Assessment of Patients’ Satisfaction following Coverage of Gingival Recessions: Questionnaire-Based Case Series

Eleftherios Mitsopoulos, Panagiotis Karakostas, L. Tsalikis
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Abstract

Summary Background/Aim: One of the most important goals of periodontal plastic surgery constitutes the predictable root coverage. Despite the thorough documentation that several surgical approaches can be implemented for the successful treatment of gingival recession (GR), only limited papers reported data on the evaluation according to patient’s opinion. Thus, the forthcoming study is aiming in the patient-based assessment of the outcome of root coverage procedures. Material and Methods: Sixteen subjects (eight male, eight female; mean age 43.75 years, range: 23-73 years), with twenty one GRs, constituted the sample of this study and the root coverage procedures were executed in the period from 2011 to 2019. A patient-based questionnaire was used to assess the level of subjects’ concern on various aspects related to the GR, preand post-operatively. Patient’s overall post-operative satisfaction was evaluated with a VAS. Results: After a period of at least 6 months of the surgical treatment, the majority of the subjects indicated that they were not concerned for all the examined criteria. The criteria with the highest improvement (reported as improvement by at least two levels of concern pre- and post-operatively) were the following: 1) fear to lose the involved teeth and 2) esthetics of the area of the recession defect. With regard to esthetics’ criteria, the majority of the patients indicated post-operatively the examined criteria as not important. The esthetics’ criteria yielding the highest improvement were: 1) position of the teeth and 2) the fact that the teeth showed longer. Mean patient’s overall post-operative satisfaction was 82,3 (range: 0-100). Conclusions: The majority of the subjects were satisfied from the implemented root coverage procedures. Few studies on the international literature have evaluated patient satisfaction following therapy. Comprehensive, multi-center studies, comprised of a large sample and a using a standardized approach are needed in future research.
牙龈衰退覆盖后患者满意度评估:基于问卷的病例系列
背景/目的:牙周整形手术最重要的目标之一是实现可预测的牙根覆盖。尽管文献记载了几种手术方法可以成功治疗牙龈萎缩(GR),但只有有限的论文报道了根据患者意见进行评估的数据。因此,即将进行的研究旨在以患者为基础评估牙根覆盖手术的结果。材料与方法:16名受试者(男8名,女8名;平均年龄43.75岁,范围23-73岁),共有21个GRs构成本研究的样本,根覆盖程序在2011 - 2019年期间执行。采用以患者为基础的问卷,评估受试者对术前和术后与GR相关的各个方面的关注程度。采用VAS评价患者术后总体满意度。结果:经过至少6个月的手术治疗后,大多数受试者表示他们不关心所有检查标准。改善程度最高的标准(术前和术后至少有两种程度的改善)是:1)担心失去所涉及的牙齿,2)缺损区域的美观。在美学标准方面,大多数患者认为术后检查标准并不重要。产生最大改善的美学标准是:1)牙齿的位置和2)牙齿显示更长。患者总体术后平均满意度为82,3(范围:0-100)。结论:大多数受试者对实施的牙根覆盖手术感到满意。国际文献中很少有研究评估患者治疗后的满意度。在未来的研究中,需要全面的、多中心的、由大样本组成的、使用标准化方法的研究。
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