Patients´ satisfaction concerning direct anterior dental restoration

Abstract The objective of this study was to observe patients’ satisfaction with their in-service direct anterior dental restorations and to compare it with clinical evaluation using FDI (Federation Dental International) criteria. Patients scored their own anterior dental restorations regarding satisfaction (satisfactory /dissatisfactory). If dissatisfaction was mentioned, then, they would be interviewed about the complaint. In the same session, the dental restorations were clinically evaluated by two dentists using FDI criteria (1-5 score) concerning esthetic, functional, and biological domains. Descriptive statistics were used for frequencies of scores attributed by patients and clinicians. In order to compare patients’ to clinicians’ frequencies, the Chi-square test was applied (p ≤ 0.05). A total of 106 restorations were evaluated by patients and clinicians. Patients reported 52.8% of restorations satisfactory and 47.8% dissatisfactory. Overall, clinicians reported the same restorations as 82,3% satisfactory and 17,6% dissatisfactory. Patients’ most frequent complaints referred to color, followed by anatomical form, fracture of material and retention, and approximal anatomical form. Comparing patients’ satisfaction and dissatisfaction rates to clinicians’ evaluation per criteria, there was no difference regarding esthetics. The frequency of dissatisfactory restorations by clinicians was significantly lower when functional and biological properties were compared with patients’ opinions. Direct anterior dental restorations were more frequently reported as satisfactory by patients and clinicians, being the main complaints related to esthetic issues. When clinicians and patients’ evaluations were compared, it was observed that the frequencies of satisfactory restoration by patients and clinicians were similar regarding esthetic properties, and significantly different regarding functional and biological properties.

摘要 本研究旨在探究患者对其在役前牙直接修复体的满意度，并将该主观评价与采用国际牙科联盟（Federation Dental International，FDI）标准的临床评估结果进行对比。患者需对自身的前牙直接修复体进行满意度评分，选项分为满意与不满意；若患者提及不满意，则会针对其主诉开展详细访谈。在同一次诊疗过程中，由两名牙医依据FDI标准的1至5分评分体系，从美学、功能及生物学三个维度对修复体进行临床评估。本研究采用描述性统计学方法分析患者与临床医师所评分数的分布频率；为对比二者的评分分布差异，采用卡方检验（Chi-square test）进行统计学分析，检验水准设定为p≤0.05。本研究共评估106件修复体：患者报告其中52.8%的修复体令其满意，47.8%令其不满意；临床医师则判定同批修复体中82.3%为满意，17.6%为不满意。患者最常见的主诉依次为色泽异常、解剖形态不佳、修复材料折裂与固位不良，以及邻面解剖形态异常。按各项评估标准对比患者满意度与临床医师的评估结果时，美学维度未发现显著差异；而在功能与生物学维度的评估中，临床医师判定为不满意的修复体占比显著低于患者的主观评价。前牙直接修复体的满意度在患者与临床医师的评估中均以满意为主，患者的主要主诉均与美学问题相关。对比二者的评估结果可见，在美学维度上，患者与临床医师对修复体满意程度的分布无显著差异；而在功能与生物学维度上，二者的满意度分布存在显著差异。