Association between Esthetic Parameter and Patient Satisfaction Level with Implant-Supported Dental Prosthesis in Anterior Region (original) (raw)
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Relationship between aesthetic subjective and objective evaluation in anterior dental implants
Journal of International Dental and Medical Research, 2018
Recent technological developments have increased the popularity of dental implants. This has led to higher expectations for implants in both the functional and aesthetic areas. Aesthetic evaluations tend to be subjective, causing problems when trying to predict patients’ satisfaction. The Pink Esthetic Score/White Esthetic Score (PES/WES) is an index used to objectively evaluate anterior implant restorations while the Orofacial Aesthetic Scale (OAS) is a questionnaire used to evaluate the patients’ perceptions of their orofacial appearance. The current study assesses the relationship between the objective (using PES/WES) and subjective evaluation (using OAS) of an aesthetic implant restoration. Fifty-six intraoral photographs of anterior implant restorations (N=56) were taken and evaluated using PES/WES. Subjects were then instructed to fill out the OAS questionnaire. The mean total of PES/WES is 13.6±1.67 (range:11 to 15). The mean total of PES is 7±0.70 (range:6 to 8). The two PES...
Esthetic outcome for maxillary anterior single implants assessed by different dental specialists
The Journal of Advanced Prosthodontics, 2016
The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS. Twentythree patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS. The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION. Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.
Balkan Journal of Dental Medicine
Summary Background/Aim: To evaluate the esthetic outcome of single implant restorations and the correlation of these esthetic results between patient satisfaction and oral health-related quality of life (OHRQoL). Material and Methods: 15 patients with single-tooth implants in the anterior maxilla region were included in this study. Patients were clinically followed to evaluate the esthetic outcomes of implant prostheses and photographs of the implant site were obtained using a digital camera. A researcher evaluated the photographs according to the pink esthetic score/white esthetic score (PES/WES) index. Patients were asked to complete a questionnaire including 13 questions to evaluate their satisfaction with the overall implant and restoration treatments using by visual analogue scale (VAS). OHRQoL was evaluated by patients with the questionnaire Oral Health Impact Profile-14 (OHIP-14). Results: The mean PES/WES was 13.6. In Ohip-14 questionnaire, the questions were answered ‘never...
Abstract: Method:650 patients participated in the study , divided into 4 age groups. A structured, interviewerguided questionnaire was used to identify patient satisfaction with their general dental appearance, cosmetic elements and desired treatments .Their maxillary anterior teeth status was classified into 4 groups: (1) Composite filling group (CFG) (2) Porcelain jacket crown group (PJCG) (3) Fixed partial denture group (FPDG) (4) Removable partial denture group (RPDG). The participants judged appearance and tooth colour using 3-point scale: dissatisfied, moderately dissatisfied and satisfied. Their desired esthetic treatment options were assessed. Results: The overall rating of satisfaction was moderate; almost 39.5% patients were completely satisfied with their dental appearance and tooth colour. A significant difference was observed for both the dental appearance and the tooth colour between different maxillary anterior teeth status groups and between different age groups (p < 0.05) .The majority of individuals with CFG and FPDG were completely satisfied, while those with PJCG and RPDG were dissatisfied with their dental appearance and tooth colour (p < 0.05). 50.9% patients wished to have their teeth whitened. Conclusion: Aesthetic attitudes towards the maxillary anterior teeth appearance and colour differed both between different age groups and different maxillary anterior teeth status groups. Dissatisfaction with tooth color,protruding teeth and unesthetic fillings were common and females were more dissatisfied than males in appearance.Tooth whitening was the most desired treatment to improve the esthetics. Keywords: Colour, Desired Treatment, Esthetics, Maxillary Anterior Teeth Status, Patient Satisfaction, Restorations.
Patients’ general satisfaction with the appearance of anterior maxillary teeth
Vojnosanitetski pregled, 2017
Background/Aim. Dental appearance plays an important role in practically all personal social interactions. The main factors that define the dental appearance are tooth colour, shape and position, quality of restoration, and the general position of the teeth in arch, especially in the anterior region. The aim of this study was to evaluate the impact of dental status (tooth shape, fracture, dental and prosthetic restorations and presence of plaque) on patient''s satisfaction with the dental appearance, controlling for the age and gender. Methods. A total of 700 Caucasian subjects (439 women) aged 18?86 (median 45 years) participated in the cross-sectional study. Study included clinical examination and self-administrated questionnaire based on selfperceived aesthetics and satisfaction with the appearance of their maxillary anterior teeth. Results. A regression analysis demonstrated that presence of dental plaque, tooth fracture, composite fillings and crowns had significant ind...
