Main Article Content

Abstract

The purpose of this study was to determine the antecedent of orthodontic patient satisfaction and analyze its impact on positive word of mouth recommendations (PWOM) related to orthodontic treatment. This is a quantitative survey study with a cross-sectional data collection method. The questionnaire questions with likert scale 5 points were used and adjusted to questions that already exist in previous literature. Data collection was carried out purposively with a non-probability sampling technique on the population of orthodontic patients who came to the Private Specialist Dental Clinic X in South Tangerang in the period March - April 2025. The total respondents obtained were 140 respondents that were undergoing orthodontic treatment at the clinic. PLS SEM method is used to analyze the collected data and test the hypothesis. The results of this study indicate a significant positive relationship between the variables of Facilities, Cleanliness, Dental Equipment, Dental Supplies, Orthodontist’s Technical Skills, Doctor-Patient Relationship, Staff, Treatment Duration, Location Accessibility, Appointment Scheduling, and Organization Administration and Positive Word of Mouth, mediated by Orthodontic Patient Satisfaction at the Private Specialist Dental Clinic X in South Tangerang. The five variables with the greatest influence on orthodontic patient satisfaction, in order of importance, are Dental Equipment, Organization Administration, Doctor-Patient Relationship, Treatment Duration, and Staff. The results of this study provide managerial implications for every Private Dental Clinic in identifying the antecedent factors of orthodontic patient satisfaction that can enhance word-of-mouth recommendations and ultimately increase the number of new orthodontic patients. However, this study has several limitations, which are followed by recommendations for future research.

Keywords

Patient Satisfaction Positive Word of Mouth Orthodontic Patients Private Dental Clinic

Article Details

References

  1. Abrams, R. A., Ayers, C. S., & Petterson, M. V. (1986). Quality assessment of dental restorations: A comparison by dentists and patients. Community Dentistry and Oral Epidemiology, 14(6), 317–319. https://doi.org/10.1111/j.1600-0528.1986.tb01081.x
  2. Akthar, N., Nayak, S., & Pai P, Y. (2023). Determinants of patient satisfaction in Asia: Evidence from systematic review of literature. Clinical Epidemiology and Global Health, 23, 101393. https://doi.org/10.1016/j.cegh.2023.101393
  3. Al Ghanem, E. J., AlGhanem, N. A., AlFaraj, Z. S., AlShayib, L. Y., AlGhanem, D. A., AlQudaihi, W. S., & AlGhanem, S. Z. (2023). Patient satisfaction with dental services. Cureus, 15(11). https://doi.org/10.7759/cureus.49223
  4. Aldossary, M., Ismail, E., Almutawaa, M., Alhajri, S., Almuaddi, A., & El Dalatony, M. (2023). Exploring Predictors of Patient Satisfaction in dental services: A secondary analysis study. Patient Preference and Adherence, Volume 17, 3259–3263. https://doi.org/10.2147/ppa.s433352
  5. Alfahadi, H. R., Alharbi, N. S., Alkazman, F. H., & Alabbas, M. S. (2024). Patient satisfaction with services of private dental clinics in Riyadh city: A cross-sectional study. Saudi Journal of Oral Sciences, 11(3), 166–174. https://doi.org/10.4103/sjoralsci.sjoralsci_80_23
  6. Alhozgi, A., Feine, J. S., Tanwir, F., Shrivastava, R., Galarneau, C., & Emami, E. (2021). Rural–urban disparities in patient satisfaction with oral health care: A provincial survey. BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01613-0
  7. Ali, D. A. (2016). Patient satisfaction in Dental Healthcare Centers. European Journal of Dentistry, 10(03), 309–314. https://doi.org/10.4103/1305-7456.184147
  8. Ali, N. R. I. S., Haeruddin, H., & Yuliati , Y. (2024). The Influence of Service Quality and Physical Environment (Healthscape) on Inpatient Satisfaction at RSUP dr. Tadjuddin Chalid Makassar in 2023. Journal of Aafiyah Health Research(Jahr), 5(1). https://pasca-umi.ac.id/index.php/jahr/article/view/1572
