Impact of mandibular vertical height and bone density on patient satisfaction following complete denture treatment

We sought to analyze demographic, anatomical, and disease factors affecting patient satisfaction after complete denture treatment. A cross-sectional study assessed the data of 92 subjects (n = 55 men and 37 women) aged 45 years and older who wore complete dentures constructed at the Dental Teaching Hospital, Faculty of Dentistry, Universitas Indonesia. A validated Indonesian version of the Patient's Denture Assessment (PDA-ID) questionnaire was applied to evaluate their satisfaction at 1 month after complete denture insertion and scores were compared between different patient groups. Vertical height (at both anterior and posterior points) and bone density of the mandible were evaluated via panoramic radiography. A significant difference (P =.000) was found between the different vertical heights of the mandible (anterior and posterior) and patient satisfaction regarding complete denture treatment. Meanwhile, no significant difference (P =.160) was found between bone density of the mandible and patient satisfaction regarding complete denture treatment. Multivariate analysis containing identified predictive factors revealed that patient satisfaction with complete denture treatment was mostly affected by vertical height of the anterior mandible (P =.000). Vertical height of the anterior mandible is a key determinant factor influencing patients' satisfaction after complete denture treatment.