Patient Satisfaction with Orthodontic Treatment

Research output: Contribution to journalArticlepeer-review


Healthcare services cannot be considered of high quality if patients are not satisfied. Many studies related to orthodontic patient satisfaction have been conducted in various countries namely Amsterdam, Sweden, Norway, Brazil, the United Kingdom, Korea, and China. Patient satisfaction with orthodontic treatment results ranges from 34% to 95%. This wide range may be due to the difficulty in finding a gold standard measuring tool to assess patient satisfaction. A study was conducted using a patient satisfaction measuring tool, which is a cross-cultural adaptation of the Academic Centre Dentistry Amsterdam (ACTA) questionnaire. The aim of this study was to find out risk factors associated with patient satisfaction and to obtain the cut-off point of patient satisfaction for those undergoing orthodontic treatment at the Orthodontic Clinic Faculty of Dentistry Universitas Indonesia dental teaching hospital during 2018-2021. The study began with processing adaptation of the Academic Centre for Dentistry Amsterdam (ACTA) questionnaire. Reliability testing was carried out with Cronbach alpha and Principal Component Analysis to test construct validity, until we obtained 5 domains and 34 questions that were valid and reliable. We conduct bivariate analysis with Independent T test, One Way ANOVA and multivariate analysis with logistic regression to obtain factors that influence patient satisfaction with orthodontic treatment. The validity and reliability of the patient satisfaction questionnaire can be used in this study. According to the findings of multivariate analysis, the factors that most influence Patient satisfaction are education (OR=0.17) and socioeconomic (OR=2,31) Analysis using the ROC Curve with a comparison of ICON scores obtained a cutoff point of 162.5 (sensitivity 0.5 and specificity 0.326) comparing between Satisfied and Not Satisfied Group. This study found that 87.59% of respondents expressed satisfaction with Orthodontic treatment at dental hospital, Faculty of Dentistry Universitas Indonesia. Multiple regression analysis showed that education and socio-economic factors may affect treatment satisfaction.

Original languageEnglish
Pages (from-to)1539-1545
Number of pages7
JournalJournal of International Dental and Medical Research
Issue number4
Publication statusPublished - 2023


  • Cross-Cultural Adaptation ACTA
  • Index of Complexity Outcome and Need (ICON)
  • Patient Satisfaction measurement tool


Dive into the research topics of 'Patient Satisfaction with Orthodontic Treatment'. Together they form a unique fingerprint.

Cite this