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A feasible, aesthetic quality evaluation of implant‐supported single crowns: an analysis of validity and reliability

Identifieur interne : 004394 ( Istex/Corpus ); précédent : 004393; suivant : 004395

A feasible, aesthetic quality evaluation of implant‐supported single crowns: an analysis of validity and reliability

Auteurs : Mandana Hosseini ; Klaus Gotfredsen

Source :

RBID : ISTEX:88C4E4267D98646E401EA3B359157E01880E0E6F

English descriptors

Abstract

Objectives: To test the reliability and validity of six aesthetic parameters and to compare the professional‐ and patient‐reported aesthetic outcomes.

Url:
DOI: 10.1111/j.1600-0501.2011.02162.x

Links to Exploration step

ISTEX:88C4E4267D98646E401EA3B359157E01880E0E6F

Le document en format XML

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<hi rend="bold">Objectives: </hi>
To test the reliability and validity of six aesthetic parameters and to compare the professional‐ and patient‐reported aesthetic outcomes.</p>
<p>
<hi rend="bold">Material and methods: </hi>
Thirty‐four patients with 66 implant‐supported premolar crowns were included. Two prosthodontists and 11 dental students evaluated six aesthetic parameters, the Copenhagen Index Score (CIS): (i) crown morphology score, (ii) crown colour match score, (iii) symmetry/harmony score, (iv) mucosal discolouration score, (v) papilla index score, mesially and (vi) papilla index score, distally. The intra‐ and inter‐observer agreement and the internal consistency were analysed by Cohen's κ and Cronbach's α, respectively. The validity of CIS parameters was tested against the corresponding Visual Analogue Scales (VAS) scores. The Spearman correlation coefficients were used. Six aesthetic Oral Health Impact Profile (OHIP) questions were correlated to the CIS and the overall VAS scores.</p>
<p>
<hi rend="bold">Results: </hi>
The intra‐observer agreement was >70% in 2/3 and >50% in all observations. The inter‐observed agreement was >50% in 4/5 of all observations. The mucosal discolouration score had the overall highest observed agreement followed by the papilla index scores. The crown morphology and the symmetry/harmony scores had the overall lowest agreement. The Cronbach α value was over 0.8 for all observers. All CIS scores demonstrated significant (
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<0.0001) correlation to the corresponding VAS scores. Low correlation coefficients (CIS/OHIP:
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<hi rend="subscript">s</hi>
<0.36; VAS/OHIP:
<hi rend="italic">r</hi>
<hi rend="subscript">s</hi>
>−0,24) were found between patient and professional evaluations.</p>
<p>
<hi rend="bold">Conclusions: </hi>
The feasibility, reliability and validity of the CIS make the parameters useful for quality control of implant‐supported restorations. The professional‐ and patient‐reported aesthetic outcomes had no significant correlation.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Hosseini M, Gotfredsen K. A feasible, aesthetic quality evaluation of implant‐supported single crowns: an analysis of validity and reliability.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">23</hi>
, 2012 453–458.
doi: 10.1111/j.1600‐0501.2011.02162.x</p>
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Mandana Hosseini, DDS
Department of Oral Rehabilitation
School of Dentistry
Faculty of Health Sciences
University of Copenhagen
20 Nørre Allé 20
DK‐2200 Copenhagen N
Denmark
Tel.: 45 3532 6529
Fax: 45 3532 6505
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<p>
<b>Material and methods: </b>
Thirty‐four patients with 66 implant‐supported premolar crowns were included. Two prosthodontists and 11 dental students evaluated six aesthetic parameters, the Copenhagen Index Score (CIS): (i) crown morphology score, (ii) crown colour match score, (iii) symmetry/harmony score, (iv) mucosal discolouration score, (v) papilla index score, mesially and (vi) papilla index score, distally. The intra‐ and inter‐observer agreement and the internal consistency were analysed by Cohen's κ and Cronbach's α, respectively. The validity of CIS parameters was tested against the corresponding Visual Analogue Scales (VAS) scores. The Spearman correlation coefficients were used. Six aesthetic Oral Health Impact Profile (OHIP) questions were correlated to the CIS and the overall VAS scores.</p>
<p>
<b>Results: </b>
The intra‐observer agreement was >70% in 2/3 and >50% in all observations. The inter‐observed agreement was >50% in 4/5 of all observations. The mucosal discolouration score had the overall highest observed agreement followed by the papilla index scores. The crown morphology and the symmetry/harmony scores had the overall lowest agreement. The Cronbach α value was over 0.8 for all observers. All CIS scores demonstrated significant (
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The feasibility, reliability and validity of the CIS make the parameters useful for quality control of implant‐supported restorations. The professional‐ and patient‐reported aesthetic outcomes had no significant correlation.</p>
<p>
<b>To cite this article:</b>

Hosseini M, Gotfredsen K. A feasible, aesthetic quality evaluation of implant‐supported single crowns: an analysis of validity and reliability.

<i>Clin. Oral Impl. Res</i>
.
<b>23</b>
, 2012 453–458.
doi: 10.1111/j.1600‐0501.2011.02162.x</p>
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<abstract>Objectives: To test the reliability and validity of six aesthetic parameters and to compare the professional‐ and patient‐reported aesthetic outcomes.</abstract>
<abstract>Material and methods: Thirty‐four patients with 66 implant‐supported premolar crowns were included. Two prosthodontists and 11 dental students evaluated six aesthetic parameters, the Copenhagen Index Score (CIS): (i) crown morphology score, (ii) crown colour match score, (iii) symmetry/harmony score, (iv) mucosal discolouration score, (v) papilla index score, mesially and (vi) papilla index score, distally. The intra‐ and inter‐observer agreement and the internal consistency were analysed by Cohen's κ and Cronbach's α, respectively. The validity of CIS parameters was tested against the corresponding Visual Analogue Scales (VAS) scores. The Spearman correlation coefficients were used. Six aesthetic Oral Health Impact Profile (OHIP) questions were correlated to the CIS and the overall VAS scores.</abstract>
<abstract>Results: The intra‐observer agreement was >70% in 2/3 and >50% in all observations. The inter‐observed agreement was >50% in 4/5 of all observations. The mucosal discolouration score had the overall highest observed agreement followed by the papilla index scores. The crown morphology and the symmetry/harmony scores had the overall lowest agreement. The Cronbach α value was over 0.8 for all observers. All CIS scores demonstrated significant (P<0.0001) correlation to the corresponding VAS scores. Low correlation coefficients (CIS/OHIP: rs<0.36; VAS/OHIP: rs >−0,24) were found between patient and professional evaluations.</abstract>
<abstract>Conclusions: The feasibility, reliability and validity of the CIS make the parameters useful for quality control of implant‐supported restorations. The professional‐ and patient‐reported aesthetic outcomes had no significant correlation.</abstract>
<abstract>To cite this article:
Hosseini M, Gotfredsen K. A feasible, aesthetic quality evaluation of implant‐supported single crowns: an analysis of validity and reliability.
Clin. Oral Impl. Res. 23, 2012 453–458.
doi: 10.1111/j.1600‐0501.2011.02162.x</abstract>
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