Patient satisfaction and esthetic outcome after immediate placement and provisionalization of single‐tooth implants involving a definitive individual abutment. Issue 11 (12th September 2013)

• Record Type: Journal Article
• Authors: Hartlev, Jens; Kohberg, Peter; Ahlmann, Søren; Andersen, Niels T.; Schou, Søren; Isidor, Flemming
• Is Part Of: Clinical oral implants research. Volume 25:Issue 11(2014:Nov.)
• Page Start: 1245
• Page End: 1250
• Publication Date: 2013-09-12
• Subjects: Dental implants -- Research -- Periodicals; 617.69
• DOI: 10.1111/clr.12260
• Languages: English
• ISSNs: 0905-7161

Abstract

<abstract abstract-type="main" id="clr12260-abs-0001"> <title>Abstract</title> <sec id="clr12260-sec-0001" sec-type="section"> <title>Objectives</title> <p>To assess patient satisfaction and esthetic outcome after immediate placement and provisionalization of single‐tooth implants involving a definitive individual abutment and a provisional crown followed by later placement of a definitive crown.</p> </sec> <sec id="clr12260-sec-0002" sec-type="section"> <title>Materials and methods</title> <p>In private practice, a single‐tooth implant was placed immediately after tooth extraction in the esthetic zone of 54 patients. A definitive individual abutment and a provisional crown were mounted in the same visit. The definitive crown was placed after a mean period of 7 months. After a mean follow‐up period of 33 months, the subjective and professional evaluation of the total implant treatment, peri‐implant soft tissues, and implant crown were assessed on a 10‐cm visual analog scale (VAS). The professional esthetic treatment outcome was also evaluated using pink esthetic score (PES), white esthetic score (WES), and total score of PES/WES.</p> </sec> <sec id="clr12260-sec-0003" sec-type="section"> <title>Results</title> <p>The evaluation of total implant treatment, peri‐implant soft tissues, and implant crown demonstrated a significantly higher subjective than professional score for all 3 parameters (<italic>P</italic> < 0.001), for example, for the overall treatment, the mean scores were 9.4 and 7.0, respectively. A significant positive correlation was revealed between the professional VAS scores and the PESs and WESs.</p> </sec> <sec id="clr12260-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Immediate placement and provisionalization of single‐tooth implants involving a definitive individual abutment and provisional crown followed by later placement of a definitive crown demonstrated high subjective and professional satisfaction. Generally, the professionals seem to be more critical than the patients. A strong correlation was observed between the professional VAS scores and the PES and WES scoring systems.</p> </sec> </abstract>