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A comparison of methods of aesthetic assessment in root coverage procedures

Identifieur interne : 002967 ( Istex/Corpus ); précédent : 002966; suivant : 002968

A comparison of methods of aesthetic assessment in root coverage procedures

Auteurs : Stéphane Kerner ; Sandrine Katsahian ; Alexandre Sarfati ; Stéphane Korngold ; Sébastien Jakmakjian ; Bruno Tavernier ; Fabien Valet ; Philippe Bouchard

Source :

RBID : ISTEX:548073C3C344BDA8BCCBB2093A91DCC802A467B6

English descriptors

Abstract

Aim: To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after root coverage therapy and to evaluate the relationship between subjective and objective measurements.

Url:
DOI: 10.1111/j.1600-051X.2008.01348.x

Links to Exploration step

ISTEX:548073C3C344BDA8BCCBB2093A91DCC802A467B6

Le document en format XML

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<term>International journal</term>
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<div type="abstract">Aim: To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after root coverage therapy and to evaluate the relationship between subjective and objective measurements.</div>
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To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after root coverage therapy and to evaluate the relationship between subjective and objective measurements.</p>
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<hi rend="bold">Material and Methods: </hi>
A review panel of seven professional and non‐professional, trained and untrained observers used photographic records to assess the overall cosmetic results of 162 root coverage surgical procedures in 133 patients (mean follow‐up 17.51±17.37 months). Two different methods were used. In the before–after panel scoring system, observers evaluated the difference between preoperative and postoperative views, whereas in the random panel scoring system, observers rated each photograph independently.</p>
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<hi rend="bold">Results: </hi>
For both methods, intrarater agreement ranged from substantial to almost perfect for the periodontists. The best interrater agreement was found for trained periodontists using the five‐point ordinal scale of the before–after panel scoring system (
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The before–after scoring system is an acceptable and reliable method for professional cosmetic assessment of root coverage therapy. The overall cosmetic evaluation does not appear to be related to the percentage of root coverage.</p>
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Kerner S, Katsahian S, Sarfati A, Korngold S, Jakmakjian S, Tavernier B, Valet F, Bouchard P. A comparison of methods of aesthetic assessment in root coverage procedures. J Clin Periodontol 2009; 36: 80–87. doi: 10.1111/j.1600-051X.2008.01348.x.

-->
<title type="main">Abstract</title>
<p>
<b>Aim: </b>
To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after root coverage therapy and to evaluate the relationship between subjective and objective measurements.</p>
<p>
<b>Material and Methods: </b>
A review panel of seven professional and non‐professional, trained and untrained observers used photographic records to assess the overall cosmetic results of 162 root coverage surgical procedures in 133 patients (mean follow‐up 17.51±17.37 months). Two different methods were used. In the before–after panel scoring system, observers evaluated the difference between preoperative and postoperative views, whereas in the random panel scoring system, observers rated each photograph independently.</p>
<p>
<b>Results: </b>
For both methods, intrarater agreement ranged from substantial to almost perfect for the periodontists. The best interrater agreement was found for trained periodontists using the five‐point ordinal scale of the before–after panel scoring system (
<i>κ</i>
=0.68). Neither root coverage percentage nor gingival augmentation was correlated to cosmetic assessment.</p>
<p>
<b>Conclusions: </b>
The before–after scoring system is an acceptable and reliable method for professional cosmetic assessment of root coverage therapy. The overall cosmetic evaluation does not appear to be related to the percentage of root coverage.</p>
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 No external funding, apart from the support of the authors' institution, was available for this study.</p>
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<dateIssued encoding="w3cdtf">2009-01</dateIssued>
<edition>Accepted for publication 13 October 2008</edition>
<copyrightDate encoding="w3cdtf">2009</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Aim: To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after root coverage therapy and to evaluate the relationship between subjective and objective measurements.</abstract>
<abstract>Material and Methods: A review panel of seven professional and non‐professional, trained and untrained observers used photographic records to assess the overall cosmetic results of 162 root coverage surgical procedures in 133 patients (mean follow‐up 17.51±17.37 months). Two different methods were used. In the before–after panel scoring system, observers evaluated the difference between preoperative and postoperative views, whereas in the random panel scoring system, observers rated each photograph independently.</abstract>
<abstract>Results: For both methods, intrarater agreement ranged from substantial to almost perfect for the periodontists. The best interrater agreement was found for trained periodontists using the five‐point ordinal scale of the before–after panel scoring system (κ=0.68). Neither root coverage percentage nor gingival augmentation was correlated to cosmetic assessment.</abstract>
<abstract>Conclusions: The before–after scoring system is an acceptable and reliable method for professional cosmetic assessment of root coverage therapy. The overall cosmetic evaluation does not appear to be related to the percentage of root coverage.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>aesthetic evaluation methods</topic>
<topic>gingival recession/surgery</topic>
<topic>gingival recession/therapy</topic>
<topic>image analysis</topic>
<topic>observer agreement</topic>
</subject>
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<title>Journal of Clinical Periodontology</title>
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<identifier type="ISSN">0303-6979</identifier>
<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
<identifier type="PublisherID">JCPE</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>36</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
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<extent unit="pages">
<start>80</start>
<end>87</end>
<total>8</total>
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<identifier type="istex">548073C3C344BDA8BCCBB2093A91DCC802A467B6</identifier>
<identifier type="ark">ark:/67375/WNG-QR3XP4MS-C</identifier>
<identifier type="DOI">10.1111/j.1600-051X.2008.01348.x</identifier>
<identifier type="ArticleID">JCPE1348</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2009 The Authors. Journal compilation © 2009 John Wiley & Sons A/S</accessCondition>
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<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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