The demand for systematic conservation of teeth largely developed in the 20th century. Whatever had transpired before as regards this subject was generally related only to the removal of tartar and sharp edges on the teeth, and also the unmethodical filling of cavities with a variety of materials (1). Many factors need be considered during the restoration of missing or compromised teeth for maintenance of esthetics and function. These depend on the patient’s expectations and the expertise of the dental practitioner. Facilities available at dental clinics and skills of the operator and experience play a vital role in the decision of a treatment option. Dentistry has kept abreast of these developments with an ever-increasing array of new materials and innovative techniques, making this a rewarding time to be a dentist.(2)
The aim of the current study was to investigate the relationship between patient perceptions and professional assessments.
MATERIALS & METHODS:
Questionnaire encompassing five subject areas and a parallel questionnaire for the dentist who examined those patients was designed to collect information regarding different aspects of restorative dentistry. 100 patients randomly attending a dental clinician for the first time were selected
Twenty six 26% patients sought advice for discoloration compared to 41% reported by dentist, 70% patients and 59% dentist reported it not being a problem. 72% patients perceived pain as concern compared to 91% by dentists.Both findings were statistically significant at P. value <.0.05. 0.05. Twenty eight 28% patients reported compared to 32% by dentist. Whereas 70% patients space was not a concern, compared to 68% reported by dentists. Similarly with regards loose teeth 53% patients and 47% dentists concern whereas 47% patients and 53% dentists
Patients attend dental clinics with a variety of problems however, the main complaints could have been centered on pain, aesthetics (color and space), functional problems or a lack of stability of the teeth.. tooth color was the primary reason for dissatisfaction 89.3%, that is not in agreement with our study finding of 26% patients seeking advice for discoloration. On the contrary, in our study 41% dentists affirmed the same compared to 26% perceived by patients which was statistically significant at P. value of 0.024(Table 1).in disagreement to a similar study conducted in Leeds, United kingdom (UK) by AL Shammary and Youngson during the year 2003 (3). The perception of various treatment options available revealed 36% patients opted for tooth whitening in contrast to 70% dentists. This is statistically significant at P < 0.05. With respect to tooth fillings 51% patients compared to 42% dentists choose, it as a treatment option; this was not statistically significant at P > 0.05 Seventy two 72% patients attended complaining of pain and according to dentist 91% sought treatment complaining of pain, this significant difference in the present study could have been due to educational, social or financial barrier.
Significant difference was observed between patient and dentist perception for pain and esthetics (poor color), although space and loose tooth were not significant. The present study aimed to fulfill the gap regarding barrier between patient and dentist perceptions for treatment needs in restorative dentistry. Further research is suggested to have an overview of relevant contributing factors regarding patients’ needs and demand for better treatment planning
- Hoff mann-Axthelm W, Koehler HM. History of Dentistry, Ch. 12. Chicago: Quintessence Publishing Company; 1981. p. 287
- Goldstein RE, Garber DA, Goldstein CE, Schwartz CG, Salama MA, Gribble AR, et al. Esthetic update: The changing esthetic dental practice. J Am Dent Assoc 1994;125(11):1447-56.
- Al-Shammary H C.C. Youngson . Clinical Evaluation of Restorative Treatment Decisions in the Aesthetic
- Restoration of Upper Incisor Teeth, 81st General Session of the International Association for Dental Research; 2003.