Assessment of Dental Esthetics by Patients and Dentists Before and After Treatment.
Abstract: Aims & Hypothesis: The main goals for any dental treatment are overall comfort, esthetics, masticatory function and speech. Patients' satisfaction in these aspects is key to any successful dental procedure. Dental esthetics is a major concern for patients seeking restorative treatments in the maxillary anterior area. It has been reported that the esthetic perceptions of a patient may dif... read morefer from those of his or her dentist. Also, dentists may have a different viewpoint of a patient's esthetic appearance than the patient her/himself. This can result in dissatisfaction with the treatment end results. Hence, the objectives of this study are to compare patients' and dentists' satisfactions with dental esthetics before and after esthetic treatments and to compare the difference between patients' and dentists' esthetic assessment. Materials & Methods: Thirty patients and eleven dentists were selected for this study. From the dentists, there were nine dentists who preformed the esthetic treatment and two who evaluated patients' photographs. Patients and dentists rated their satisfactions with the patient's front teeth on 100mm VAS bars before and after the esthetic treatment. Satisfaction scores were on color, shape and size of the front teeth and overall smile. The improvement scores (satisfaction score after treatment minus satisfaction before treatment) were calculated and compared for patients and both dentists. Results: From the patients, there were nineteen females (63.33%) and eleven males (36.67%). Age ranged from16 to 68 years (mean 42.03, SD 18.38). The median (IQR) improvement for color was 54 (50), for shape was 55 (66), for size was 31 (55), and for overall smile was 42 (39). For operating dentists, the median (IQR) improvement for color was 45 (21), for shape was 35 (31), for size was 20 (50) and for overall smile was 30 (35). For evaluating dentists, the median (IQR) improvement for color was 30 (33), for shape was 25 (35), for size was 40 (37) and for overall smile was 30 (30). Patients and both types of dentist showed significantly higher satisfaction scores after the esthetic treatment than before for all esthetic parameters (p<0.001). Conclusions: Before treatment, evaluating dentists' satisfaction scores were significantly lower than patients' scores for all esthetic parameters except for shape, which was not significant. Regarding satisfaction improvement scores, patients were significantly higher than operating dentists for overall smile.
Thesis (M.S.)--Tufts University, 2015.
Submitted to the Dept. of Posthodontics.
Advisor: Hans-Peter Weber.
Committee: Hamasat Gheddaf-Dam, Samer Khayat, and Matthew Finkelman.
Keyword: Dentistry.read less