Aesthetic Parameters and Patient-Perspective Assessment Tools for Maxillary Anterior Single Implants
International Journal of Dentistry
Background. This review aimed to concisely describe the current aesthetic objective indices for a single-implant maxillary anterior crown. The secondary aim was to propose introducing a unified, standardized questionnaire for adequately collecting patient-reported outcome measures (PROMs) in implant dentistry. Materials and Methods. A literature review was conducted using both EMBASE/Ovid and MEDLINE/PubMed databases by combining keywords and Emtree/Mesh terms related to “Esthetics,” “Self-Assessment or Surveys and Questionnaires,” and “Single-Tooth Dental Implants.” Results. The most meaningful aesthetic objective indices for single implants in the literature are the Pink Esthetic Score (PES), the Papilla Presence Index (PPI), Peri‐Implant and Crown Index (PICI), PES/White Esthetic Score (PES/WES), the Implant Crown Aesthetic Index (ICAI), and a modified version of the ICAI (mod-ICAI) index. Clearly, PES/WES is still the most widely accepted tool. It is encouraging to observe that ...
Clinical oral implants research, 2014
To appraise the patients' satisfaction with aesthetic outcomes following an implant restoration in the anterior maxilla as compared to appraisals made by dentists and laypeople. Randomly selected patients (n = 116) restored with an implant-retained crown in the anterior maxilla were invited to rate their satisfaction with aesthetic outcomes using a questionnaire containing seven criteria, each graded from excellent to poor. Projected images of the patient smiles were appraised by dentists (n = 8) and laypeople (n = 6) using the same assessment criteria in a room setting. In addition, the laypeople judged the same cases on printed 10 × 15 cm photographs in a separate setting. Jemt papilla scores, pink aesthetic score (PES) and white esthetic score (WES) were assigned by the dentists. Differences in the levels of satisfaction between the patient, and appraisals by the dentists and the laypeople were compared using non-parametric statistical tests. Patients' opinions of their a...
Clinical Oral Implants Research, 2018
Objectives: The aim of this systematic review and meta-analysis was to summarize the existing evidence on patient-reported aesthetic outcome measures (PROMs) of implant-supported, relative to tooth-supported fixed dental prostheses. Material and Methods: In April 2017, two reviewers independently searched the Medline (PubMed), EMBASE, and Cochrane electronic databases, focusing on studies including patient-reported aesthetic outcomes of implant-and tooth-supported fixed dental prostheses (FDPs). Human studies with a mean follow-up period of at least 1 year, a minimum of ten patients, and English, German, or French publication were included. For the comparison of subgroups, random-effects meta-regression for aggregate-level data was used. Results: The systematic search for implant-supported prostheses focusing on patientreported outcomes identified 2,675 titles, which were screened by two independent authors. Fifty full-text articles were analyzed, and finally, 16 publications (including 19 relevant study cohorts) were included. For tooth-supported prostheses, no studies could be included. A total of 816 implant-supported reconstructions were analyzed by patients. Overall aesthetic evaluation by the patients' visual analogue scale (VAS) rating was high in implant-supported FDPs (median: 90.3; min-max: 80.0-94.0) and the surrounding mucosa (median: 84.7; min-max: 73.0-92.0). Individual restorative materials, implant neck design (i.e., tissue or bone level type implants), and the use of a fixed provisional had no effect on patients' ratings of the definitive implant-supported FDPs. Conclusions: Aesthetics is an important patient-reported measure, which lacks in standardized methods; however, patients' satisfaction was high for implantsupported FDPs and the surrounding mucosa.
International Journal of Implant Dentistry, 2019
Background: This study investigated objective and patient-reported esthetic outcomes and their correlation for single-tooth implant restorations in the maxillary anterior region. Methods: Nineteen patients were included. Gingival biotypes and smile lines were evaluated. Esthetic evaluation was performed according to the pink and white esthetic scores (PES and WES). Patients rated their satisfaction regarding the implant treatment using a subjective outcome questionnaire and a 10-cm visual analogue scale (VAS). Results: The mean PES and WES were 10.7 (range 5-13, SD ± 2.24) and 8.6 (range 8-10, SD ± 0.60), respectively. The overall mean VAS was 8.54 ± 0.36 (range 3.8-9.8). No significant correlation was found between VAS and PES or WES (p = 0.475, p = 0.984, respectively). PES and WES scores for gingival biotypes failed to show any statistically significant difference (p = 0.701, p = 0.831). There was a significant negative correlation between the smile line and VAS; indicating that patients with lower smile lines expressed higher patient satisfaction (p = .001). Conclusions: Professionally reported esthetic outcomes (PES and WES results) may not correlate with patientreported outcomes. Smile line is a significant factor in patient satisfaction, which should be evaluated thoroughly prior to implant placement in the anterior maxilla.
Statistical study on the degree of satisfaction of patients with fixed prosthetic dentures
Acta Stomatologica Marisiensis Journal, 2019
Introduction: Edentation is a major emergency and has an echo over the entire stomatognathic system. The treatment of partial edentation has undergone major changes in the last decades for multiple causes, including increasing the level of dental, medical education, introducing new techniques, methods, and materials, increasing the duration of retention of teeth on the arch. Aim of the study: The aim of this study is to determine the degree of satisfaction of patients with a fixed prosthetic denture, to highlight the importance of communication between doctor and patient with repercussions on the results of prosthetic treatment, and evaluate the degree of awareness of oral health and oral hygiene practices. Material and Method: For this study it was used a self-designed questionnaire, which explored both clinical and non-clinical dental services. The questionnaire consisted of three parts: first part (A) includes socio-demographic indices, part two (B) includes questions related to ...