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患者对前牙固定修复治疗美学效果的认知

Patient's Perception on the Esthetic Outcome of Anterior Fixed Prosthetic Treatment.

作者信息

Alshiddi Ibraheem F, BinSaleh Saad M, Alhawas Yasser

机构信息

Assistant Professor and Consultant, Department of Prosthetic Dental Sciences, College of Dentistry King Saud University, Riyadh, Saudi Arabia Phone: +966 01 4677325, e-mail:

Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Contemp Dent Pract. 2015 Nov 1;16(11):845-9. doi: 10.5005/jp-journals-10024-1768.

DOI:10.5005/jp-journals-10024-1768
PMID:26718288
Abstract

OVERVIEW

Patient's perception to the esthetic result of the treatment received can be different from a dentist opinion. Understanding patient's opinion, demand and expectation is part of successful treatment procedure.

OBJECTIVE

The purpose of this study was to investigate patient's opinion about the esthetic result of the fixed prosthetic treatment received in upper anterior teeth.

MATERIALS AND METHODS

About 90 volunteer subjects, 58 males and 32 females were given a self-evaluation questionnaire with 11 questions to respond as Yes or No. The questions regarded the esthetic result of a fixed prosthodontic treatment received for their upper anterior teeth. The same questioner was completed for each subject by three clinicians through clinical photographs for different views of subject's smile. Agreement between patients and clinicians was calculated for all subjects to evaluate patient's perception to their esthetic results.

RESULTS

An agreement of 47.8 to 72.2% was observed between patients and clinicians, and the average agreement was 53.64 to 60%. The highest agreement was related to satisfaction with the color of the crown and/or bridge margin while the least agreement was related to the satisfaction with the natural looking of the restoration.

CONCLUSION

There was variability in the agreement between the patients and the dentists with the satisfaction of the esthetic result of anterior restoration. Factor, such as gender, age and educational level may affect the results of the agreement.

摘要

概述

患者对所接受治疗美学效果的认知可能与牙医的看法不同。了解患者的意见、需求和期望是成功治疗过程的一部分。

目的

本研究的目的是调查患者对上前牙固定修复治疗美学效果的看法。

材料与方法

约90名志愿者受试者,58名男性和32名女性,被给予一份包含11个问题的自我评价问卷,回答“是”或“否”。这些问题涉及他们上前牙接受的固定修复治疗的美学效果。三位临床医生通过受试者不同微笑视角的临床照片为每个受试者完成相同的问卷。计算所有受试者患者与临床医生之间的一致性,以评估患者对其美学效果的认知。

结果

患者与临床医生之间的一致性在47.8%至72.2%之间,平均一致性为53.64%至60%。最高的一致性与对冠和/或桥边缘颜色的满意度相关,而最低的一致性与对修复体自然外观的满意度相关。

结论

患者与牙医在对前牙修复美学效果的满意度方面存在一致性差异。性别、年龄和教育水平等因素可能会影响一致性结果。

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