Patients’ satisfaction concerning direct anterior dental restoration

Bruna Neves De Freitas, Paulo Oliveira Da Silva, Karen Pintado-Palomino, Cecília Vilela Vasconcelos Barros De Almeida, Aline Evangelista Souza-Gabriel, Silmara Aparecida Milori Corona, Saulo Geraldeli, Brigitte Grosgogeat, Jean François Roulet, Camila Tirapelli

Research output: Contribution to journalArticlepeer-review


The objective of this study was to observe patients' satisfaction with their in­service direct anterior dental restorations and to compare it with clinical evaluation using FDI (Federation Dental International) criteria. Patients scored their own anterior dental restorations regarding satisfaction (satisfactory /dissatisfactory). If dissatisfaction was mentioned, then, they would be interviewed about the complaint. In the same session, the dental restorations were clinically evaluated by two dentists using FDI criteria (1-5 score) concerning esthetic, functional, and biological domains. Descriptive statistics were used for frequencies of scores attributed by patients and clinicians. In order to compare patients’ to clinicians’ frequencies, the Chi-square test was applied (p < 0.05). A total of 106 restorations were evaluated by patients and clinicians. Patients reported 52.8% of restorations satisfactory and 47.8% dissatisfactory. Overall, clinicians reported the same restorations as 82,3% satisfactory and 17,6% dissatisfactory. Patients' most frequent complaints referred to color, followed by anatomical form, fracture of material and retention, and approximal anatomical form. Comparing patients’ satisfaction and dissatisfaction rates to clinicians’ evaluation per criteria, there was no difference regarding esthetics. The frequency of dissatisfactory restorations by clinicians was significantly lower when functional and biological properties were compared with patients’ opinions. Direct anterior dental restorations were more frequently reported as satisfactory by patients and clinicians, being the main complaints related to esthetic issues. When clinicians and patients' evaluations were compared, it was observed that the frequencies of satisfactory restoration by patients and clinicians were similar regarding esthetic properties, and significantly different regarding functional and biological properties.

Original languageEnglish
Pages (from-to)82-93
Number of pages12
JournalBrazilian Dental Journal
Issue number3
StatePublished - 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023, Associacao Brasileira de Divulgacao Cientifica. All rights reserved.


  • Clinical decisionmaking
  • Clinical studyx
  • Composite resins
  • FDI criteria
  • Patient satisfaction


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