Dental care satisfaction among adult population in Isfahan, Iran and its influencing factors

Faezeh Eslamipour, Bahareh Tahani, Kamal Heydari, Hoda Salehi


BACKGROUND AND AIM: The aim of this study was to assess the level of dental care satisfaction among Iranian adult population and to identify socio-demographic factors and factors related to dental service that affect satisfaction.

METHODS: A self-administrated valid and reliable 21-item questionnaire was designed and distributed among 1360 adult population living in Isfahan, Iran, using multi-stage proportional cluster sampling. It consisted of 5 main sections including demographic questions, perceived oral health status, oral health behaviors, barriers in receiving the demanded care and some 5-point Likert scale questions to assess the satisfaction level. Chi-square and analysis of variance were used to compare variables. People were classified as satisfied/dissatisfied based on their total score with score of 26 as the cut-off point. A logistic regression model was used to identify the factors affecting the level of satisfaction and to estimate their effect size.

RESULTS: The mean age of participants was 31.2 ± 11.3 and they mostly reported to have dental visits during the last year. The mean satisfaction score was 3.34 out of 5 (53% were satisfied) and the least and the most satisfaction was in regard to waiting time and the convenience to access, respectively. Logistic regression showed that participants in lower age group [odds ratio (OR) = 0.7], those who reported their oral health status as poor (OR = 0.8) and those who had to spend more time to reach dental care setting (OR = 0.6) and those who had to wait more (OR = 0.5) were less satisfied.

CONCLUSION: About 53% of participants were satisfied which was much lower than percentage of satisfied people in developed countries and the level of satisfaction was associated with socio-demographic, behavioral and also dental service.


Patient Satisfaction; Dental Care; Adult; Iran

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Shrestha A, Doshi D, Rao A, Sequeira P. Patient satisfaction at rural outreach dental camps-a one year report. Rural Remote Health 2008; 8(3): 891.

Newsome PR, Wright GH. A review of patient satisfaction: 1. Concepts of satisfaction. Br Dent J 1999; 186(4): 161-5.

Mascarenhas AK. Patient satisfaction with the comprehensive care model of dental care delivery. J Dent Educ 2001; 65(11): 1266-71.

Sitzia J, Wood N. Patient satisfaction: A review of issues and concepts. Soc Sci Med 1997; 45(12): 1829-43.

Armfield JM, Enkling N, Wolf CA, Ramseier CA. Dental fear and satisfaction with dental services in Switzerland. J Public Health Dent 2014; 74(1): 57-63.

Skaret E, Berg E, Raadal M, Kvale G. Factors related to satisfaction with dental care among 23-year olds in Norway. Community Dent Oral Epidemiol 2005; 33(2): 150-7.

Kress GC Jr. Patient satisfaction with dental care. Dent Clin North Am 1988; 32(4): 791-802.

Tahani B, Khoshnevisan MH, Yazdani S, Ebn AhmadyA, Dugdale P. Stewardship of National Oral Health system in Iran: Its strengths and weaknesses. Arch Iran Med 2013; 16(12): 717-24.

Hoseinpour R, Safari HR. A review of statistics and information about the dentistry section of the country. Tehran, Iran: Iranian Dental Association; 2013.

Orenuga OO, Sofola OO, Uti OO. Patient satisfaction: A survey of dental outpatients at the Lagos University Teaching Hospital, Nigeria. Nig Q J Hosp Med 2009; 19(1): 47-52.

Bedi R, Gulati N, McGrath C. A study of satisfaction with dental services among adults in the United Kingdom. Br Dent J 2005; 198(7): 433-7.

Seyedi Andi S, Shojaeizadeh D, Batebi A, Hoseini M, Rezai R. Client satisfaction with health system services offered by urban health care centers of Shahid Beheshti University of Medical Sciences, Tehran, Iran. J Babol Univ Med Sci 2009; 10(6): 80-7. [In Persian].

Franco LM, Franco C, Kumwenda N, Nkhoma W. Methods for assessing quality of provider performance in developing countries. Int J Qual Health Care 2002; 14(Suppl 1): 17-24.

Sharifi HP. Principles of validity and analysis of validation. Tehran, Iran: Roshd Publications; 2011. p. 419. [In Persian].

New York State Department of Health Office of Managed Care. Dental care survey Medicaid managed care members [Online]. [cited 2007]; Available from: URL:

Stewart JF, Spencer AJ. Dental satisfaction survey 2002 [Online]. [cited 2005]; Available from: URL:

Gurdal P, Cankaya H, Onem E, Dincer S, Yilmaz T. Factors of patient satisfaction/dissatisfaction in a dental faculty outpatient clinic in Turkey. Community Dent Oral Epidemiol 2000; 28(6): 461-9.

Holt VP, McHugh K. Factors influencing patient loyalty to dentist and dental practice. Br Dent J 1997; 183(10): 365-70.

Al-Hussyeen AJ. Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City. Saudi Dent J 2010; 22(1): 19-25.

Dewi FD, Sudjana G, Oesman YM. Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness. Dent Res J (Isfahan) 2011; 8(4): 172-7.

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(5): 409-16.

Lahti S, Tuutti H, Hausen H, Kaarlanen R. Patients' expectations of an ideal dentist and their views concerning the dentist they visited: Do the views conform to the expectations and what determines how well they conform? Community Dent Oral Epidemiol 1996; 24(4): 240-4.

Bamise C, Bada T, Bamise F, Ogunbodede E. Dental care utilization and satisfaction of residential university students. Libyan J Med 2008; 3(3): 140-3.

Hill CJ, Garner SJ, Hannafin ME. What Dental Professionals Should Know About Dental Consumers. Health Mark Q 1990; 8(1-2): 45-57.

Ekback G, Ordell S, Stahlnacke K. Satisfaction with dental care and life-course predictors: A 20-year prospective study of a Swedish 1942 birth cohort? Acta Odontol Scand 2016; 74(3): 194-201.

Okullo I, Astrom AN, Haugejorden O. Influence of perceived provider performance on satisfaction with oral health care among adolescents. Community Dent Oral Epidemiol 2004; 32(6): 447-55.

Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: Exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 2007; 7: 1.

Tamaki Y, Nomura Y, Teraoka K, Nishikahara F, Motegi M, Tsurumoto A, et al. Characteristics and willingness of patients to pay for regular dental check-ups in Japan. J Oral Sci 2004; 46(2): 127-33.

Sakalauskiene Z, Machiulskiene V, Murtomaa H, Vehkalahti MM. Satisfaction with dental care and its role in dental health-related behaviour among lithuanian university employees. Oral Health Prev Dent 2015; 13(2): 113-21.

Kress GC Jr, Silversin JB. The role of dental practice characteristics in patient satisfaction. Gen Dent 1987; 35(6): 454-7.

Ntabaye MK, Scheutz F, Poulsen S. Patient satisfaction with emergency oral health care in rural Tanzania. Community Dent Oral Epidemiol 1998; 26(5): 289-95.


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