Patient-Centered Outcomes in Orthodontics: A Questionnaire-Based Evaluation of Expectations and Satisfaction

Abstract

Purpose of the study: Aesthetic concerns significantly influence individuals’ self-perception and social acceptance, particularly in those with malocclusion or dentofacial anomalies. These conditions can affect psychological well-being and social confidence, making orthodontic treatment a vital component of holistic care. Patient expectations regarding treatment outcomes, duration, and discomfort vary widely and are shaped by demographic and psychosocial factors. Understanding and managing these expectations through effective communication is essential to improving satisfaction, treatment compliance, and overall clinical success. This study explores patient expectations prior to orthodontic treatment to better align clinical approaches with individual patient needs.

Methodology: This cross-sectional study aimed to evaluate the expectations of orthodontic patients prior to treatment and assess their alignment with realistic clinical outcomes. A structured questionnaire was administered to 100 new patients aged 15–30 years, all with no prior orthodontic treatment. The survey explored expectations regarding diagnosis, treatment type and duration, anticipated side effects, follow-up visits, aesthetic outcomes, and the orthodontist’s demeanour.

Results: Results indicated considerable variability in patient expectations. Most participants preferred fixed appliance therapy and expected their first visit to involve diagnosis and treatment discussion. A one-year treatment duration and monthly visits were commonly anticipated. Key motivations included improved dental appearance and self-confidence, while discomfort and relapse were major concerns. Additionally, patients placed high value on orthodontists exhibiting supportive and confident behaviour.

Conclusion:  The findings underscore the importance of understanding patient expectations to enhance treatment satisfaction and compliance. By identifying discrepancies between anticipated and realistic outcomes, clinicians can tailor communication strategies, align treatment goals, and improve overall care. Directly assessing patient expectations, especially among adolescents and young adults, is essential for delivering personalized and effective orthodontic treatment.