Mohammed Dhaifullah Esam H, Zarnoog Maram S, Muqaybil Musab A, Alrogi Abdulaziz F, Albugami Shoug M
Preventive Dental Science, Vision College of Dentistry and Nursing, Riyadh, SAU.
Dentistry, Basmatic Al Gmaila for Dentistry and Dermatology, Riyadh, SAU.
Cureus. 2022 Oct 18;14(10):e30434. doi: 10.7759/cureus.30434. eCollection 2022 Oct.
Background Porcelain is considered the most esthetic and biocompatible material in dentistry with the ability to imitate sound enamel. Research into porcelain laminate veneers has focused mainly on technical or aesthetic aspects, rather than the reaction of the surrounding soft tissues. This study aims to evaluate the knowledge, attitudes, and practice regarding patient maintenance of soft-tissue alternation occurring after the placement of veneers. Methodology A descriptive, cross-sectional survey was chosen for this study to identify patient gingival alternation that occurred after the placement of veneers. Statistical analysis was performed using R version 3.6.3. Counts and percentages were used to summarize the study variables. The chi-square test was used to assess the association between categorical variables. Adverse events included hyperplasia, gum recession, change in color, change in taste/smell, toothache, and redness. Spearman's correlation was used to assess the association between hygiene, awareness, and the number of adverse events experienced after installing the veneers. Hypothesis testing was performed at a 5% level of significance. Results The study questionnaire was completed by 98 respondents. Males and females represented 34.7% and 65.3% of the study sample, respectively. One-half (53.1%) of the respondents were 30-40 years old, and one-quarter were 41-50 years old. Only one-half of the respondents were satisfied with the final result after installing the veneers (53.1%). Satisfaction was not significantly different between males and females (p = 0.818). Results showed better awareness and dental hygiene in females. Only 11.8% of the males reported visiting the dentist due to gingival problems before installing the veneers compared to 35.9% of the females (p = 0.021). The most common problems reported by the respondents were hyperplasia (62.2%) and a change in smell/taste (66.3%). Other common problems included color change (58.2%), toothache (59.2%), and redness (55.1%). Satisfaction was significantly higher in patients who did not experience gingival hyperplasia (70.3%) than in those who did (42.6%). Experiencing toothache and redness in the gums surrounding the lenses were associated with lower satisfaction (p < 0.001). The use of antibiotics was not associated with satisfaction (p = 0.495). Conclusions Our study indicated a low level of awareness and satisfaction with porcelain laminate veneer placement. There was a statistically significant association between dental hygiene and awareness scores. Dental hygiene was also positively associated with satisfaction with dental veneers. A lower awareness score was associated with lower satisfaction. Further, higher awareness was associated with higher satisfaction.
瓷被认为是牙科领域中最具美学性和生物相容性的材料，能够模仿健康的牙釉质。对瓷贴面的研究主要集中在技术或美学方面，而非周围软组织的反应。本研究旨在评估患者对贴面修复后软组织变化的认知、态度及维护情况。
本研究采用描述性横断面调查，以确定贴面修复后患者牙龈的变化。使用R 3.6.3版本进行统计分析。计数和百分比用于总结研究变量。卡方检验用于评估分类变量之间的关联。不良事件包括增生、牙龈退缩、颜色改变、味觉/嗅觉改变、牙痛和发红。Spearman相关性用于评估卫生习惯、认知程度与安装贴面后不良事件数量之间的关联。假设检验在5%的显著性水平上进行。
98名受访者完成了研究问卷。男性和女性分别占研究样本的34.7%和65.3%。一半（53.1%）的受访者年龄在30至40岁之间，四分之一的受访者年龄在41至50岁之间。只有一半的受访者（53.1%）对安装贴面后的最终效果感到满意。男性和女性的满意度无显著差异（p = 0.818）。结果显示女性的认知程度和口腔卫生状况更好。只有11.8%的男性表示在安装贴面之前因牙龈问题看过牙医，而女性的这一比例为35.9%（p = 0.021）。受访者报告的最常见问题是增生（62.2%）和嗅觉/味觉改变（66.3%）。其他常见问题包括颜色改变（58.2%）、牙痛（59.2%）和发红（55.1%）。未经历牙龈增生的患者满意度（70.3%）显著高于经历过牙龈增生的患者（42.6%）。在贴面周围牙龈出现牙痛和发红与较低的满意度相关（p < 0.001）。使用抗生素与满意度无关（p = 0.495）。
我们的研究表明，患者对瓷贴面修复的认知水平和满意度较低。口腔卫生状况与认知得分之间存在统计学上的显著关联。口腔卫生状况也与对牙贴面的满意度呈正相关。较低的认知得分与较低的满意度相关。此外，较高的认知水平与较高的满意度相关。
