{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T04:38:14Z","timestamp":1723264694176},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,11,12]],"date-time":"2015-11-12T00:00:00Z","timestamp":1447286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001352","name":"National University of Singapore","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001352","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare lay people's perceptions with regard to various levels of dental fluorosis and select dental defects versus normal dentition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adults rated digitally created photographs made showing lips (without retraction) and teeth depicting the following conditions: no apparent aesthetic defects (normal, Thylstrup\u2013 Fejerskov score 0 \u2013 <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0), 6 levels of fluorosis (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1\u20136), carious lesions (two cavitated and one noncavitated), malocclusions (Class <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, Class <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>, anterior open bite and greater spacing), extrinsic staining and an incisal chip. The photographs were displayed on colour\u2010calibrated <jats:styled-content style=\"fixed-case\">iP<\/jats:styled-content>ads<jats:sup>\u2122<\/jats:sup>. Participants used a self\u2010administered questionnaire to rate their perceptions on (Item 1) how normal teeth were, (Item 2) how attractive the teeth were, (Item 3) need to seek correction of teeth, (Item 4) how well the person took care of their teeth and (Item 5) whether the person was born like this. Data from Item 5 were excluded due to low reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ratings for Item 1 showed that <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1\u20134 was similar or significantly better than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0. For Item 2, <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>4 were significantly better than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0, with <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>3 being similar. For Item 3, there was significantly lower need to seek correction with <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>4 versus <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0, whereas <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>3 were similar to <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0. <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>5 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>6 were rated significantly lower than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0 for Item 1 and Item 2, and significantly higher rating for Item 3 (need to seek correction). Ratings for Item 4 were similar, with <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1, <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>2 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>4 being rated significantly higher than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0, and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>5 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>6 being rated lower. Cavitated caries and staining were generally perceived as being significantly less favourable than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>6, with higher need to seek correction as well. Noncavitated carious lesion and incisal chip were rated similar to <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0. Cavitated carious lesions were rated aesthetically similar or significantly worse than <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0 and <jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>6.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Severe fluorosis (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>5 and 6) was perceived to be less aesthetically pleasing and received higher ratings for need to seek correction than normal teeth. Mild\u2010to\u2010moderate fluorosis (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>1\u20134) showed similar or better aesthetic perceptions and similar or lower need to seek correction, when compared to normal teeth (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0). Easily visible cavitated dental caries was rated worse than teeth with severe fluorosis (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>6) and normal teeth (<jats:styled-content style=\"fixed-case\">TF<\/jats:styled-content>0).<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12197","type":"journal-article","created":{"date-parts":[[2015,11,13]],"date-time":"2015-11-13T03:44:44Z","timestamp":1447386284000},"page":"135-144","source":"Crossref","is-referenced-by-count":4,"title":["Adult perceptions of dental fluorosis and select dental conditions\u2010an Asian perspective"],"prefix":"10.1111","volume":"44","author":[{"given":"Rahul","family":"Nair","sequence":"first","affiliation":[{"name":"ARCPOH School of Dentistry University of Adelaide Adelaide SA Australia"},{"name":"Oral Sciences National University of Singapore Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice Cheah 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