Patient satisfaction among periodontally stable patients with veneer restorations-A retrospective study

Successful periodontal therapy may yield poor esthetic outcomes, impacting patient satisfaction, and while adhesive ceramic veneers demonstrate success in esthetically compromised cases, their effectiveness in periodontally compromised patients' satisfaction remains unexplored. Therefore, this retrospective study assesses patient-reported quality of life and satisfaction in periodontally healthy and stable patients with anterior ceramic veneer restorations.

Patients, both periodontally healthy and stable, who received anterior veneer restorations at least 5 years ago, participated in the study. Satisfaction data, Oral Health Impact Profile (OHIP-G14), and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) scores were collected, and groups were categorized based on periodontal diagnosis (healthy, stage I/II, stage III/IV). Veneers were evaluated using pink esthetic score (PES) and white esthetic score (WES) criteria.

Analysis of 68 patients and 312 veneers with an average 8-year follow-up revealed high satisfaction with anterior veneer restorations. The study indicates that veneers positively impact oral health-related quality of life (OHRQoL) for patients with and without severe attachment loss, with mild periodontitis potentially enhancing satisfaction. The PES score is lower in patients with severe periodontitis (mean ± SD: 7.33 ± 1.78, p < 0.01).

The results emphasize the positive impact on functionality and esthetic quality, suggesting that veneer restorations in the anterior region are a beneficial treatment option for improving OHRQoL, independent from attachment loss due to periodontitis.

Veneer restorations significantly improve patient satisfaction and oral health-related quality of life (OHRQoL), even in patients with a history of periodontitis. This suggests veneers are a viable esthetic solution regardless of previous periodontal attachment loss. While patients with severe periodontitis may exhibit lower pink esthetic scores (PES), the white esthetic outcome (WES) and overall patient satisfaction remain high. This underlines the importance of managing expectations regarding soft tissue esthetics without compromising the perceived success of the treatment. Anterior ceramic veneers should be considered a reliable treatment option for esthetic rehabilitation in both periodontally healthy and previously compromised patients, when periodontal stability is achieved.

Periodontal disease can compromise both the function and appearance of anterior teeth, and even after successful treatment, patients may remain dissatisfied with esthetic outcomes. This study evaluated whether anterior ceramic veneers could improve patient-reported outcomes, particularly oral health-related quality of life (OHRQoL), in individuals with varying degrees of periodontal health. A cohort of 68 patients, including periodontally healthy and stable patients with a history of stage I-IV periodontitis, was retrospectively assessed at least 5 years after receiving anterior ceramic veneers. Using validated questionnaires and clinical esthetic scores, the study found consistently high levels of patient satisfaction across all groups. Notably, patients with mild periodontitis reported the highest satisfaction, and even those with advanced attachment loss experienced improved OHRQoL. While the pink esthetic score (PES) was lower in patients with severe periodontitis, the white esthetic score (WES) showed no significant differences between groups. These findings suggest that anterior ceramic veneers are a reliable and effective restorative option for enhancing both esthetics and psychosocial outcomes, regardless of periodontal history, and may play an important role in comprehensive rehabilitative care for patients with previous periodontal disease.