Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics

Mon Mon Tin-Oo, Norkhafizah Saddki, Nurhidayati Hassan, Mon Mon Tin-Oo, Norkhafizah Saddki, Nurhidayati Hassan

Abstract

Background: We assessed factors influencing patients' satisfaction with their dental appearance and the treatments they desired to improve dental aesthetics.

Methods: A cross-sectional study was performed out among 235 adult patients who visited the Hospital Universiti Sains Malaysia dental clinic. A structured, interviewer-guided questionnaire was used to identify patient satisfaction with their general dental appearance, cosmetic elements and desired treatments.

Results: The 235 patients consisted of 70 males (29.8%) and 165 females (70.2%), of mean age 31.5 years (SD 13.0). Of these patients, 124 (52.8%) were not satisfied with their general dental appearance. In addition, 132 patients (56.2%) were not happy with the color of their teeth, 76 (32.3%), regarded their teeth were poorly aligned, 62 (26.4%), as crowded and 56 (23.4%) protruded. Dissatisfaction with tooth color was significantly higher in female than in male patients (odds ratio [OR] of 1.99 (95% confidence interval [CI] 1.13-3.50). Tooth whitening was the treatment most desired by patients (48.1%). Results of multiple logistic regression analysis showed that patient dissatisfaction with general dental appearance was significantly associated with female gender (OR = 2.18; 95% CI: 1.18-4.03), unhappiness with tooth color (OR = 3.05; 95% CI: 1.74-5.34) and the opinion that their teeth protruded (OR = 2.91, 95% CI: 1.44-5.91).

Conclusions: Most patients in this study were not satisfied with their dental appearance with a greater percentage of females expressing dissatisfaction than males. An age was not associated with satisfaction. Unhappiness with tooth color and feelings of having protruding teeth also had a significant negative influence on patient satisfaction with general dental appearance.

