Patients’ Expectations and Satisfaction with Fixed Partial Denture and Implant-Supported Single Crown in Clinical Practice of Bangladeshi Perspective

Abstract

Background: Fixed partial dentures and implant-supported single crowns are among the most widely accepted treatment options for replacement of missing teeth. These two procedures differ in cost, invasiveness, and biological outcomes, which may influence patient expectations and satisfaction.
Objective: To evaluate and compare patients’ expectations and satisfaction with fixed partial dentures and implant-supported single crowns in clinical practice from a Bangladeshi perspective.
Materials and Methods: A descriptive cross-sectional study was conducted among 130 patients (65 fixed partial dentures and 65 implant-supported single crowns) attending selected dental clinics in Bangladesh. Pre-treatment expectations and post- treatment satisfaction were assessed using a validated structured questionnaire including function, aesthetics, comfort, speech, and cost domains. Data were analyzed using SPSS version 25. Chi-square tests used to compare satisfaction between groups (p < 0.05).
Results: Post-treatment, functional satisfaction was reported by 83.08% of fixed partial dentures and 93.85% of implant-supported single crowns patients; aesthetic satisfaction by 69.23% of fixed partial dentures and 89.23% of implant-supported single crowns patients; comfort satisfaction by 76.92% of fixed partial dentures and 95.38% of implant-supported single crowns patients; and speech satisfaction by 95.38% of fixed partial dentures and 98.46% of implant-supported single crowns patients. Overall satisfaction was 81.54% for fixed partial dentures and 90.77% for implant-supported single crowns, with no statistically significant difference (p = 0.3132). However, dissatisfaction with treatment cost was common (41.53% for fixed partial dentures; 38.46% for implant-supported single crowns).
Conclusion: Both fixed partial dentures and implant-supported single crowns demonstrated high patient satisfaction regarding function, aesthetics, comfort, and speech. There was no statistically significant difference regarding overall satisfaction between fixed partial dentures and implant-supported single crowns. However, satisfaction related to treatment cost was low.

KYAMC Journal Vol. 16, No. 03, October 2025: 115-118.