Prognostic value of initial esthetic score for multiple-tooth implant-borne fixed superstructures in the load-bearing area

The purpose of this paper is: (1) to present the pertinent factors for obtaining an esthetic multiple-tooth implant-borne fixed superstructure in the load-bearing area and (2) to assess the prognostic value of the initial esthetic score calculation for this type of prothesis. Materials and methods: From December 2002 to March 2016 we inserted in all load-bearing areas 243 multiple-tooth implant-borne fixed superstructures. We have calculated the initial esthetic score, e.g. before treatment and biased it against the final one, e.g. after treatment. Results: The initial esthetic score matched the final one up to a maximal 2-point deviation. Discussion: The only 91% accuracy match is probably due to several subjective paragraphs like “esthetic requirements” or “hygiene level and availability”, but also due to giving up using surgical guides. Conclusions: Calculation of an initial esthetic score seems to be an acceptable method for predicting the esthetic outcome for multiple-tooth implant-borne fixed superstructures in the load-bearing areas.