Esthetic Expectations of Edentulous Patients Followed in a French Dental Clinic

Esthetic is a major factor in complete denture (CD) success. Patient involvement in esthetic project plays a crucial role in denture acceptance and patient satisfaction. Historically, teeth choice and arrangement were made according to Frush and Ficher's recommendations focusing on natural looking of esthetics. Dentists may also propose to restore the dentate state looking for denture when preextraction data are available. Recently, a patient-centered approach based on attractivity has been proposed and may lead to in an appearance transcending the laws of nature.

The aim of the present study was to investigate actual denture esthetic expectations in a French edentate population followed in a university dental clinic (Rothschild Hospital , AP-HP).

Study Overview

• Status: Completed
• Conditions: Complete Edentulism
• Intervention / Treatment: Other: Complete denture

Detailed Description

Inclusion criteria : being currently edentulous within at least within the maxillary arch, literate French speakers, willing and able to complete the survey in a single sitting. Clinical data collection was made by a unique examiner and concerned length of edentulism, antagonist arch, existence of preextraction data, smile attractivity opinion. The respondents completed a questionnaire identifying their age, sex, educational and income level. Patients were also asked for their denture look preference among 4 esthetic projects: 1) restoring pre-extraction (dentate) looking, 2) restoring actual denture looking, 3) creating natural looking, 4) creating perfect looking, 5) no opinion. Each project was explained similarly by the same examiner. Statistical analysis using a Pearson Chi-squared test at a 0.05 level of significance was conducted for associations between esthetic projects preference and tested variables.

• Study Type: Observational
• Enrollment (Actual): 42

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Totally edentulous subjects (20 women, 22 men, mena aged: 67.9 ± 12.2 years) attending maxillary CD in the department of prosthodontics of the Hopital Rothschild (AP-HP) are concerned by recruitment and are proposed to participate.

Description

Inclusion criteria : Currently edentulous maxillary arch, literate French speakers, willing and able to complete the survey in a single sitting. Inclusion Criteria:

Exclusion Criteria: Aged under 18 years.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
esthetic preferred project	Patients were asked for their denture-looking expectations among 4 esthetic projects: 1) restoring pre-extraction dentate looking, 2) restoring actual denture looking, 3) creating natural looking, 4) creating perfect looking, 5) no opinion.	Esthetic expectation evaluated at date of inclusion

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
age	Respondents completed a questionnaire identifying their age (in years)	evaluated at date of inclusion
gender	Respondents completed a questionnaire identifying their gender (man or woman)	evaluated at date of inclusion
educational level	Respondents completed a questionnaire identifying their educational level : last degree (no degree at al, French General Certificate Secondary Education, High School Diploma, Vocational Training Certificate taken at Secondary School, university degree)	evaluated at date of inclusion
month income level,	Respondents completed a questionnaire identifying their income level each month : in euros	evaluated at date of inclusion
length of edentulism,	Respondents completed a questionnaire identifying the duration of edentulism (in years)	evaluated at date of inclusion
smile attractivity opinion	Respondents completed a questionnaire identifying their smile attractivity opinion Respondents completed a questionnaire identifying the most attractive smile among 4 esthetic situations : preextraction-looking smile, denture-like smile, natural-like smile, perfect smile.	evaluated at date of inclusion
preextraction data available	Respondents completed a questionnaire identifying the existence of preextraction data available (available or not available)	evaluated at date of inclusion

Collaborators and Investigators

• Sponsor: Hôpital Rothschild

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2016
• Primary Completion (Actual): September 1, 2017
• Study Completion (Actual): September 1, 2017

Study Registration Dates

• First Submitted: September 9, 2017
• First Submitted That Met QC Criteria: September 12, 2017
• First Posted (Actual): September 14, 2017

Study Record Updates

• Last Update Posted (Actual): September 14, 2017
• Last Update Submitted That Met QC Criteria: September 12, 2017
• Last Verified: September 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Stomatognathic Diseases; Mouth Diseases; Tooth Diseases; Mouth, Edentulous
• Other Study ID Numbers: 01 (Miami VAHS)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED