EVALUATE ESTHETIC SATISFACTION OF PATIENTS WITH METAL-CERAMIC RESTORATIONS IN THE ANTERIOR MAXILLA

Objective: To determine esthetic satisfaction of patients provided with metal ceramic fixed restorations in the anterior maxilla. Materials and Methods: A cross sectional study was carried out from February 2015 to March 2016 at the Department of Prosthodontics, Khyber College of Dentistry Peshawar. A total of 159 subjects were observed by using 28% proportion of satisfaction with fixed partial dentures by using WHO sample size calculator. Moreover, nonprobability consecutive sampling technique was used for data collection. Patients after giving informed consent were asked to evaluate their metal ceramic fixed restorations by looking at them in a wall mounted mirror from a conversation distance. The score pointed out by the patient for each of the three aspects of aesthetics (shade, shape and texture) of the restoration was recorded. These were summed to document the overall score assigned to restoration. Data was analysed using SPSS 17. Results: Out of total of 159,the mean age of the participants included in the study was 31.71±7.88 (SD) years. Males comprised 40.3% of the participants. Majority of patients i.e. 69 (43.4%) were in the age group 31-40. Majority of the patients 59 (37.1%) were poorly satisfied with their maxillary anterior metal ceramic restorations, 42 (26.4%) patients showed moderate satisfaction with their restorations. Higher frequency (49.1%) of poor satisfaction levels with the maxillary anterior metal ceramic fixed partial dentures was found in the age group 20-30 years. Gender stratification showed no significant statistical difference. Conclusion: Aesthetic attitude towards the anterior metal ceramic fixed restorations differed with the differing age groups, with the ageing subjects more satisfied with their anterior restorations than younger subjects. This must be recognized in treatment planning for future restorations.