Abstract
BackgroundThis study investigated objective and patient-reported esthetic outcomes and their correlation for single-tooth implant restorations in the maxillary anterior region.MethodsNineteen 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).ResultsThe 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).ConclusionsProfessionally reported esthetic outcomes (PES and WES results) may not correlate with patient-reported outcomes. Smile line is a significant factor in patient satisfaction, which should be evaluated thoroughly prior to implant placement in the anterior maxilla.
Highlights
This study investigated objective and patient-reported esthetic outcomes and their correlation for single-tooth implant restorations in the maxillary anterior region
An early attempt to evaluate the esthetic aspects of dental implants was made in 1997 by Torsten Jemt who proposed a papilla index, which assessed the size of the interproximal papilla [6]
A total of 19 (7 female and 12 male) patients, who were rehabilitated with a single implant in the anterior maxilla, were included in this study
Summary
This study investigated objective and patient-reported esthetic outcomes and their correlation for single-tooth implant restorations in the maxillary anterior region. Rehabilitation of missing teeth in the anterior maxilla with an implant-supported fixed prosthesis is a widely accepted treatment modality [1]. The success of an implant-supported prosthesis is dependent on several factors and classically defined according to criteria, which mainly focus on osseointegration and the amount of radiographic bone loss [4, 5]. An early attempt to evaluate the esthetic aspects of dental implants was made in 1997 by Torsten Jemt who proposed a papilla index, which assessed the size of the interproximal papilla [6]. Successively described evaluation methods of esthetic outcomes have been subject to several studies aiming to test the accuracy and effectiveness of these methods. Several factors in addition to the size of the interproximal papilla including the color, form, and the level of
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