  9. Almasri, A. M. H., Hajeer, M. Y., Ajaj, M. A., Almusawi, A. O. A., Jaber, S. T., Zakaria, A. S., & Alam, M. K. (2024). Patient satisfaction following orthodontic treatment: A systematic review. Cureus, 16(7). https://doi.org/10.7759/cureus.65339
  10. American Dental Association. (n.d.-a). Dental supplies Inventory control. American Dental Association. Retrieved April 25, 2025, from https://www.ada.org/resources/practice/practice-management/dental-supplies-inventory-co ntrol
  11. American Dental Association. (n.d.-b). Preamble. American Dental Association. Retrieved April 22, 2025, from https://www.ada.org/about/principles/code-of-ethics/preamble
  12. Arslan, Z., & Elekdag-Türk, S. (2024). Awareness about the orthodontic specialty: A survey study. Journal of the World Federation of Orthodontists, 13(2), 86–94. https://doi.org/10.1016/j.ejwf.2023.12.009
  13. Baxmann, M., Baráth, Z., & Kárpáti, K. (2024). Efficacy of typodont and simulation training in orthodontic education: A systematic review. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-06425-8
  14. Calnan, M., Dickinson, M., & Manley, G. (1999). The quality of general dental care: Public and users’ perceptions. Quality and Safety in Health Care, 8(3), 149–153. https://doi.org/10.1136/qshc.8.3.149
  15. Camilleri, J., Arias Moliz, T., Bettencourt, A., Costa, J., Martins, F., Rabadijeva, D., Rodriguez, D., Visai, L., Combes, C., Farrugia, C., Koidis, P., & Neves, C. (2020). Standardization of antimicrobial testing of dental devices. Dental Materials, 36(3), e59–e73. https://doi.org/10.1016/j.dental.2019.12.006
  16. Carneiro, C. B., Moresca, R., & Petrelli, N. E. (2010). Evaluation of level of satisfaction in orthodontic patients considering professional performance. Dental Press Journal of Orthodontics, 15(6), e1–e12. https://doi.org/10.1590/s2176-94512010000600006
  17. Centers for Disease Control and Prevention. (2019). Best practices for environmental cleaning in healthcare facilities in resource-limited setting. US Department of Health and Human Services. https://www.cdc.gov/healthcare-associated-infections/media/pdfs/environmental-cleaning-rls-508.pdf
  18. Epstein, R. M. (2002). Defining and assessing professional competence. JAMA, 287(2), 226. https://doi.org/10.1001/jama.287.2.226
  19. Eslami, S., Mazaheri Habibi, M., Abadi, F., Tabesh, H., Vakili-Arki, H., & Abu-Hanna, A. (2018). Evaluation of patient satisfaction of the status of appointment scheduling systems in outpatient clinics: Identifying patients’ needs. Journal of Advanced Pharmaceutical Technology & Research, 9(2), 51. https://doi.org/10.4103/japtr.japtr_134_18
  20. Fannya, P., Putra, D. H., & Dewi, D. R. (2022). The relationship of patient satisfaction level with word of mouth on health services: Systematic review. International Journal Of Community Medicine And Public Health, 9(8), 3293. https://doi.org/10.18203/2394-6040.ijcmph20221827
  21. Ferreira, D. C., Vieira, I., Pedro, M. I., Caldas, P., & Varela, M. (2023). Patient Satisfaction with Healthcare Services and the Techniques Used for its Assessment: A Systematic Literature Review and a Bibliometric Analysis. Healthcare, 11(5), 639. https://doi.org/10.3390/healthcare11050639
  22. Goedhart, H., Eijkman, M. A. J., & ter Horst, G. (1996). Quality of dental care: The view of regular attenders. Community Dentistry and Oral Epidemiology, 24(1), 28–31. https://doi.org/10.1111/j.1600-0528.1996.tb00808.x
  23. Gofur, N. R. P., Aghasy, A. Z. Z., & Gofur, A. R. P. (2021). Spatial distribution analysis of dentists, dental technicians, and dental therapists in Indonesia. F1000Research, 10, 220. https://doi.org/10.12688/f1000research.50869.2
  24. Gracco, A., De Stefani, A., & Bruno, G. (2023). Influence of new technology in dental care: A public health perspective. International Journal of Environmental Research and Public Health, 20(7), 5364. https://doi.org/10.3390/ijerph20075364
  25. Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modeling (PLS-SEM) using R: A Workbook.. Springer International Publishing. https://doi.org/10.1007/978-3-030-80519-7
  26. Hair, J. F., Jr., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2017). A primer on partial least squares structural equation modeling (PLS-SEM) Second Edition. SAGE Publications.
