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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Measuring concern about smile appearance among adults.
Bianca Nubia Souza Silva1, Lucas Arrais Campos1,2,3,4, Bianca Gonzalez Martins5
1Department of Morphology and children´s clinics, School of Dentistry of Araraquara, São Paulo State University (UNESP), Rua Humaitá 1168, 14801-385, Araraquara, Brasil.
European Journal of Orthodontics
|October 21, 2024
Summary
A new scale, OA-Smile, effectively measures concerns about smile appearance. Demographic factors significantly influence these concerns, highlighting the need for personalized assessment in cosmetic dentistry.
Area of Science:
- Dental Aesthetics
- Psychometrics
- Oral Health Outcomes
Background:
- Assessing patient concerns regarding smile aesthetics is crucial in cosmetic dentistry.
- Existing tools may not fully capture the nuances of smile appearance concerns.
- The Utrecht Questionnaire for esthetic outcome assessment in rhinoplasty (OAR) provides a basis for adaptation.
Purpose of the Study:
- To adapt and validate the OAR for assessing smile appearance concerns in a dental context.
- To develop the Questionnaire for Outcome Assessment of Smile Aesthetic (OA-Smile).
- To investigate the influence of demographic factors on smile appearance concerns.
Main Methods:
- Cross-sectional observational study involving 2,523 adults (18-40 years).
- Adaptation of the OAR into the Portuguese OA-Smile questionnaire.
- Psychometric evaluation included factorial and convergent validity, and reliability testing (CFA, AVE, αordinal, ω).
- Structural modeling analyzed demographic influences on smile concerns.
Main Results:
- The OA-Smile demonstrated adequate psychometric properties, including good model fit (CFI=0.99, TLI=0.99, SRMR≤0.05), convergent validity (AVE≥0.80), and reliability (αordinal, ω≥0.85).
- The structural model showed acceptable fit (CFI=0.974, TLI=0.991, SRMR=0.053).
- Higher concerns were reported by women, younger individuals, single people, those with lower income, and individuals using dental prostheses or dissatisfied with their smile.
Conclusions:
- The OA-Smile is a valid and reliable instrument for measuring concerns about smile appearance.
- Demographic characteristics are significant predictors of smile appearance concerns.
- Consideration of these factors is essential for comprehensive aesthetic outcome assessment in dentistry.
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