Development of a one-item version of the Orofacial Esthetic Scale

Abstract

Objectives Orofacial appearance is increasingly recognized as an important dental patient-reported outcome making instrument development and refinement efforts to measure the outcome better necessary. The aim of this study was to derive a one-item version of the Orofacial Esthetic Scale (OES). Materials and methods OES data were collected from a consecutive sample of a total of 2113 adult English- or Spanish-speaking dental patients from HealthPartners dental clinic in Minnesota. Participants with missing data were excluded and analysis were performed using data from 2012 participants. Orofacial appearance was assessed with the English and the Spanish language version of the OES. Linear regression analysis was performed, with the OES item 8 (“Overall, how do you feel about the appearance of your face, your mouth, and your teeth?”) as the predictor variable and the OES summary score as the criterion variable, to calculate the adjusted coefficients of determination (R2). Results The value of adjusted R2 was 0.83, indicating that the OES item 8 score explained about 83% of the variance of the OES summary score. The difference in R2 scores between the two language groups was negligible. Conclusion The OES item 8 can be used for the one-item OES (OES-1). It is a psychometrically sound instrument for measuring orofacial appearance. Clinical relevance Due to its easy application and sufficient psychometric properties, the OES-1 can be used effectively as an alternative to longer OES instruments in all areas of dental practice and research.

A Comparison of Self-Perceived Oral and Facial Esthetics in Patients After Lip Repositioning Surgery With Modified and Conventional Techniques

“…The OEQ was utilized in this study as the study tool to assess how the participating patients felt about their orofacial look. The successful use of OEQ in previous studies with similar objectives has been reported in the literature [22][23][24][25][26][27][28][29][30]. To assess the overall satisfaction of the participating patients with their esthetic appearance prior to LRS, after one month, after six months, and after one year following the surgery, the patients' satisfaction levels regarding their orofacial condition were targeted in all the questions asked.…”

“…When time and resources are limited, the OEQ is a quick and easy-to-use questionnaire that can be used to assess the face and oral esthetics of dental patients [ 29 ]. The OEQ is a practical and time-saving tool for epidemiological studies, national health surveys, and ordinary dentistry practice where a multi-item OEQ questionnaire is not viable due to a larger patient sample size [ 30 ].…”

“…This is because of its concision and simplicity of use. In the past, sophisticated multi-item surveys were employed more frequently than single-item surveys, which were thought to be less accurate, valid, and comprehensive [ 29 , 30 ]. Currently, this pattern is changing among practitioner researchers, who now favor the use of single-item questionnaires, particularly in clinical settings, because they take less time, are easier for respondents to complete, and are less expensive to collect data from [ 31 ].…”

Developing diagnostic criteria for tooth wear, a preliminary beta version based on expert opinion, and a narrative literature review

“…Although the OES was originally designed to assess prosthodontic patients, it has been shown that it may be applicable among tooth‐wear patients (S325). Recently, a 1‐item version of the OES was developed, rendering it a more effective tool 13 . Dental healthcare providers may elect to use the Prosthetic Aesthetic Index, PEI 14,15 to undertake a professional evaluation of aesthetics.…”

“…Recently, a 1-item version of the OES was developed, rendering it a more effective tool. 13 Dental healthcare providers may elect to use the Prosthetic Aesthetic Index, PEI 14,15 to undertake a professional evaluation of aesthetics. Another instrument that can be applied is 3D-stereo photograph imaging technology, which may be used when undertaking comprehensive treatment planning for patients with severe tooth wear (S297, S298).…”