Albashaireh Zakereyya S M, Alhusein Ahmad A, Marashdeh Mousa M
Department of Restorative Dentistry, Faculty of Dentistry, Jordan University of Science & Technology, P.O. Box 3030, Irbid 22110, Jordan.
Int J Prosthodont. 2009 Jan-Feb;22(1):65-71.
Dental esthetics has increasingly become an important and rewarding discipline in dentistry as patients have begun to request anterior restorations of high esthetic quality. Clinicians must be prepared to meet the esthetic demands and high expectations of their patients. Different variables may influence the esthetic quality of restorations. Quality evaluations may vary with clinical or patient assessments. This study attempted to assess the esthetic quality of maxillary anterior restorations in order to determine the percentage of restorations with satisfactory quality, examine variables affecting esthetic quality, and make comparisons between agreements and disagreements in clinical and patient evaluations.
Restorations in patients attending different dental clinics in Irbid, Jordan were examined. Clinicians compared the color and shape of the restorations with those of a natural tooth using Ryge criteria, and patients evaluated the same parameters and the surface texture using a Visual Analogue Scale (VAS). Evaluations ranked the quality as good, satisfactory, or poor.
The percentage of esthetic complaints was 32.4%, whereas the percentage of satisfactory restorations revealed was 43.8% and 67.6% by clinical and patient assessments, respectively. Restorations yielded significantly better scores on both evaluations when they were prepared by dental students, made in the Dental Teaching Centre (DTC), or were less than one year old. The number of agreements between clinical and patient rankings was significantly less than disagreements.
There were statistically significant disagreements on the esthetic quality between clinicians and patients. Age, gender, practice sector, qualification of the operator, type, and longevity of restoration significantly affected the assessments.
随着患者开始要求高质量的前牙修复体，牙齿美学在牙科领域已日益成为一门重要且有价值的学科。临床医生必须做好准备，以满足患者对美学的需求和高期望。不同变量可能会影响修复体的美学质量。质量评估可能因临床评估或患者评估而异。本研究试图评估上颌前牙修复体的美学质量，以确定质量令人满意的修复体的百分比，检查影响美学质量的变量，并比较临床评估和患者评估中的一致与不一致情况。
对约旦伊尔比德不同牙科诊所的患者的修复体进行检查。临床医生使用赖格标准将修复体的颜色和形状与天然牙的颜色和形状进行比较，患者使用视觉模拟量表（VAS）评估相同参数以及表面质地。评估将质量评为良好、满意或差。
美学投诉的百分比为32.4%，而临床评估和患者评估分别显示满意修复体的百分比为43.8%和67.6%。当修复体由牙科学生制作、在牙科教学中心（DTC）制作或使用时间少于一年时，在两项评估中得分均显著更高。临床排名与患者排名之间的一致数量显著少于不一致数量。
临床医生和患者在美学质量方面存在统计学上的显著分歧。年龄、性别、执业部门、操作者资质、修复体类型和使用时长显著影响评估结果。
