Abstract
Aesthetic appraisal is rarely included in the objective assessment of outcome studies of impacted maxillary canines treatment. The present study aimed to validate a new index for assessing the aesthetic appearance of maxillary canines and adjacent soft tissues. The Department of Oral and Maxillofacial Surgery at University Hospitals Leuven. Four oral‐maxillofacial surgeons, two orthodontists, two prosthodontists, and two lay persons rated 11 maxillary canines and adjacent soft tissues according to the new index. Each of the examiners repeated the examination three times with a 2‐week interval. Twelve relevant aesthetic variables were selected on the basis of the anatomic form, color, and surface characteristics of the canine crown and on the basis of the anatomic form, color, and surface characteristics of the adjacent soft tissues. Intraclass correlation (ICC) coefficient and Fleiss' kappa statistics were performed to analyze the intrarater and interrater agreement. The index proofed to be a reliable assessment tool. Considering the cumulative assessment of the Maxillary Canine Aesthetic Index (MCAI), the mean ICC value for the interrater agreement of the 10 examiners was 0.71, representing a good agreement. Intrarater agreement ranged from 0.10 to 0.91. Interrater agreement (Fleiss' kappa statistics) calculated for each variable ranged from 0.08 to 0.98. The MCAI is a tool in rating aesthetic outcome of impacted canine treatment and adjacent soft tissues. The MCAI can be used to evaluate the aesthetic outcome after surgical exposure or transalveolar transplantation of maxillary canines.
Highlights
Aesthetic appraisal is crucial yet rarely included in the objective assessment of outcome studies of impacted maxillary canines treatment
As there are hardly any clinical yet objective assessment methods available, the overall aim of the present study was to introduce the Maxillary Canine Aesthetic Index (MCAI) as a brief, simple, and easy‐ to‐use questionnaire to objectively score the aesthetic appearance of maxillary canines
This study describes the use of the MCAI, validating it for assessing the aesthetic appearance of maxillary canines and adjacent soft tissues
Summary
Aesthetic appraisal is crucial yet rarely included in the objective assessment of outcome studies of impacted maxillary canines treatment. In 2005, Furhauser et al proposed an excellent index termed the pink aesthetic score (PES), focusing essentially on the soft tissue aspects of an anterior implant restoration. This PES is based on seven variables: mesial papilla, distal papilla, soft‐tissue level, soft‐tissue contour, alveolar process deficiency, soft‐tissue color, and texture. Belser et al developed an implant restoration index (white aesthetic score) in analyzing a single‐ tooth implant. The suitability of the PES/white aesthetic score.
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