Τούντας Ιωάννης, Καθηγητής, Ιατρική, ΕΚΠΑ
Καντζανού Μαρία, Επίκουρη Καθηγήτρια, Ιατρική, ΕΚΠΑ,
Μπενέτου Βασιλική, Αναπληρώτρια Καθηγήτρια, Ιατρική, ΕΚΠΑ
Introduction: Health Services are now following an anthropocentric development model, with the result that healthcare professionals are increasingly interested in patient satisfaction. The quality of health services and the necessary assessment in order to assess how they respord to the predetermined goals is a requirement in modern societies.
Aim: This diploma thesis aims at assessing the provision of dental care at the University Clinic of Athens School of Dentistry as well as the evaluation of quality parameters of life in relation to Oral Health and the investigation of the factors associated with it (educational level, sex , age, type of employment, frequency of brushing, use of interdental cleansing, use of oral solution, frequency of visit to the dentist, last visit to the dentist
Materials and Methods: Questionnaires with "closed-type" questions were used and the responses were given in the form of a five-level Likert scale from a sample of 210 patients while waiting in the waiting rooms of the Dental Clinic of Dental School of Athens. In addition, the Decay - Missing - Filled Index (DMFT) was measured and periodontal disease (an active disease or history) evaluated. The above data were obtained from the dental history of the patients which had been completed from their initial clinical and x-ray examination. Τhe survey was carried out from March to April 2019. A statistical analysis of the questionnaire parameters was followed and their correlation with demographic characteristics, oral hygiene habits, dental visits, use of cigarettes, periodontal disease (active disease or history thereof) as well as DMFT index was sought with use the SPSS v19.0 program to answer the queries that have been set for the purpose of this qualitative research and to illustrate the correlations that will arise. The non-parametric Mann-Whitney and Kruscal-Wallis tests, respectively, were used to investigate correlations of the overall scores of the three questionnaires as well as of the individual sections of the DSQ-19. Possible correlation with quantitative variables was investigated using the non-parametric Spearman correlation coefficient.
Results: The convenience sample consisted of 210 patients, most of them women (51.4%, 108 subjects). Most patients were Greeks (94.3%), yet many immigrants are starting to seek dental services from the Dental School.. The majority of age patients belonged to the 45-64 age group (50.5%, 106 people). 59% of the sample (124 subjects) had active periodontal disease or a history of it. The median value of the DFMT was 17. Regarding the overall set of DSQ -19 (46) provided by the clinic of Dental School , there was no difference in its correlation with age, gender, ethnicity, educational level, type of employment, smoking, the frequency of visit to the dentist, the last visit to the dentist, the frequency of brushing, periodontitis, the use of oral solution and interdental cleaning. With regard to hygiene rules, these are largely followed and communication with faculty members and external associates was very satisfactory. Still, the quality of life of Oral Health-related patients appears to be related to the use of oral solution, interdental cleansing, toothbrushing frequency, DMFT caries index, presence of periodontal disease or its history, smoking, age, educational level, type of employment and frequency of traffic to the dentist.
Conclusion: Oral Health is indissolubly linked to Patient Quality of Life. The DMFT index and the presence of periodontal disease or its history affect the quality of life. Patient satisfaction with dental benefits of the clinic of Dental School is not affected by any of the factors we have studied. From the above we conclude that it is necessary to establish an integrated policy aimed at the prevention of oral diseases, the promotion of oral health, the effective treatment of oral diseases, the efficient and qualitative functioning of dental care services and the realization of the necessary policies and actions through targeted programs.
Dental care, Dental health, Quality of life, Quality of dental services, Dental school, Greece