclusion and soft tissue profile related to sound production and self-concept. Angle orthod 52(4): 313-324, 1982.
  2. Baik HS. Kim KH, Park Y: The distributions and trends in malocclusion patients, A 10 year study of 2155 patients from YDSH. Korea J Orthod 25(1): 87-100, 1995.
  3. Joo BH, Lee KS: The objective and quantitative analysis of malocclusion: Pan 2. Influence or malocclusion components to treatment difficulty. Korea J Orthod 35(1): 69-81, 2005.
  4. Kim JE, Cha BK, Lee NK: A study on the factors associated with treatment compliance in adolescent orthodontic patients. Korea J Orthod 34(2): 177-88, 2004.
  5. Ngan P. Kess B. Wilson S : Perception or discomfort by patients undergoing orthodontic treatment. Am J Orthhod 96(1): 47-53, 1989. https://doi.org/10.1016/0889-5406(89)90228-X
  6. Jones ML: An investigation into the initial discomfort caused by placement or an archwire. Eur J Orthod 6(1): 48-54, 1984. https://doi.org/10.1093/ejo/6.1.48
  7. Kim YH, Bae C. Paik IH: The relationship between locus or control and the discomfort or the patients at the initial stage of the orthodontic treatment. Korea J Orthod 24(1): 1-15, 1994.
  8. El-Mangoury NH: Orthodontic cooperation. Am J Orthod 80(6): 604-622, 1981. https://doi.org/10.1016/0002-9416(81)90264-5
  9. Han EJ. Ryu YK: A study on the factors associated with compliances of orthdontic patient. Korea J Orthod 23(4): 735-743. 1993.
  10. Kim YH et al.: Magnetic resonance imaging evaluation or occlusal splint treatment for closed lock. J Korea Dent 31(5): 383-392, 1993.
  11. Kim YH et al.: Magnetic resonance imaging evaluation or occlusal splint treatment for closed lock. J Korea Dent 31(5): 383-392, 1993.
  12. Lee SJ: Relationship between locus ir control and treatment compliance in adult orthodontic patients. Korea J Orthod 32(2): 71-78, 2002.
  13. Kim JE, Cha BK, Lee NK: A study on the factors associated with treatment compliance in adolescent orthodontic patients. Korea J Orthod 34(2): 177-188, 2004.
  14. Im DH at al.: Current trends in orthodontic patients in Seoul National University Dental Hospital. Korea J Orthod 33(1): 63-72, 2003.
  15. Kim CS: The study on the current trend who visited department of orthodontics, G medical school hospital. Master's Thesis of Graduate School or Gachon University of Medicine and Science, 2008.
  16. Gok DB et al: The distribution and trend or malocclusion patients visited at department of orthodontics. Korea J Orthod 19(3): 35-48, 1989.
  17. Kang HK, Ryu YK: A study on the prevalence of malocclusion of yonsei university students in 1991. Korea J Orthod 22(3): 691-701, 1992.
  18. Holmes A: The subjective need and demand for orthodontic treatment. Br J Orthod 19(4): 287-297, 1992. https://doi.org/10.1179/bjo.19.4.287
  19. Kim JS, Yoo MS, Ju OJ: Satisfaction with dental care in orthodontic patients. J Dent Hyg Sci 6(3): 207-212, 2006.
  20. Yoo HJ. Kim EH: A study on the influence factors in the cooperation or the orthodontic patient in sdoiescence. J Dent Hyg Sci 7(2): 97-100, 2007.
  21. Feliu JL: Long-term benefits of orthodontic treatment on oral hygiene. Am J Orthod 82(6): 473-477, 1982. https://doi.org/10.1016/0002-9416(82)90315-3
  22. Shim YS, Davidovitch Z: Relationship between orthodontic root resorption and asthma, allergy, and psychological stress. J Dent Hyg Sci 3(1): 33-38, 2003.
  23. Lee SJ: Relationship between locus if control and treatment compliance in adult orthodontic patients. Korea J Olthod 32(3): 71-78, 2002.
  24. Breece GI, Niebcrg LG: Motivations for adult orthodontic treatment. J Clin Orthod 20(3): 166-171, 1986.
  25. Helm S, Kreiborg S, Solow B: Psychosocial implications of malocclusion: a 15-year follow-up study in 30-year-old danes. Am J Orthod 87(2): 110-118, 1985. https://doi.org/10.1016/0002-9416(85)90020-X
  26. Jeong SH et al.: Analysis of patients' satisfaction about orthodontic treatment with fixed type appliance in the private dental clinics. Korea J Orthod 28(2): 266-278, 2004.
  27. Jenny J: A social perspective on need and demand ror orthodontic treatment. Int Dent J 25(4): 248-256, 1975.