Satisfaction with Appearance and the Desired Treatment to Improve Aesthetics
Table 1
The used questionnaire in the study.
Satisfaction with appearance and the desired treatment to improve aesthetics
Name:
Age:
Gender:
Speciality:
Study level:
Please answer the following questions.
Are you satisfied with the general appearance of your teeth?
□ Yes
□ No
Are you satisfied with your tooth color?
□ Yes
□ No
Do you feel your teeth are crowded?
□ Yes
□ No
Do you feel your teeth are poorly aligned?
□ Yes
□ No
Do you feel your teeth are protruding?
□Yes
□ No
Do you have dental caries in your front teeth?
□ Yes
□ No
Do you have non-aesthetic fillings in your front teeth?
□ Yes
□ No
Do you have fractures in your front teeth?
□ Yes
□ No
Do you wish to undergo these treatments to improve the appearance of your teeth?
(a) Orthodontic treatment to realign teeth
□ Yes
□ No
(b) Tooth whitening
□ Yes
□ No
(c) Dental crowns
□ Yes
□ No
(d) Tooth-coloured fillings
□ Yes
□ No
(e) Dentures
□ Yes
□ No
Please give a score of your satisfaction with your appearance in general out of 10 where 10 is maximum satisfaction and zero is not satisfied at all: (please write the score here)