Table 4: Overview of studies using orofacial esthetic evaluation instruments from 2006 to 2020.

Authors & Year Title and Journal Aims Sample N Instruments Used
Wolfart et al. 2006 [21] General well-being as an important co-factor of self-assessment of dental appearance (Int J Prosthodont) To correlate the general well-being of patients with judgment about the dental appearance 19–79 yr old with natural dentition, fixed partial dentures, removable partial dentures, dental esthetic problems 80 Dental appearance satisfaction questionnaire
Samorodnitzky-Naveh et al. 2007 [22] Patients’ satisfaction with dental esthetics (J Am Dent Assoc) To evaluate factors influencing patient satisfaction with dental appearance and with the results of esthetic treatment NA 407 Dental satisfaction questionnaire
Tortopidis et al.
2007 [17]
Evaluation of the relationship between subjects’ perception and professional assessment of esthetic treatment needs (J Esthet Restor Dent) To examine the relationship between Greek subjects’ perception and professional assessment regarding the need for esthetic dental treatment 17–65 yr old (a military dental clinic in Tel Aviv, Israel) 132 Professional assessment questionnaire of esthetic treatment needs. Self-evaluation questionnaire of esthetic treatment need
Mehl et al. 2009 [23] Does the Oral Health Impact Profile Questionnaires measure dental appearance? (Int J Prosthodont) To evaluate whether there is a need to develop a new questionnaire measuring dental appearance or if this is already covered by the OHIP-49 49–69 yr old 30 QDA, OHIP-49, OHIP-esthetic
Larrson et al. 2010 [1] Development of an Orofacial Esthetic Scale (OES) in prosthodontic patients (Int J Prosthodont) To develop a self-reported orofacial esthetics instrument, OES, addressing prosthodontics concerns Prosthodontics patients at the Center of Oral Rehabilitation Linkoping, Sweden 119 OES
Larsson et al. 2010 [24] Reliability and validity of the Orofacial Esthetic Scale in Prosthodontic Patients (Int J Prosthodont) To evaluate the reliability and validity of OES 22-70 yr old (esthetic & functional) & healthy control groups (esthetic control & functional control) 119 OES
Persic et al.2011 [25] Psychometric Properties of the Croatian version of the Orofacial Esthetic Scale and suggestion for modification (Int J Prosthodont) To develop and test the psychometric properties of OES Croatian version Subjects were divided into four groups that included two patient groups (esthetic normal but functionally impaired & esthetically impaired) & healthy control groups (esthetically normal control & esthetically impaired control) 126 OES
Mehl et al. 2011 [11] Patients’ and dentist’s perception of dental appearance (Clin Oral Investig) To compare self- & professional perception of complex oral rehabilitation. To evaluate the experience, age & gender-related differences in professional judgment 63±9 years old. Patients had been treated in a student course at the Department of Prosthodontics, Germany 16 patients,
42 dentists
QDA
Mon Tin-Oo et al.2011 [26] Factors influencing patient satisfaction with dental appearance & treatments they desire to improve esthetics (BMC Oral Health) To identify patient satisfaction with general dental appearance, cosmetic elements & desired treatments Patients newly registered at HUSM Dental Clinic, Malaysia. Adults >18 years old who had not received any dental treatment within the last six month 243 Patients’ satisfaction with current dental appearance & desired esthetic treatment needs questionnaire
John et al. 2012 [27] Validation of the Orofacial Esthetic Scale in the general population (Health Qual Life Outcomes) To assess how patients perceive their dental & facial, and to investigate dimensionality, reliability, & validity of OES scores in the Swedish adults 32–66 years old. Swedish-speaking subjects, 18 years old or older 1159 OES
Al-Zarea 2013 [28] Satisfaction with the appearance and the desired treatment to improve esthetics To investigate participant satisfaction with the appearance of their teeth and the desired treatments to improve dental appearance Participants above 18 years old had no medical disease or condition that might affect their ability to understand and score the questionnaire, and received no dental treatment for the last 6 months. 220 Patients’ satisfaction with current dental appearance & desired esthetic treatment needs questionnaire
Zhao et al. 2013 [29] Development of the Chinese version of the Orofacial Esthetic Scale (J Oral Rehabil) To investigate the psychometric properties of OES among Chinese speaking patients 56.2 ± 16.2-year-old prosthodontics patients at Hospital Medical University, China. Subjects were divided into four groups: Patient groups (esthetic normal but functionally impaired & esthetically impaired) & healthy control groups (esthetically normal control and esthetically impaired control) 202 OES
Ozhayat et al. 2014 [18] Validation of the Prosthetic Esthetic Index (PEI) (Clin Oral Investig) To validate a new comprehensive index, the Prosthetic Esthetic Index (PEI), for a professional evaluation of esthetics in prosthodontics patients Participants were patients missing at least one tooth (3rd molar not included) & registered for oral rehabilitation at the Department of Odontology, University of Copenhagen 99 PEI
Carlsson et al. 2014 [30] Orofacial Esthetics and dental anxiety: Associations with oral and psychological health (Acta Odontol Scandinav) To investigate self-rated orofacial esthetics in patients with dental anxiety & its relationship to psychological & oral health 20–81 ys old patients who were referred to a dental anxiety specialized clinic, University of Gothenburg, Sweden 152 OES