  27. Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/ebr-11-2018-0203
  28. Harma, A., Yuniarti, C., Nurvitasari, R., Putra, H., Masdalifah, N., Marselinus, K., Suparman, S., Ani, N., Prinajati, P., Veranita, A., Kristiawan, H., Hasnur, H., & Ramadani, M. (2024). Dasar Administrasi Kesehatan. Sada Kurnia Pustaka.
  29. Hartshorne, J. (2022). Trust and the dentist-patient relationship. Modern Dentistry Media, 12(4), 12–16. https://doi.org/https://www.moderndentistrymedia.com/aug_sep2022/ID-AE_12-4_Hartsho rne.pdf
  30. Henseler, J., Ringle, C. M., & Sarstedt, M. (2014). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8
  31. Ismail, I. J. (2022). I trust friends before I trust companies: The mediation of WOM and brand love on psychological contract fulfilment and repurchase intention. Management Matters, 19(2), 167–186. https://doi.org/10.1108/manm-02-2022-0033
  32. Jafarzadeh, M., Ghasemi, R., Asnaashari, E., Ponnet, K., & Moeeni, M. (2025). Your right to choose: Parents’ preferences toward a pediatric dental center. BMC Oral Health, 25(1). https://doi.org/10.1186/s12903-025-05707-x
  33. Jung, Y.-S., Yang, H.-Y., Choi, Y.-H., Kim, E.-K., Jeong, S.-H., Cho, M.-J., Nam, S.-H., & Song, K.-B. (2018). Factors affecting use of word-of-mouth by dental patients. International Dental Journal, 68(5), 314–319. https://doi.org/10.1111/idj.12387
  34. Katre, A. N. (2014). Assessment of the correlation between appointment scheduling and patient satisfaction in a pediatric dental setup. International Journal of Dentistry, 2014, 1–7. https://doi.org/10.1155/2014/453237
  35. Krisnawati, Purwanegara, M. K., Widayati, R., & Kusdhany, L. S. (2023). Patient satisfaction with orthodontic treatment. Journal of International Dental and Medical Research, 16(4), 1539–1545.
  36. Luo, J. Y. N., Liu, P. P., & Wong, M. C. M. (2018). Patients’ satisfaction with dental care: A qualitative study to develop a satisfaction instrument. BMC Oral Health, 18(1). https://doi.org/10.1186/s12903-018-0477-7
  37. Lombardo, G., Vena, F., Negri, P., Pagano, S., Barilotti, C., Paglia, L., Colombo, S., & Orso, M. (2020). Worldwide prevalence of malocclusion in the different stages of dentition: A systematic review and meta-analysis. European Journal of Paediatric Dentistry, 21(2), 115–122. https://doi.org/10.23804/ejpd.2020.21.02.05
  38. Maesaroh, S., Fauziah, ni N., Putri, I. R. R., Ulhaq, M. Z., Rokhmatun, P. N., Zamani, A., Atmojo, J. T., Sunaryanti, S. S. H., & Widiyanto, A. (2022). Hospital administration as factors associated with patient satisfaction: A meta-analysis. Journal of Health Policy and Management, 7(3), 227–334. https://doi.org/10.26911/thejhpm.2022.07.03.07
  39. Moresca, R. (2018). Orthodontic treatment time: Can it be shortened? Dental Press Journal of Orthodontics, 23(6), 90–105. https://doi.org/10.1590/2177-6709.23.6.090-105.sar
  40. Ostadmohammadi, F., Nabovati, E., Jeddi, F. R., & Arani, L. S. (2025). Stakeholders’ experiences, perceptions and satisfaction with an electronic appointment system: A qualitative content analysis. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-12289-5
  41. Owusu, A. A., Boakye, K., Boateng, D., Osei-Mensah, C., & Agyei-Baffour, P. (2024). Patient satisfaction with quality of care at out-patient departments in selected health facilities in
  42. Kumasi, Ghana. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-11399-w
  43. Papageorgiou, S. N., Höchli, D., & Eliades, T. (2017). Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview. The Korean Journal of Orthodontics, 47(6), 401. https://doi.org/10.4041/kjod.2017.47.6.401
  44. Pauli, G., Martin, S., & Greiling, D. (2023). The current state of research of word-of-mouth in the health care sector. International Review on Public and Nonprofit Marketing, 20(1), 125–148. https://doi.org/10.1007/s12208-022-00334-6
  45. Penchansky, R., & Thomas, J. W. (1981). The concept of access. Medical Care, 19(2), 127–140. https://doi.org/10.1097/00005650-198102000-00001
  46. Purwaningsih, E. (2021). Administrasi dan Kebijakan Kesehatan untuk Kesehatan Masyarakat (pp. 266–274). Penerbit Media sains indonesia.
