Acceptance of Veneer among Patients with Anterior Teeth Restorations

Abstract

Introduction: Although poor dental esthetics was found to undermine self-esteem and had an adverse psychological effect, only one study was found in the literature that assessed veneers' impact on patients’ acceptance. This study determines the acceptance of patients for total aesthetic improvement affected by the factor of tooth alignment, followed by the shape and color of teeth after veneer treatment.
Methods: The design is interventional pre and post-design, since the patients’ acceptance was assessed before veneer treatment (the intervention). After that, the patients’ acceptance was assessed again after veneer treatment. This study is a hospital-based study, which it was conducted in dental clinics in Saud Arabia. The sample size calculation was made by G*power software. The consecutive eligible patients were included in this study, where all patients. The inclusion criteria include patients who are treated in dental clinics and who are going to do porcelain veneers. The inclusion criteria include the age range of 18 – 60 years old, indications of PLV such as discoloration of teeth, failing existing fillings, shade alteration, alignment correction, morphology correction, and space management.
Results: A total of 45 patients were included in this study, the majority of them were females (77.8%) and 22.2% were males. The vast majority of patients were at the university level of education and about 71% of them were 21-30 years old. The findings related to the patients’ acceptance showed different levels of acceptance before and after the placement of veneers. Before veneer restorations, only 66.7% were satisfied with the color of the teeth, whereas after veneer placement 93.3 % of them were satisfied or strongly satisfied. About 51.1% of the patients were unsatisfied with the shape of teeth before veneering, while 64.4% were satisfied with teeth alignment after veneer restorations. Before veneering, most of the patients sometimes (31.1%) or always (66.7%) avoided smiling in order to prevent exposure to their teeth.
Conclusions: We concluded that patients; acceptance of either teeth color or alignment increased markedly after veneer treatment and the patients felt most satisfied with the teeth color of the veneer. The experience of the dentists and lab technicians influenced significantly the acceptance of teeth shape and alignment.