Mehl et al. 2014 [31] Perception of dental esthetic in different cultures (Int J Prosthodont) To compare patients’ & dentists’ perceptions of dental appearance 22–67-year-old patients at a private practice in London 29 patients
94 dentists
QDA
Danneman et al. 2014 [2] Recognition of patient-reported impairment in oral aesthetics (J Oral Rehabil) To investigate the degree of effective recognition by professionals of patient-estimated oral esthetic impairment & the most reliable aspects in such recognition Patients missing at least one tooth (3rd molar not included) & registered for oral rehabilitation at the Department of Odontology, University of Copenhagen 99 PEI, OES
Oral Health Impact Profile Aesthetics (OHIP-Aes)
Reissmann et al. 2014 [32] Development and validation of the German version of OES (Clin Oral Investig) To develop a German version of OES and to assess its psychometric properties 41-70 yr old patients recruited at the Department of Prosthetic Dentistry, University Medical Center Hamburg-Eppendorf, Germany with or without dental treatment need. Not based on esthetic concern, only on clinical consideration 165 OES
Rotundo et al. 2015 [19] The Smile Esthetic Index (SEI): A method to measure the esthetics of the smile. An intra & inter-rater agreement study (Euro J Oral Implantol) To propose a method to measure the esthetics of the smile & to report its validation by means of intra & inter-rater agreement Frontal pictures of smiles of patients from 19–61 years old 70 patients
10 examiners
SEI
Bimbashi V et al. 2015 [33] Psychometric properties of the Albanian version of the Orofacial Esthetic Scale (OES-ALB) (BMC Oral Health) To adapt OES & test psychometric properties of the Albanian version in the Republic of Kosovo 19–86 years old (prosthodontics patients without treatment need, with treatment need, dental students with natural teeth without treatment need 169 OES
Wetselaar P et al. 2015 [34] Psychometric properties of the Orofacial Esthetic Scale (OES-NL) Dutch version in dental patients with & without self-reported tooth wear (J Oral Rehabil) To test the psychometric properties of the Dutch version of OES in dental patients with & without self-reported tooth wear Adult patients referred to the Clinic of Orofacial Pain and Dysfunction because of temporomandibular disorder, dental sleep disorder & tooth wear 583 OES
Persic and Celebic 2015 [35] Influence of different prosthodontics rehabilitation option on Oral Health-related Quality of Life, Orofacial Esthetics and Chewing Function based on patient-reported outcomes (Qual Life Res) To assess the influence of different prosthodontics rehabilitation options on improvement of orofacial esthetics, chewing function, and oral health-related quality of life Patients who were treated either with conventional or implant-supported dentures at the Prosthodontics Department, School of Dental Medicine, University of Zagreb. 263 OHIP, OES and Chewing Function Questionnaire (CFQ)
Ozhayat et al. 2016 [36] Responsiveness of the Prosthetic Esthetic Index (Clin Oral Investig) To evaluate the responsiveness of the Prosthetic Esthetic Index (PEI) Adult patients at the Prosthodontics Department, University of Copenhagen before & after treatment 57 OES & PEI
Alhajj et al. 2016 [37] Development, validation and psychometric properties of the Arabic version of the Orofacial Esthetic Scale: OES-Ar (BMC Oral Health) To develop the Arabic version of the OES (OES-Ar) and to investigate its psychometric properties among Arabic-speaking populations with and without esthetic impairment. Participant aged 18 years and older recruited from conservative and prosthodontics department at faculty of dentistry, Thamar University, and private dental clinics 230 OES
Oreški et al. 2017 [38] Assessment of esthetic characteristic of the teeth and surrounding anatomical structure (Acta Stomatol Croat) To determine differences between general population, dentists & prosthodontics specialists, and to determine the difference in their perception of anterior teeth anatomical variations & surrounding structures based on the gender & age of the assessor 19–40 yr old. Participants had a permanent fully toothed dentition (excluding 3rd molars) & mostly intact upper front teeth. All respondents belonged to the Angle class I 60 OES
Aldaij et al. 2018 [39] Patient satisfaction with dental appearance and treatment desire to improve esthetics (J Oral Health Comm Dent) To evaluate the patient's satisfaction with dental appearance and treatment desire to improve esthetics. Adult patient (18 years and above) who attended to the department of university dental clinic of Riyadh Elm University, Saudi Arabia 1147 Patients’ satisfaction with current dental appearance & desired esthetic treatment need questionnaire
Pallares et al. 2018 [40] Development, validity and reliability of the Orofacial Scale-Spanish version (J Prosthodont Res) To develop a Spanish version of the Orofacial Esthetic Scale (OES-Sp) and to determine psychometric properties in dental patients. The Spanish-speaking participant from Healthpertners dental clinic (age mean± sd: 42,9± 12,3 years) 331 OES, OHIP
Reissman et al. 2019 [41] Measuring patient’s orofacial appearance. Validity and reliability of the English-language Orofacial Esthetic Scale (JADA) To determine the psychometric properties of the English-language version of OES-E in a population of the dental patient 56.7±15.8-year-old English dental patients from Health Partners dental clinic in Minnesota, USA 1784 OES