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Patient satisfaction and esthetic outcome after immediate placement and provisionalization of single‐tooth implants involving a definitive individual abutment
Author(s) -
Hartlev Jens,
Kohberg Peter,
Ahlmann Søren,
Andersen Niels T.,
Schou Søren,
Isidor Flemming
Publication year - 2014
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1111/clr.12260
Subject(s) - crown (dentistry) , abutment , dentistry , medicine , implant , soft tissue , orthodontics , patient satisfaction , private practice , visual analogue scale , physical therapy , surgery , engineering , family medicine , civil engineering
Objectives 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. Materials and methods 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 . Results 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 ( P < 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 PES s and WES s. Conclusions 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.