Georgios Chatzopoulos1, Maria Tsitsara2, Konstantinos Tzimas3, Lazaros Tsalikis4
Summary
Background/Aim: The aim of the study was to evaluate and compare patient profile, attitude and satisfaction of patients visiting a university periodontal clinic before and during the financial crisis in Greece.
Material and Methods: In this cross-sectional study, adult consecutive patients that visited the undergraduate Periodontology clinic of the Aristotle University of Thessaloniki from October 2014 to July 2015 were invited to participate anonymously. The only exclusion criterion that was set was the age: all individuals had to be ≥18 years old. The questionnaire utilized in this study included six parts of questions: 1) demographic characteristics; 2) environmental and behavioral characteristics; 3) diagnosis of periodontal disease; 4) medical history; 5) difficulties-satisfaction-proposals about periodontal treatment; and 6) history of periodontal therapy. One hundred and fifty individuals, mean aged of 51.6±12.3 years were interviewed concerning their demographic and behavioral characteristics. Satisfaction level, reasons for selecting the university dental clinic and oral hygiene habits were also recorded.
Results: The profile of the patient attending the university periodontal clinic was a female (54.0%), 51-year-old on average, of high education (76.0%), good oral hygiene habits (brushing ≥2 times/day: 49.3%, use of additional oral health care: 66.0%), heavy smoker (>15 cigarettes/day: 51.9%) and chronic periodontal disease (96.7%). Economic difficulties led the participants to seek periodontal treatment in the university clinic (30.7%), but the vast majority of them were highly satisfied (81.3%), confident (82.0%) and informed (51.3%) about the treatment. Before the financial collapse in Greece, the profile of the patients in the clinic was characterized by low socioeconomic status with poor oral hygiene, none or basic education and unemployed (no income) and retired individuals. Heavy smoking, diagnosis of chronic periodontal disease and satisfaction were also reported prior to the financial crisis.
Conclusions: The demographic characteristics of those who seek treatment in a university setting have changed dramatically and younger, more highly educated and employed individuals attend the undergraduate Periodontology clinic of the Aristotle University of Thessaloniki, Greece compared with those who attended the university dental clinic prior to the financial crisis.
1. Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, Mackenbach JP, McKee M. Financial crisis, austerity, and health in Europe. Lancet, 2013;381:1323-1331.Google Scholar
2. Delatola C, Adonogianaki E, Ioannidou E. Non-surgical and supportive periodontal therapy: predictors of compliance. J Clin Periodontol, 2014;41:791-796.Google Scholar
3. Farmakis ET, Palamidakis FD, Skondra FG, Nikoloudaki G, Pantazis N. Emergency care provided in a Greek dental school and analysis of the patients’ demographic characteristics: a prospective study. Int Dent J, 2016;66:280-286.Google Scholar
4. Chatzopoulos GS, Tsalikis, Menexes G. Influence of Body Mass Index and other periodontitis-associated risk factors and risk indicators on periodontal treatment needs: a cross-sectional study. Oral Health Prev Dent, 2017;15:191-197.Google Scholar
5. Choo A, Delac DM, Messer LB. Oral hygiene measures and promotion: review and considerations. Aust Dent J, 2001;46:166-173.Google Scholar
6. Chatzopoulos GS, Koidou VP. Oral Hygiene and Nutrition Habits of Young People in Greece Aged 18 to 25 and Review of the Literature. Balk J Dent Med, 2014;18:133-143.Google Scholar
7. TNS opinion and social (co-ordinated by Directorate General Communication) Report for Oral Health special Eurobarometer. 330/Wave 72-3, February 2010.Google Scholar
8. Giannelis G, Tsalikis L, Koumpias A, Konstantinidis A. Profile, attitude, and satisfaction of patients visiting a University clinic. Balk J Stom, 2010;14:8-15.Google Scholar
9. Karydis A, Komboli-Kodovazeniti M, Hatzigeorgiou D, Panis V. Expectations and perceptions of Greek patients regarding the quality of dental health care. Int J Qual Health Care, 2001;13:409-416.Google Scholar
10. Petersen PE, Kwan S. Evaluation of community-based oral health promotion and oral disease prevention- WHO recommendations for improved evidence in public health practice. Community Dent Health, 2004;21:319-329.Google Scholar
11. Al-Shammari KF, Al-Ansari JM, Al-Khabbaz AK, Dashti A, Honkala EJ. Self-reported oral hygiene habits and oral health problems of Kuwaiti adults. Med Princ Pract, 2007;16:15-21.Google Scholar
12. Craig RG, Boylan R, Yip J, Bamgboye P, Koutsoukos J, Mijares D et al. Prevalence and risk indicators for destructive periodontal diseases in 3 urban American minority populations. J Clin Periodontol, 2001;28:524-535.Google Scholar
13. Chatzopoulos GS, Tsalikis L. Periodontal treatment needs and systemic diseases in an older population in Greece. J Clin Exp Dent, 2016;8:e32-37.Google Scholar
14. Bergstrom J. Periodontitis and smoking: an evidence-based appraisal. Review. J Evid Based Dent Pract, 2006;6:33-41.Google Scholar
15. Papapanou PN. Periodontal diseases: Epidemiology. Ann Periodontol. 1996;1:1-36.Google Scholar
16. Damiano P, Warren J. A profile of patients in 6 dental school clinics and implications for the future. J Dent Educ, 1995:59:1083-1090.Google Scholar
17. Francis JL, Niemann SS, Koerber LG. The ex-dental clinic patient: what can we learn? J Dent Educ, 1989;53:244-245.Google Scholar
18. Lafont BE, Gardiner DM, Hochstedler J. Patient satisfaction in a dental school. Eur J Dent Educ, 1999;3:109-116.Google Scholar
19. Damiano P, Warren J. A profile of patients in 6 dental school clinics and implications for the future. J Dent Educ, 1995:59:1083-1090.Google Scholar
20. Alvesalo I, Uusi-Heikkilä Y. Use of services, care-seeking behavior and satisfaction among university dental clinic patients in Finland. Community Dent Oral Epidemiol, 1984;12:297-302.Google Scholar
21. Imanaka M, Nomura Y, Tamaki Y, Akimoto N, Ishikawa C, Takase H et al. Validity and reliability of patient satisfaction questionnaires in a dental school in Japan. Eur J Dent Educ, 2007;11:29-37.Google Scholar
22. Davis DM, Fiske J, Scott B, Radford DR. The emotional effects of tooth loss: A preliminary quantitative study. Br Dent J, 2000;188:503-506.Google Scholar
23. Bergendal B. The relative importance of tooth loss and denture wearing in Swedish adults. Community Dent Health, 1989;6:103-111.Google Scholar