A perda dentária é muito prevalente no Brasil, sobretudo entre idosos, onde mais de 3 milhões precisam de prótese total bimaxilar. Para mudar este quadro, o governo Federal instituiu os Centros de Especialidades Odontológicas (CEO). Assim, este estudo pretendeu avaliar uma das atribuições desses Centros, a provisão de próteses totais convencionais (PTC) sob a ótica da qualidade e satisfação relacionadas a este produto. Para tanto, fez-se um estudo seccional com 149 indivíduos reabilitados em CEOs do Rio Grande do Norte com tais próteses entre 2007 a 2009. Os dados foram obtidos por questionário e exame clínico da PTC quanto a sua retenção, estabilidade, estética e fixação. Das 233 PTC avaliadas; 52,7% das superiores e 9,5% das inferiores foram tecnicamente satisfatórias. Contudo, 69,1% (n=103) dos entrevistados relataram satisfação com suas próteses. Quanto a associação entre qualidade técnica e satisfação, o teste Qui-quadrado indicou que PTC superiores tecnicamente adequadas (p=0,041), sobretudo quanto a retenção (p=0,002) e estabilidade (p=0,000), estavam associados a satisfação positiva do usuário. Assim, as próteses satisfizeram à população assistida, apesar dos déficits técnicos. No entanto, essa satisfação pode advir da reabilitação em si e não de sua funcionalidade.
Palavras-chave:
Prótese dentária
Satisfação do paciente
avaliação de serviços de saúde
Abstract:
The tooth loss is very prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. To change this situation, the federal government instituted the Specialized Dental Care Centers (SDCC). Thus, this study intended to evaluate one assignment of these Centers, the provision of full conventional dentures (FCD) from the perspective of normative quality and satisfaction related to this product. To this end, it was conduced a cross-sectional study with 149 individuals rehabilitated in SDCC of Rio Grande do Norte with such dentures between 2007 and 2009. Data were obtained by questionnaire and FCD´s clinical examination about its retention, stability, aesthetics, and fixation. From the 233 evaluated dentures, 52.7% of upper FCD and 9.5% of lower FCD were technically satisfactory. However, 69.1% (n = 103) of respondents reported satisfaction with their dentures. Concerning the association between normative quality and satisfaction, the chi-square test indicated that upper FCD technically adequate (p = 0.041), particularly in terms of retention (p = 0.002) and stability (p = 0.000) were associated with people´s positive satisfaction. Thus, the FCD satisfied the users, although the normative failure. However, this satisfaction may come from the rehabilitating itself and not from its functionality.
Keywords:
dental prosthesis
satisfaction
evaluation of health services
Technical quality and satisfaction related to full conventional dentures
Resumo (abstract):
The tooth loss is very prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. To change this situation, the federal government instituted the Specialized Dental Care Centers (SDCC). Thus, this study intended to evaluate one assignment of these Centers, the provision of full conventional dentures (FCD) from the perspective of normative quality and satisfaction related to this product. To this end, it was conduced a cross-sectional study with 149 individuals rehabilitated in SDCC of Rio Grande do Norte with such dentures between 2007 and 2009. Data were obtained by questionnaire and FCD´s clinical examination about its retention, stability, aesthetics, and fixation. From the 233 evaluated dentures, 52.7% of upper FCD and 9.5% of lower FCD were technically satisfactory. However, 69.1% (n = 103) of respondents reported satisfaction with their dentures. Concerning the association between normative quality and satisfaction, the chi-square test indicated that upper FCD technically adequate (p = 0.041), particularly in terms of retention (p = 0.002) and stability (p = 0.000) were associated with people´s positive satisfaction. Thus, the FCD satisfied the users, although the normative failure. However, this satisfaction may come from the rehabilitating itself and not from its functionality.
Palavras-chave (keywords):
dental prosthesis
satisfaction
evaluation of health services
