Document Detail

Evaluation of aesthetics of implant-supported single-tooth replacements using different bone augmentation procedures: a prospective randomized clinical study.
MedLine Citation:
PMID:  17888016     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The aim of this study was to evaluate the aesthetics of implant-supported single-tooth replacements using different augmentation procedures in a prospective study with the use of an objective rating index and with a subjective patient questionnaire, and to compare the results with each other. MATERIAL AND METHODS: Ninety-three patients with a single-tooth gap in the anterior zone of the maxilla were selected for the study. All patients had a local bone defect that needed augmentation before placement of an endosseous implant with sufficient initial stability. Aesthetics of the implant-supported crown and adjacent mucosa was rated by a prosthodontist 1 year after placement of the porcelain crown. Aesthetics was rated using the Implant Crown Aesthetic Index. A subjective appreciation of the final result was assessed with a patient questionnaire. RESULTS: The Implant Crown Aesthetic Index reveals a mean overall score of 4.8, with an acceptable result in 66% of the cases. Results of the satisfaction questionnaire reveal a mean overall score of 8.5 with an acceptable result in 100% of the cases. There is no correlation between results of the Index and the questionnaire for the overall and the crown score. The patients' opinion and the professionals' opinion about the peri-implant mucosa do show a significant correlation. CONCLUSIONS: The peri-implant mucosa is rated as less satisfactory than the implant-supported crown by both the dental professional and patients. The dental professional was less satisfied with respect to the total result and results of the crown than the patients.
Leo Meijndert; Henny J A Meijer; Kees Stellingsma; Boudewijn Stegenga; Gerry M Raghoebar
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2007-09-20
Journal Detail:
Title:  Clinical oral implants research     Volume:  18     ISSN:  0905-7161     ISO Abbreviation:  Clin Oral Implants Res     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-09     Completed Date:  2008-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105713     Medline TA:  Clin Oral Implants Res     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  715-9     Citation Subset:  D    
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, Groningen, The Netherlands.
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MeSH Terms
Alveolar Ridge Augmentation / methods*
Crowns / standards*
Dental Implantation, Endosseous / instrumentation,  methods*
Dental Implants, Single-Tooth / standards*
Esthetics, Dental / statistics & numerical data*
Gingiva / surgery
Middle Aged
Patient Satisfaction
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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