  47. Ramírez Altamirano, M. M., & Orrego-Ferreyros, L. A. (2024). Administrative management and service quality in the dental offices within the context of an upper middle-income country. PLOS ONE, 19(9), e0307773. https://doi.org/10.1371/journal.pone.0307773
  48. Riley, J. L., III, Gilbert, G. H., Ford, G. W., Fellows, J. L., Rindal, B., & Gordan, V. V. (2016). Judgment of the quality of restorative care as predictors of restoration retreatment: Findings from the National Dental PBRN. JDR Clinical & Translational Research, 2(2), 151–157. https://doi.org/10.1177/2380084416675838
  49. Ringle, C. M., & Sarstedt, M. (2016). Gain more insight from your PLS-SEM results. Industrial Management & Data Systems, 116(9), 1865–1886. https://doi.org/10.1108/imds-10-2015-0449
  50. Salihin, Baharuddin, B., E, J., & I.S, A. (2022). The effect of service quality with facilities on patient satisfaction through the image of a public health centre. Proceedings of the International Conference on Industrial Engineering and Operations Management, 2857–2864. https://doi.org/10.46254/au01.20220590
  51. Samsudin. (2021). Pengaruh pelayanan administrasi terhadap kepuasan pasien di RSUD. Pasar Rebo. JURNAL EKONOMI, MANAJEMEN, BISNIS, DAN SOSIAL (EMBISS), 1(4), 397–402.
  52. Sarstedt, M., Hair, J. F., Pick, M., Liengaard, B. D., Radomir, L., & Ringle, C. M. (2022). Progress in partial least squares structural equation modeling use in marketing research in the last decade. Psychology & Marketing, 39(5), 1035–1064. https://doi.org/10.1002/mar.21640
  53. Sarstedt, M., Ringle, C. M., & Hair, J. F. (2017). Partial least squares structural equation modeling. In Handbook of Market Research (pp. 1–40). Springer International Publishing. https://doi.org/10.1007/978-3-319-05542-8_15-1
  54. Sekaran, U., & Bougie, R. (2020). Research methods for business: A skill building approach (8th ed.). John Wiley & Sons.
  55. Sharka, R., Sedayo, L., Morad, M., & Abuljadayel, J. (2024). Measuring the impact of dental service quality on revisit intention using an extended SERVQUAL model. Frontiers in Oral Health, 5. https://doi.org/10.3389/froh.2024.1362659
  56. Siripipatthanakul, Dr. S. (2021). Service quality, patient satisfaction, word-of-mouth, and revisit intention in A dental clinic, Thailand. International Journal of Trend in Scientific Research and Development (IJTSRD), 5(5).
