The Study Of Expected Value Before Treatment And Satisfaction After Treatment Of Orthodontic Patients

As the change of medical model, the definition of health not only includes physical health, but also includes the satisfied state both physically and mentally. Modern medical model demands orthodontic health workers not only rectify the appearance and function of dentition, but also relieve patients of psychologic obstacle.Dentognathic deformity is a kind of development malformation caused by congenital or acquired predisposition. Its incidence tends to increase in China. Serious dentognathic deformity can hamper patients'physical functions, appearances and mental growth, which will hinder the development of social function. The number of orthodontic patient increases with the development of economy. Orthodontists offer an alternative service to improve patients'appearance and oral function. The degree of satisfaction of patients, which are also consumers, can be considered as the concordance or concordance of expectation before treatment and feeling during treatment. The degree of satisfaction about the quality of medical of patients in different periods, areas and ages can be influenced by their culture background, education and social experience.In China, medicopsychology started comparatively late. There are few psychological researches on orthodontic treatment. This study is aiming at improving the communication between patients and orthodontists. We analyze the influences of social psychic factor, therapeutic regimen and course of treatment on patients before and after treatment. This study is comprised by two parts.Part 1. The study of expected value before treatmentObjective: To study the expected value of orthodontic patients under different social of socio-psycho factors. Method: 162 orthodontic patients of which are 44 males and 118 females ageing from 12 to 40 and 38 parents were randomly selected to answer an"orthodontic patients'expected value questionnaire". Result: (1) Expected value of patients under different social background was different. Females were higher than males. The expected value of adult patients'was higher than juvenile patients'and the expected value of married patients'was higher than unmarried patients'. Patients with undergraduate or higher educational background had higher expected value. (2) Both males and females had higher standard in"self-image"and"oral function"than"general health"and"social communication". There were sex differences in"social communication"and"general healthy". Males paid more attention to"social communication"while females paid more attention to"general healthy". (3) There was no difference in the expectations between impuberism patients and their parents. They both had higher standard in"self-image"and"oral function"than"general health"and"social communication". Conclusion: Social psychic factors affect the expected value of orthodontic patients and their parents.Part 2. The study of satisfaction after treatmentObjective: To study the influences of social psychic factor, therapeutic regimen and course of treatment on patients. Methods: 84 males and 116 females, aged between 18 and 40, whose orthodontic treatment had completed were randomly enrolled to answer a questionnaire. Results: (1) Adult patients under different background have different degrees of content. Females have lower degrees than males. The married have lower degrees than the unmarried and people with high education have higher degrees of content. (2) The severity of malocclusion doesn't correlate to adult orthodontic patients'degrees of content. Conclusions: There is no correlation tendency between severity of malocclusion and adult orthodontic patients'degree of content. (3) Extraction didn't affect patients'satisfaction. (4) The satisfaction of patients decreased as the course of treatment increasing. Conclusion: Patients'satisfaction was affected by social psychic factor and course of treatment rather than the severity of malocclusion and extraction.As an orthodontist, we should not only comply the duty of being a doctor, but also assume the social responsibility. Understand patients'mentation and adopt proper counseling. So patients will soon grow out of their fear and have a right recognition about their condition. When doctors and patients reach a good cooperation relationship, they can get the perfect result.