Jørnung Jannike, Fardal Øystein
Department of Orthodontics, Faculty of Odontology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
J Am Dent Assoc. 2007 Dec;138(12):1544-53; quiz 1613-4. doi: 10.14219/jada.archive.2007.0103.
Little information has been published regarding the difference between how patients perceive their own smiles and how dentists view them.
The authors interviewed 78 consecutively seen patients in a general dental practice in Norway about esthetic features of their faces. The patients were not actively seeking esthetic treatment. Patients rated themselves using a 100-point visual analog scale (VAS), and then two dentists (the patients' regular dentist and an independent periodontist), working with photographs of the patients, used the same VAS in rating the patients' smiles.
The average age of the patients was 51.2 years (range, 22-84 years). There were 50 women (average age, 51.5 years; range, 22-84 years) and 28 men (average age, 52 years; range, 30-78 years). Patients' satisfaction with their own smiles reached an average of 59.1 (standard deviation [SD], 21.1; range, 5-100) on the VAS. The dentists' scores (38.6 and 40.7) were significantly lower than the patients' scores. The authors observed poor correlation between the periodontist's scores of dentogingival features and the patients' scores. Patients were most satisfied with the gingiva when smiling and least satisfied with tooth shade. Patients younger than 50 years were most satisfied with their smiles. Patients rated teeth and eyes as the most important features in an attractive face. Women gave teeth and hair significantly higher scores and head shape lower scores than did men.
Patients' opinions of their own smiles were significantly higher than the two clinicians' assessments of their smiles. Dentists should be aware that patients who seek esthetic services may have different perceptions of their smiles than may patients who do not express such desires.
关于患者如何看待自己的笑容与牙医如何看待这些笑容之间的差异,发表的相关信息较少。
作者在挪威一家普通牙科诊所连续采访了78名患者,询问他们面部的美学特征。这些患者并非主动寻求美学治疗。患者使用100分视觉模拟量表(VAS)对自己进行评分,然后两名牙医(患者的常规牙医和一名独立的牙周病医生)根据患者的照片,使用相同的VAS对患者的笑容进行评分。
患者的平均年龄为51.2岁(范围为22 - 84岁)。其中有50名女性(平均年龄51.5岁;范围为22 - 84岁)和28名男性(平均年龄52岁;范围为30 - 78岁)。患者对自己笑容的满意度在VAS上平均达到59.1(标准差[SD]为21.1;范围为5 - 100)。牙医的评分(38.6和40.7)显著低于患者的评分。作者观察到牙周病医生对牙牙龈特征的评分与患者的评分之间相关性较差。患者微笑时对牙龈最满意,对牙齿颜色最不满意。年龄小于50岁的患者对自己的笑容最满意。患者将牙齿和眼睛评为有吸引力的面部中最重要的特征。女性对牙齿和头发的评分明显高于男性,对头部形状的评分低于男性。
患者对自己笑容的评价明显高于两位临床医生对他们笑容的评估。牙医应意识到,寻求美学服务的患者对自己笑容的认知可能与未表达此类需求的患者不同。