The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants
Identifieur interne : 001F97 ( Istex/Corpus ); précédent : 001F96; suivant : 001F98The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants
Auteurs : Supreda Suphanantachat ; Ketsuda Thovanich ; Kanokwan NisapakultornSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2012-09.
English descriptors
- KwdEn :
- Anterior implants, Anterior maxilla, Anterior maxillary implants, Chulalongkorn university, Clin, Clinical periodontology, Clinician, Clinicians patient, Contralateral, Contralateral tooth, Crown color, Crown shape, Dental implant treatment, Dental implants, Dentistry, Esthetic, Esthetic outcome, Esthetic satisfaction, Esthetics, Facial, Facial mucosal level, Further studies, Gingival, Gingival margin, Gingival margin crown color crown shape, Half papilla, Harmonization, Impl, Implant, Implant esthetics, Implant restoration, Implant restorations, Implant satisfaction, Implant satisfaction table, Implant therapy, Implant treatment, Implants research, Independent samples, International journal, John wiley sons suphanantachat, Levi, Maxillary, More apical, Mucosal, Mucosal level, Oral impl, Papilla, Papilla level, Papillary recession, Patient satisfaction, Rouck, Single crowns, Soft tissue, Soft tissue appearance, Study subjects, Suphanantachat, Tooth replacement, Treatment outcome, Variable harmonization, Visual analog scale scores.
- Teeft :
- Anterior implants, Anterior maxilla, Anterior maxillary implants, Chulalongkorn university, Clin, Clinical periodontology, Clinician, Clinicians patient, Contralateral, Contralateral tooth, Crown color, Crown shape, Dental implant treatment, Dental implants, Dentistry, Esthetic, Esthetic outcome, Esthetic satisfaction, Esthetics, Facial, Facial mucosal level, Further studies, Gingival, Gingival margin, Gingival margin crown color crown shape, Half papilla, Harmonization, Impl, Implant, Implant esthetics, Implant restoration, Implant restorations, Implant satisfaction, Implant satisfaction table, Implant therapy, Implant treatment, Implants research, Independent samples, International journal, John wiley sons suphanantachat, Levi, Maxillary, More apical, Mucosal, Mucosal level, Oral impl, Papilla, Papilla level, Papillary recession, Patient satisfaction, Rouck, Single crowns, Soft tissue, Soft tissue appearance, Study subjects, Suphanantachat, Tooth replacement, Treatment outcome, Variable harmonization, Visual analog scale scores.
Abstract
The aim of this study was to determine variables associated with implant satisfaction and to evaluate the influence of peri‐implant mucosal level on implant satisfaction.
Url:
DOI: 10.1111/j.1600-0501.2011.02268.x
Links to Exploration step
ISTEX:41363CAD012F85D1F2AABB45DD50052D7B72FF25Le document en format XML
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first="Kanokwan" last="Nisapakultorn">Kanokwan Nisapakultorn</name><affiliation><mods:affiliation>Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Periodontology, Faculty of Dentistry, Chulalongkorn UniversityHenri‐Dunant Road, Patumwan, Bangkok 10330, ThailandTel.: 662 218 8843Fax: 662 218 8851e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: nisa0003@hotmail.com</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:41363CAD012F85D1F2AABB45DD50052D7B72FF25</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1111/j.1600-0501.2011.02268.x</idno><idno type="url">https://api.istex.fr/document/41363CAD012F85D1F2AABB45DD50052D7B72FF25/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001F97</idno><idno type="wicri:explorRef" 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Chicago</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Anniversary</json:string><json:string>Variable</json:string><json:string>John Wiley</json:string><json:string>Number</json:string><json:string>Table</json:string></persName><placeName><json:string>Japan</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Emami et al. 2009</json:string><json:string>Meijndert et al. 2007</json:string><json:string>Furhauser et al. (2005)</json:string><json:string>Levi et al.