Esthetic Expectations of Edentulous Patients Followed in a French Dental Clinic

Study Overview
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Brief Summary
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Esthetic is a major factor in complete denture (CD) success. Patient involvement in esthetic project plays a crucial role in denture acceptance and patient satisfaction. Historically, teeth choice and arrangement were made according to Frush and Ficher's recommendations focusing on natural looking of esthetics. Dentists may also propose to restore the dentate state looking for denture when preextraction data are available. Recently, a patient-centered approach based on attractivity has been proposed and may lead to in an appearance transcending the laws of nature. The aim of the present study was to investigate actual denture esthetic expectations in a French edentate population followed in a university dental clinic (Rothschild Hospital , AP-HP).

Detailed Description
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Inclusion criteria : being currently edentulous within at least within the maxillary arch, literate French speakers, willing and able to complete the survey in a single sitting. Clinical data collection was made by a unique examiner and concerned length of edentulism, antagonist arch, existence of preextraction data, smile attractivity opinion. The respondents completed a questionnaire identifying their age, sex, educational and income level. Patients were also asked for their denture look preference among 4 esthetic projects: 1) restoring pre-extraction (dentate) looking, 2) restoring actual denture looking, 3) creating natural looking, 4) creating perfect looking, 5) no opinion. Each project was explained similarly by the same examiner. Statistical analysis using a Pearson Chi-squared test at a 0.05 level of significance was conducted for associations between esthetic projects preference and tested variables.

Official Title
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Esthetic Expectations of Edentulous Patients Followed in a French Dental Clinic

Conditions
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Complete Edentulism

Intervention / Treatment
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* Other: Complete denture


Participation Criteria
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Eligibility Criteria
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Inclusion criteria : Currently edentulous maxillary arch, literate French speakers, willing and able to complete the survey in a single sitting. Inclusion Criteria: Exclusion Criteria: Aged under 18 years.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Complete denture|questionnaire|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| esthetic preferred project | Patients were asked for their denture-looking expectations among 4 esthetic projects: 1) restoring pre-extraction dentate looking, 2) restoring actual denture looking, 3) creating natural looking, 4) creating perfect looking, 5) no opinion. | Esthetic expectation evaluated at date of inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| age | Respondents completed a questionnaire identifying their age (in years) | evaluated at date of inclusion | 
| gender | Respondents completed a questionnaire identifying their gender (man or woman) | evaluated at date of inclusion | 
| educational level | Respondents completed a questionnaire identifying their educational level : last degree (no degree at al, French General Certificate Secondary Education, High School Diploma, Vocational Training Certificate taken at Secondary School, university degree) | evaluated at date of inclusion | 
| month income level, | Respondents completed a questionnaire identifying their income level each month : in euros | evaluated at date of inclusion | 
| length of edentulism, | Respondents completed a questionnaire identifying the duration of edentulism (in years) | evaluated at date of inclusion | 
| smile attractivity opinion | Respondents completed a questionnaire identifying their smile attractivity opinion Respondents completed a questionnaire identifying the most attractive smile among 4 esthetic situations : preextraction-looking smile, denture-like smile, natural-like smile, perfect smile. | evaluated at date of inclusion | 
| preextraction data available | Respondents completed a questionnaire identifying the existence of preextraction data available (available or not available) | evaluated at date of inclusion |