  57. Soare, T., Ianovici, C., Gheorghe, I.-R., Purcărea, V. L., & Soare, C. M. (2022). A word-of-mouth perspective on consumers of family medicine services: A case study. Journal of Medicine and Life, 15(5), 655–660. https://doi.org/10.25122/jml-2022-0098
  58. Souki, G. Q., Ávila, J. M. S. de, Moura, L. R. C., & Souki, B. Q. (2022). Perceived quality factors that discriminate parents of orthodontic patients according to their satisfaction. International Journal of Pharmaceutical and Healthcare Marketing, 16(2), 297–315. https://doi.org/10.1108/ijphm-09-2020-0073
  59. Stonehouse-Smith, D., Pandis, N., Bister, D., & Seehra, J. (2022). Clinical communication in orthodontics: Any questions? Journal of Orthodontics, 49(4), 448–456. https://doi.org/10.1177/14653125221084314
  60. Stormon, N. (2022). Consumables. In Dentistry environment essentials. The University of Queensland. https://doi.org/10.14264/8be74db
  61. Sugondo, F. R., Faustina, P., & Bernarto, I. (2021). Pengaruh Efisiensi Waktu Tunggu, Biaya Pelayanan, Kebersihan, serta Kenyamanan Ruangan terhadap Kepuasan Pasien (Studi Pada Pelayanan Instalasi Rawat Jalan Rumah Sakit Medika Lestari). Jurnal Manajemen Kesehatan Indonesia, 9(3), 205–214. https://doi.org/10.14710/jmki.9.3.2021.205-214
  62. Tibeica, S. C., Virvescu, D. I., Lupu, I. C., Budala, D. G., Luchian, I., Tibeica, A., Surlari, Z., & Carausu, E. M. (2024). Patients’ satisfaction regarding oral healthcare services in the north-east region of romania: A preliminary questionnaire survey. Healthcare, 12(12), 1195. https://doi.org/10.3390/healthcare12121195
  63. Tsichlaki, A., Chin, S. Y., Pandis, N., & Fleming, P. S. (2016). How long does treatment with fixed orthodontic appliances last? A systematic review. American Journal of Orthodontics and Dentofacial Orthopedics, 149(3), 308–318. https://doi.org/10.1016/j.ajodo.2015.09.020
  64. Ututu, C., Orikpete, M., Okino, B. O., Okino, C. O., & Onyeaso, C. O. (2023). Satisfaction with duration of orthodontic treatment, knowledge and perception of accelerated orthodontics by Nigerian dental practitioners: A questionnaire study. Asian Journal of Medicine and Health, 21(12), 1–11. https://doi.org/10.9734/ajmah/2023/v21i12955
  65. Uzun, B., Ozsahin, D. U., Hamdan, H., Charafeddine, J., Ünsal, G., & Özyer, D. (2021). Optimization of dental devices and tools used on teeth. BioMed Research International, 2021(1). https://doi.org/10.1155/2021/9913788
  66. Wang, M., Liu, G. G., Bloom, N., Zhao, H., Butt, T., Gao, T., Xu, J., & Jin, X. (2021). Medical disputes and patient satisfaction in China: How does hospital management matter? The International Journal of Health Planning and Management, 37(3), 1327–1339. https://doi.org/10.1002/hpm.3399
  67. Wibowo, H. K., & Junaedi, S. (2019). The impact of service quality, patient satisfaction, and trust on positive word of mouth (WOM) of dental clinic’s patients. Journal of International Conference Proceedings, 2(3), 68–78.
  68. Wong, L., Ryan, F. S., Christensen, L. R., & Cunningham, S. J. (2018). Factors influencing satisfaction with the process of orthodontic treatment in adult patients. American Journal of Orthodontics and Dentofacial Orthopedics, 153(3), 362–370. https://doi.org/10.1016/j.ajodo.2017.07.017
  69. World Health Organization. (2023, March 7). Environmental cleaning and infection prevention and control in health care facilities in low- and middle-income countries. World Health Organization. https://www.who.int/publications/i/item/9789240051065
  70. Wu, Q., Jin, Z., & Wang, P. (2021). The relationship between the physician-patient relationship, physician empathy, and patient trust. Journal of General Internal Medicine, 37(6), 1388–1393. https://doi.org/10.1007/s11606-021-07008-9
  71. Wulandari, R., Doddy, I. P., & Indaryani, L. (2024). Measuring the impact of healthcare service quality of hospitals on customer satisfaction. Corporate and Business Strategy Review, 5(1, special Issue), 336–345. https://doi.org/10.22495/cbsrv5i1siart8
  72. Xuan, X., Li, Z., Chen, X., Cao, Y., & Feng, Z. (2021). Study of the physical environment of waiting areas and its effects on patient satisfaction, experience, perceived waiting time, and behavior in china. HERD: Health Environments Research & Design Journal, 14(3), 108–123. https://doi.org/10.1177/1937586721989058
  73. Zadake, S. N., Kangane, S. K., Ambekar, A. S., Kondle, M., & Kalekar, R. (2020). Factors affecting satisfaction with the process of orthodontic treatment in young adults: A questionnaire study. Journal of Indian Orthodontic Society, 54(2), 135–141. https://doi.org/10.1177/0301574219887503
  74. Zhang, Y., Li, W., & Wang, S. (2016). Relationships among satisfaction, treatment motivation, and expectations in orthodontic patients: A prospective cohort study. Patient Preference and Adherence, 2016(10), 443. https://doi.org/10.2147/ppa.s101825