References

    1. Qualtrough A, Burke F. A look at dental esthetics. Quintessence International. 1994;25(1):7–14.
    1. Van der Geld P, Oosterveld P, Van Heck G, Kuijpers-Jagtman A. Smile attractiveness. Self-perception and influence on personality. The Angle Orthodontist. 2007;77(5):759–765. doi: 10.2319/082606-349.
    1. Samorodnitzky-Naveh G, Geiger S, Levin L. Patients' satisfaction with dental esthetics. Journal of the American Dental Association. 2007;138(6):805–808.
    1. Alkhatib M, Holt R, Bedi R. Prevalence of self-assessed tooth discolouration in the United Kingdom. Journal of Dentistry. 2004;32(7):561–566. doi: 10.1016/j.jdent.2004.06.002.
    1. Xiao J, Zhou X, Zhu W, Zhang B, Li J, Xu X. The prevalence of tooth discolouration and the self-satisfaction with tooth colour in a Chinese urban population. Journal of Oral Rehabilitation. 2007;34(5):351–360. doi: 10.1111/j.1365-2842.2007.01729.x.
    1. Kershaw S, Newton J, Williams D. The influence of tooth colour on the perceptions of personal characteristics among female dental patients: comparisons of unmodified, decayed and 'whitened' teeth. British Dental Journal. 2008;204:E9. doi: 10.1038/bdj.2008.134.
    1. Akarslan Z, Sadik B, Erten H, Karabulut E. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics. Indian Journal of Dental Research. 2009;20(2):195–200. doi: 10.4103/0970-9290.52902.
    1. Al-Omiri M, Karasneh J, Lynch E, Lamey P, Clifford T. Impacts of missing upper anterior teeth on daily living. International Dental Journal. 2009;59(3):127–132.
    1. Gerritsen A, Sarita P, Witter D, Kreulen C, Mulder J, Creugers N. Esthetic perception of missing teeth among a group of Tanzanian adults. The International Journal of Prosthodontics. 2008;21(2):169–173.
    1. John M, Slade G, Szentpétery A, Setz J. Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment. The International Journal of Prosthodontics. 2004;17(5):503–511.
    1. Grossmann A, Hassel A, Schilling O, Lehmann F, Koob A, Rammelsberg P. Treatment with double crown-retained removable partial dentures and oral health-related quality of life in middle- and high-aged patients. The International Journal of Prosthodontics. 2007;20(6):576–578.
    1. Chi J, Harkness M, Crowther P. A longitudinal study of orthodontic treatment need in Dunedin schoolchildren. New Zealand Dental Journal. 2000;96(423):4–9.
    1. Manzanera D, Montiel-Company J, Almerich-Silla J, Gandía J. Orthodontic treatment need in Spanish schoolchildren: an epidemiological study using the Index of Orthodontic Treatment Need. European Journal of Orthodontics. 2009;31(2):180–183. doi: 10.1093/ejo/cjn089.
    1. Esa R, Razak I, Allister J. Epidemiology of malocclusion and orthodontic treatment need of 12-13-year-old Malaysian schoolchildren. Community Dental Health. 2001;18(1):31–36.
    1. Baubiniene D, Sidlauskas A, Miseviciene I. The need for orthodontic treatment among 10-11- and 14-15-year-old Lithuanian schoolchildren. Medicina (Kaunas) 2009;45(10):814–821.
    1. Sharma J. Epidemiology of malocclusions and assessment of orthodontic treatment need for the population of eastern Nepal. World Journal of Orthodontics. 2009;10(4):311–316.
    1. Zhang M, McGrath C, Hägg U. The impact of malocclusion and its treatment on quality of life: a literature review. International Journal of Paediatric Dentistry. 2006;16(6):381–387. doi: 10.1111/j.1365-263X.2006.00768.x.
    1. Kiyak H. Does orthodontic treatment affect patients' quality of life? Journal of Dental Education. 2008;72(8):886–894.
    1. Lemeshow S, Hosmer D, Klar J, Lwanga S. Adequacy of sample size in health studies. Colchester, England: John Wiley & Sons; 1990.
    1. Vallittu P, Vallittu A, Lassila V. Dental aesthetics--a survey of attitudes in different groups of patients. Journal of Dentistry. 1996;24(5):335–338. doi: 10.1016/0300-5712(95)00079-8.
    1. Alkhatib M, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005;22(1):32–36. doi: 10.1111/j.1741-2358.2004.00045.x.
    1. Odioso L, Gibb R, Gerlach R. Impact of demographic, behavioral, and dental care utilization parameters on tooth color and personal satisfaction. Compendium of Continuing Education in Dentistry. 2000;29:S35–41.
    1. Carlsson G, Johansson A, Johansson A, Ordell S, Ekbäck G, Unell L. Attitudes toward dental appearance in 50- and 60-Year-old subjects living in Sweden. Journal of Esthetic and Restorative Dentistry. 2008;20(1):46–55. doi: 10.1111/j.1708-8240.2008.00148.x.
    1. Hassel A, Wegener I, Rolko C, Nitschke I. Self-rating of satisfaction with dental appearance in an elderly German population. International Dental Journal. 2008;58(2):98–102.
    1. Joiner A. Tooth colour: a review of the literature. Journal of Dentistry. 2004;32(Suppl 1):3–12. doi: 10.1016/j.jdent.2003.10.013.
    1. Höfel L, Lange M, Jacobsen T. Beauty and the teeth: perception of tooth color and its influence on the overall judgment of facial attractiveness. The International Journal of Periodontics & Restorative Dentistry. 2007;27(4):349–357.
    1. Marques L, Filogônio C, Filogônio C, Pereira L, Pordeus I, Paiva S, Ramos-Jorge M. Aesthetic impact of malocclusion in the daily living of Brazilian adolescents. Journal of Orthodontics. 2009;36(3):152–159. doi: 10.1179/14653120723139.
    1. Tufekci E, Jahangiri A, Lindauer S. Perception of profile among laypeople, dental students and orthodontic patients. The Angle Orthodontist. 2008;78(6):983–987. doi: 10.2319/102207-503.1.
    1. Jonsson T, Arnlaugsson S, Karlsson K, Ragnarsson B, Arnarson E, Magnusson T. Orthodontic treatment experience and prevalence of malocclusion traits in an Icelandic adult population. American Journal of Orthodontics and Dentofacial Orthopedics. 2007;131(1):8.e11–18.e18. doi: 10.1016/j.ajodo.2006.05.030.
    1. Onyeaso C. Prevalence of malocclusion among adolescents in Ibadan, Nigeria. American Journal of Orthodontics and Dentofacial Orthopedics. 2004;126(5):604–607. doi: 10.1016/j.ajodo.2003.07.012.
    1. Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F. Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children. European Journal of Orthodontics. 2009;31(5):477–484. doi: 10.1093/ejo/cjp031.

Source: PubMed

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