</json:string><json:string>Belser et al. (2009)</json:string><json:string>Palmer et al. 2007</json:string><json:string>Kourkouta et al. (2009)</json:string><json:string>Furhauser et al. 2005</json:string><json:string>Assuncao et al. 2010</json:string><json:string>Belser et al. 2009</json:string><json:string>Cardaropoli et al. 2006</json:string><json:string>Chang et al. 1999a</json:string><json:string>Goshima et al. (2010)</json:string><json:string>Tymstra et al. 2010</json:string><json:string>Chang et al. 1999a, 1999b</json:string><json:string>Suphanantachat et al</json:string><json:string>Goshima et al. 2010</json:string><json:string>Pjetursson et al. (2005)</json:string><json:string>Meijer et al. 2005</json:string><json:string>Jemt 1997</json:string><json:string>Levi et al. 2003</json:string><json:string>Chang et al. (1999a)</json:string><json:string>Moberg et al. (1999)</json:string><json:string>Esposito et al. (2009)</json:string><json:string>Gotfredsen 2004</json:string><json:string>Levi et al. (2003)</json:string><json:string>Thomason et al. 2007</json:string><json:string>Meijndert et al. (2007)</json:string><json:string>Cosyn & De Rouck 2009</json:string><json:string>Turkyilmaz et al. 2010</json:string><json:string>Moberg et al. 1999</json:string><json:string>Meijer et al. (2005)</json:string><json:string>Hartog et al. 2008</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-LXSC9PXW-K</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1111/j.1600-0501.2011.02268.x</json:string></doi><id>41363CAD012F85D1F2AABB45DD50052D7B72FF25</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/41363CAD012F85D1F2AABB45DD50052D7B72FF25/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/41363CAD012F85D1F2AABB45DD50052D7B72FF25/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/41363CAD012F85D1F2AABB45DD50052D7B72FF25/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2011 John Wiley & Sons A/S</licence></availability><date type="published" when="2012-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants</title><author xml:id="author-0000"><persName><forename type="first">Supreda</forename><surname>Suphanantachat</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>Faculty of Dentistry</orgName><orgName>Chulalongkorn University</orgName><address><settlement type="city">Bangkok</settlement><country key="TH">Thailand</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Ketsuda</forename><surname>Thovanich</surname></persName><affiliation><orgName>Private practice, previously Implantology Unit</orgName><orgName>Faculty of Dentistry</orgName><orgName>Chulalongkorn University</orgName><address><settlement type="city">Bangkok</settlement><country key="TH">Thailand</country></address></affiliation></author><author xml:id="author-0002" role="corresp"><persName><forename type="first">Kanokwan</forename><surname>Nisapakultorn</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>Faculty of Dentistry</orgName><orgName>Chulalongkorn University</orgName><address><settlement type="city">Bangkok</settlement><country key="TH">Thailand</country></address></affiliation><affiliation>Corresponding author: Dr Kanokwan NisapakultornDepartment of Periodontology, Faculty of Dentistry, Chulalongkorn UniversityHenri‐Dunant Road, Patumwan, Bangkok 10330, ThailandTel.: 662 218 8843Fax: 662 218 8851e‐mail: nisa0003@hotmail.com</affiliation></author><idno type="istex">41363CAD012F85D1F2AABB45DD50052D7B72FF25</idno><idno type="ark">ark:/67375/WNG-LXSC9PXW-K</idno><idno type="DOI">10.1111/j.1600-0501.2011.02268.x</idno><idno type="unit">CLR2268</idno><idno type="toTypesetVersion">file:CLR.CLR2268.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2012.23.issue-9</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1075">1075</biblScope><biblScope unit="page" to="1081">1081</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2012-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="clr2268-abs-0001"><head>Abstract</head>
Objectives
<p>The aim of this study was to determine variables associated with implant satisfaction and to evaluate the influence of peri‐implant mucosal level on implant satisfaction.</p>
Materials and Methods
<p>Forty patients restored with single‐tooth anterior maxillary implants were recruited for the study. The facial and inter‐proximal mucosal level of implants was measured. The patients and clinicians were asked to rate their satisfaction with dental implants on various aspects, using the visual analog scale (<hi rend="fc">VAS</hi>). The <hi rend="fc">VAS</hi> scores of patients and clinicians were compared and correlated. Variables associated with implant satisfaction as well as the influence of peri‐implant mucosal level on implant satisfaction were determined.</p>
Results
<p>The patients showed high overall esthetic satisfaction (84.5%) with their implants. However, their satisfaction on the harmonization of gingiva (67.4%) was relatively low. The patient's overall esthetic satisfaction was significantly associated with crown color, crown shape, and confidence when smiling, but not the harmonization of gingival margin. The patient's satisfaction with the worth for expense was significantly associated with overall esthetic satisfaction, confidence when smiling, and speaking well. The presence of facial mucosal level ≥1 mm (compared with the contralateral tooth) and less than half papilla fill had no significant effect on the overall esthetic satisfaction assessed by patients. However, the presence of less than half papilla fill affected the patient's satisfaction on speech.</p>
