Esthetics, Dental Clinical Trial
Official title:
Development and Validation of the French Version of the Orofacial Esthetic Scale: OES-F
The aims of this study were to develop a French version of the Orofacial Esthetic Scale
(OES-F) and to investigate its psychometric properties.
The OES is an eight-item instrument that assesses self-reported orofacial esthetics in
prosthodontic patients. The first seven items refer to direct esthetic impacts and the eight
is a global assessment item. For each item, an 11-point numeric scale (ranged from 0 = very
dissatisfied to 10 = very satisfied) is used, and the first seven scores are combined into a
summary score from 0 (worst score) to 70 (best score). The original English version of the
OES was translated into French according to the guidelines. The reliability (internal
consistency and test-retest reliability) and validity (convergent and discriminative
validities) were tested in a sample of 140 patients. To assess test-retest reliability, 35
patients answered twice the OES-F with a temporal distance of two weeks apart.
Participants From September 2016 to december 2017, 160 patients aged over 18 have been
recruited at the university dental clinic of the Rothschild Hospital, Paris, among patients
pending dental treatment. Inclusion criteria were : literate French speakers, willing and
able to complete the survey in a single setting. Patients suffering from head and neck
tumors, defects after tumor resection, radiotherapy treatment, patients suffering from
dementia or cognitive impairment, and communication difficulties were excluded.
The pilot version was tested in a sample of twenty patients who were not involved in the main
study. One hundred forty patients answered the final French version of the questionnaire to
assess the psychometric properties of the OES-F. They were first divided into two groups
according to their prosthetic needs. Participants were further allocated to two groups
according to their esthetical concerns. Finally, the french version of the OES was tested
with n=35 prothetic patients with esthetic expectations (PP-E), with n=35 prothetic patients
without esthetic expectations (PP-NE), with n=35 subjects with esthetic concerns (C-E) and
n=35 subjects without any esthetic concern (C-NE). Prosthetic patients were recruited either
during the initial visit or before prosthetic treatment. Control subjects were recruited
either during their initial visit or a follow-up consultation.
All subjects provided written informed consent before inclusion and had their anonymity
respected throughout the course of the study. The study was approved by the Ethics Committee
of research projects of the Robert Debré Hospital (n° 2016/303(2). In application of the
french law of January 6, 1978 relative to information technology, the study has been declared
to the national data protection agency under the number 1977961v0.
Development of the french OES version The traduction and cross-cultural adaptation was
performed according to the guidelines. Briefly, the english version was first translated into
french by two dental practitioners and then back translated in english by two native english
speakers. Both translated versions were discussed by the research team and appropriate
changes were formulated to the french version if necessary to clarify any item of the
questionnaire. Clear understanding of any question and the entire french version of the
questionnaire was tested with twenty participants. Minor changes concerned only formulation
of general presentation of the questionnaire.
The psychometric validity of the final french version was finally tested, including
reliability and validity.
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