Subjective Differences between Dentists and Patients about Relative Quality of Metal Ceramic Restorations placed in the Esthetic Zone

Abstract

Introduction: Esthetic perceptions could differ between the dentist and his patients among various regions and cultures.Aim: The aims of this study were to evaluate the subjective differences between the dentist and the patient in terms of esthetics of metal-ceramic crowns (MCcs). The study also aims to compare the mesiodistal (MD) and buccolingual (BL) dimensions of the cemented crown with its respective natural antimeric tooth. Materials and methods:A total of 85 patients seeking treatment for a single crown (MC) were treated by the undergraduate students under supervision of respective academic staff. After cementation of the crowns, a 9-point questionnaire was given to patient and different dentists. A treatment cast for every single crown was poured. Then, the MD and BL dimensions of the crowns were compared against their respective antimeric tooth. Results:The dentists and the patients agreed in the range of 50.5 to 90.5%. Least subjective differences were found for the length and width of the cemented crowns. The highest differences were noted for symmetry between the cemented crown and its antimeric natural tooth. A total of 31 to 38% of the patients differed from the dentist's evaluation for shade of the crown, color of the crown at the margin, contour of the crown, and the relationship of the crowns with the surrounding gingiva. The highest MD and BL dimensions were in the cemented crown of canines, while the lowest MD and BL diameters were for the cemented crowns of the lateral incisor crowns. Conclusion:Dentist and patient mostly agreed in terms of length (90%), width (81%) and relation of crown with free gingiva (74%). However, they differed mostly on the symmetry of the Clinical significance: While fabricating a dental prosthesis, the dentist must know about patients' perception of esthetics; otherwise both clinical and laboratory efforts would not be enough to satisfy the esthetic needs of the patient even if the restoration is technically correct. Perceptions related to symmetry differ mostly between dentist and patient.

Evaluation of Patient’s Aesthetic Satisfaction after the Cementation of the Porcelain Fused to Metal Crown

“…This indicates that the higher education increases awareness for a person and desire for better esthetic restorations. Studies have shown greater acceptability for anterior zirconia crown among the higher educated people [19][20][21] . Hence, these findings indicate that higher self-satisfaction for dental aesthetics are observed in participants with higher academic titles.…”

Orthodontic Extrusion as an Aid for Restoring Extensively Destroyed Teeth and Preserving Implant Site Creation: A Case Series

“…PFM restorations represent the most widely used restorative technique in fixed prosthodontics, and their popularity may be due to their clinical longevity, accepted aesthetics, familiarity among most dental technicians, and cost. 25 , 26 In the third case, a zirconia core with facial cut by lithium disilicate glass ceramic (e.Max) was considered because the patient is a consumer of different beverages. This CAD/CAM material shows color stability for such patients, 27 , 28 and it is the most preferred material used by general practitioners in SA.…”

Prong maxillary complete denture for better facial aesthetic: A case report

“…An excessively prominent ridge more commonly present in maxilla than mandible. 1 Its very challenging to fabricate the complete denture when the ideal biological consideration of both hard and soft tissues are not fullfilled. 2 Labially proclined maxilla with associated undercut is the most common condition that effects the esthetics and fabrication of complete denture.…”