Conclusions
<p>Peri‐implant mucosal level is not a significant factor for the patient's esthetic satisfaction with their anterior maxillary implants. Papillary recession, however, appeared to affect their satisfaction on speech.</p></abstract><textClass><keywords><term xml:id="clr2268-kwd-0001">dental implants</term><term xml:id="clr2268-kwd-0002">esthetics</term><term xml:id="clr2268-kwd-0003">gingival recession</term><term xml:id="clr2268-kwd-0004">patient satisfaction</term><term xml:id="clr2268-kwd-0005">phonetics</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/41363CAD012F85D1F2AABB45DD50052D7B72FF25/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr2268" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="09109"><doi origin="wiley">10.1111/clr.2012.23.issue-9</doi><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="23">23</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2012-09">September 2012</coverDate></publicationMeta><publicationMeta level="unit" position="100" status="forIssue" type="article"><doi>10.1111/j.1600-0501.2011.02268.x</doi><idGroup><id type="unit" value="CLR2268"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2011 John Wiley & Sons A/S</copyright><eventGroup><event date="2011-06-01" type="manuscriptAccepted"></event><event agent="SPS" date="2011-07-16" type="xmlCreated"></event><event type="firstOnline" date="2012-08-15"></event><event type="publishedOnlineFinalForm" date="2012-08-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">1075</numbering><numbering type="pageLast">1081</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line> <line><i>Dr Kanokwan Nisapakultorn</i></line><line>Department of Periodontology, Faculty of Dentistry, Chulalongkorn University</line><line>Henri‐Dunant Road, Patumwan, Bangkok 10330, Thailand</line><line>Tel.: 662 218 8843</line><line>Fax: 662 218 8851</line><line>e‐mail: <email>nisa0003@hotmail.com</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr2268-cit-0028">Suphanantachat S, Thovanich K, Nisapakultorn K. The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants. <i>Clin. Oral Impl. Res</i>. <b>23</b> 2012, 1075–1081.</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2268.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants</title><title type="shortAuthors">Suphanantachat et al</title></titleGroup><creators><creator affiliationRef="#clr2268-aff-0001" creatorRole="author" xml:id="clr2268-cr-0001"><personName><givenNames>Supreda</givenNames> <familyName>Suphanantachat</familyName></personName></creator><creator affiliationRef="#clr2268-aff-0002" creatorRole="author" xml:id="clr2268-cr-0002"><personName><givenNames>Ketsuda</givenNames> <familyName>Thovanich</familyName></personName></creator><creator affiliationRef="#clr2268-aff-0001" corresponding="yes" creatorRole="author" xml:id="clr2268-cr-0003"><personName><givenNames>Kanokwan</givenNames> <familyName>Nisapakultorn</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="TH" type="organization" xml:id="clr2268-aff-0001"><orgDiv>Department of Periodontology</orgDiv> <orgDiv>Faculty of Dentistry</orgDiv> <orgName>Chulalongkorn University</orgName> <address><city>Bangkok</city> <country>Thailand</country></address></affiliation><affiliation countryCode="TH" type="organization" xml:id="clr2268-aff-0002"><orgDiv>Private practice, previously Implantology Unit</orgDiv> <orgDiv>Faculty of Dentistry</orgDiv> <orgName>Chulalongkorn University</orgName> <address><city>Bangkok</city> <country>Thailand</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr2268-kwd-0001">dental implants</keyword><keyword xml:id="clr2268-kwd-0002">esthetics</keyword><keyword xml:id="clr2268-kwd-0003">gingival recession</keyword><keyword xml:id="clr2268-kwd-0004">patient satisfaction</keyword><keyword xml:id="clr2268-kwd-0005">phonetics</keyword></keywordGroup><fundingInfo><fundingAgency>Chulalongkorn University Fund</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:id="clr2268-abs-0001"><title type="main">Abstract</title><section xml:id="clr2268-sec-0001"><title type="main">Objectives</title><p>The aim of this study was to determine variables associated with implant satisfaction and to evaluate the influence of peri‐implant mucosal level on implant satisfaction.</p></section><section xml:id="clr2268-sec-0002"><title type="main">Materials and Methods</title><p>Forty patients restored with single‐tooth anterior maxillary implants were recruited for the study. The facial and inter‐proximal mucosal level of implants was measured. The patients and clinicians were asked to rate their satisfaction with dental implants on various aspects, using the visual analog scale (<fc>VAS</fc>). The <fc>VAS</fc> scores of patients and clinicians were compared and correlated. Variables associated with implant satisfaction as well as the influence of peri‐implant mucosal level on implant satisfaction were determined.</p></section><section xml:id="clr2268-sec-0003"><title type="main">Results</title><p>The patients showed high overall esthetic satisfaction (84.5%) with their implants. However, their satisfaction on the harmonization of gingiva (67.4%) was relatively low. The patient's overall esthetic satisfaction was significantly associated with crown color, crown shape, and confidence when smiling, but not the harmonization of gingival margin. The patient's satisfaction with the worth for expense was significantly associated with overall esthetic satisfaction, confidence when smiling, and speaking well. The presence of facial mucosal level ≥1 mm (compared with the contralateral tooth) and less than half papilla fill had no significant effect on the overall esthetic satisfaction assessed by patients. However, the presence of less than half papilla fill affected the patient's satisfaction on speech.</p></section><section xml:id="clr2268-sec-0004"><title type="main">Conclusions</title><p>Peri‐implant mucosal level is not a significant factor for the patient's esthetic satisfaction with their anterior maxillary implants. Papillary recession, however, appeared to affect their satisfaction on speech.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants</title></titleInfo><name type="personal"><namePart type="given">Supreda</namePart><namePart type="family">Suphanantachat</namePart><affiliation>Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ketsuda</namePart><namePart type="family">Thovanich</namePart><affiliation>Private practice, previously Implantology Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kanokwan</namePart><namePart type="family">Nisapakultorn</namePart><affiliation>Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</affiliation><affiliation>Department of Periodontology, Faculty of Dentistry, Chulalongkorn UniversityHenri‐Dunant Road, Patumwan, Bangkok 10330, ThailandTel.: 662 218 8843Fax: 662 218 8851e‐mail:</affiliation><affiliation>E-mail: nisa0003@hotmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2012-09</dateIssued><dateCreated encoding="w3cdtf">2011-07-16</dateCreated><dateValid encoding="w3cdtf">2011-06-01</dateValid><edition>Suphanantachat S, Thovanich K, Nisapakultorn K. The influence of peri‐implant mucosal level on the satisfaction with anterior maxillary implants. Clin. Oral Impl. Res. 23 2012, 1075–1081.</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The aim of this study was to determine variables associated with implant satisfaction and to evaluate the influence of peri‐implant mucosal level on implant satisfaction.</abstract><abstract>Forty patients restored with single‐tooth anterior maxillary implants were recruited for the study. The facial and inter‐proximal mucosal level of implants was measured. The patients and clinicians were asked to rate their satisfaction with dental implants on various aspects, using the visual analog scale (VAS). The VAS scores of patients and clinicians were compared and correlated. Variables associated with implant satisfaction as well as the influence of peri‐implant mucosal level on implant satisfaction were determined.</abstract><abstract>The patients showed high overall esthetic satisfaction (84.5%) with their implants. However, their satisfaction on the harmonization of gingiva (67.4%) was relatively low. The patient's overall esthetic satisfaction was significantly associated with crown color, crown shape, and confidence when smiling, but not the harmonization of gingival margin. The patient's satisfaction with the worth for expense was significantly associated with overall esthetic satisfaction, confidence when smiling, and speaking well. The presence of facial mucosal level ≥1 mm (compared with the contralateral tooth) and less than half papilla fill had no significant effect on the overall esthetic satisfaction assessed by patients. However, the presence of less than half papilla fill affected the patient's satisfaction on speech.</abstract><abstract>Peri‐implant mucosal level is not a significant factor for the patient's esthetic satisfaction with their anterior maxillary implants. Papillary recession, however, appeared to affect their satisfaction on speech.</abstract><note type="funding">Chulalongkorn University Fund</note><subject><genre>keywords</genre><topic>dental implants</topic><topic>esthetics</topic><topic>gingival recession</topic><topic>patient satisfaction</topic><topic>phonetics</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. 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