Esthetic outcome for maxillary anterior single implants assessed by different dental specialists
Identifieur interne : 002F14 ( Pmc/Curation ); précédent : 002F13; suivant : 002F15Esthetic outcome for maxillary anterior single implants assessed by different dental specialists
Auteurs : Abdullah Al-Dosari [Arabie saoudite] ; Ra'Ed Al-Rowis [Arabie saoudite] ; Feras Moslem [Arabie saoudite] ; Fahad Alshehri [Arabie saoudite] ; Ahmed M. Ballo [Canada]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2016.
Abstract
The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients.
Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS).
The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (
Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.
Url:
DOI: 10.4047/jap.2016.8.5.345
PubMed: 27826384
PubMed Central: 5099126
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<author><name sortKey="Al Dosari, Abdullah" sort="Al Dosari, Abdullah" uniqKey="Al Dosari A" first="Abdullah" last="Al-Dosari">Abdullah Al-Dosari</name>
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<wicri:regionArea>Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh</wicri:regionArea>
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<author><name sortKey="Al Rowis, Ra Ed" sort="Al Rowis, Ra Ed" uniqKey="Al Rowis R" first="Ra'Ed" last="Al-Rowis">Ra'Ed Al-Rowis</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.</nlm:aff>
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<wicri:regionArea>Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh</wicri:regionArea>
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<author><name sortKey="Moslem, Feras" sort="Moslem, Feras" uniqKey="Moslem F" first="Feras" last="Moslem">Feras Moslem</name>
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<author><name sortKey="Ballo, Ahmed M" sort="Ballo, Ahmed M" uniqKey="Ballo A" first="Ahmed M." last="Ballo">Ahmed M. Ballo</name>
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<series><title level="j">The Journal of Advanced Prosthodontics</title>
<idno type="ISSN">2005-7806</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title>
<p>The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients.</p>
</sec>
<sec><title>MATERIALS AND METHODS</title>
<p>Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS).</p>
</sec>
<sec><title>RESULTS</title>
<p>The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (<italic>P</italic>
<.01) and Total PES/WES (<italic>P</italic>
<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.</p>
</sec>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27826384</article-id>
<article-id pub-id-type="pmc">5099126</article-id>
<article-id pub-id-type="doi">10.4047/jap.2016.8.5.345</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Esthetic outcome for maxillary anterior single implants assessed by different dental specialists</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Al-Dosari</surname>
<given-names>Abdullah</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Al-Rowis</surname>
<given-names>Ra'ed</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moslem</surname>
<given-names>Feras</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alshehri</surname>
<given-names>Fahad</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-2978-705X</contrib-id>
<name><surname>Ballo</surname>
<given-names>Ahmed M.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.</aff>
<aff id="A2"><label>2</label>
Department of Periodontics and Community Dentistry, King Saud University, Riyadh, Saudi Arabia.</aff>
<aff id="A3"><label>3</label>
Department of Oral health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.</aff>
<author-notes><corresp>Corresponding author: Ahmed M. Ballo. Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada V6T1Z3. Tel. +16048273361: <email>ahmed.ballo@dentistry.ubc.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>8</volume>
<issue>5</issue>
<fpage>345</fpage>
<lpage>353</lpage>
<history><date date-type="received"><day>03</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="rev-recd"><day>24</day>
<month>6</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>08</day>
<month>8</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2016 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>PURPOSE</title>
<p>The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients.</p>
</sec>
<sec><title>MATERIALS AND METHODS</title>
<p>Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS).</p>
</sec>
<sec><title>RESULTS</title>
<p>The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (<italic>P</italic>
<.01) and Total PES/WES (<italic>P</italic>
<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.</p>
</sec>
</abstract>
<kwd-group><kwd>Perception of implant esthetics</kwd>
<kwd>Patient satisfaction</kwd>
<kwd>Single-tooth implants</kwd>
<kwd>Pink esthetic score/white esthetic score</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label>
<caption><title>Clinical photograph of implant-supported single-tooth restoration at the region of the left central incisor.</title>
</caption>
<graphic xlink:href="jap-8-345-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label>
<caption><title>Radiographic evaluation for implant-supported single-tooth restoration at the left central incisor location.</title>
</caption>
<graphic xlink:href="jap-8-345-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label>
<caption><title>Patient satisfaction based on the 13 questions.</title>
</caption>
<graphic xlink:href="jap-8-345-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label>
<caption><title>Correlation between the total pink esthetic score (PES)/white esthetic score (WES) and the visual analog scale (VAS).</title>
</caption>
<graphic xlink:href="jap-8-345-g004"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label>
<caption><title>Patient satisfaction questionnaire</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i001"></graphic>
<table frame="hsides" rules="rows"><col width="5%" span="1"></col>
<col width="55%" span="1"></col>
<col width="8%" span="1"></col>
<col width="8%" span="1"></col>
<col width="8%" span="1"></col>
<col width="8%" span="1"></col>
<col width="8%" span="1"></col>
<thead><tr><th valign="top" align="center" rowspan="1" colspan="1"></th>
<th valign="top" align="left" rowspan="1" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="1">Very Satisfied</th>
<th valign="top" align="center" rowspan="1" colspan="1">Fairly Satisfied</th>
<th valign="top" align="center" rowspan="1" colspan="1">Hardly Satisfied</th>
<th valign="top" align="center" rowspan="1" colspan="1">Not Satisfied</th>
<th valign="top" align="center" rowspan="1" colspan="1">Don't Know</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="center" rowspan="1" colspan="1">1.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the crown shape?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">2.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the crown color?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">3.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the symmetry of the restoration with the contralateral?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">4.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the alignment of the restoration with the other teeth?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">5.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with your smile?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">6.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with your gum shape?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">7.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with your gum color?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">8.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the function of the restoration during eating?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">9.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the restoration during talking?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">10.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the ease of care of the restoration?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">11.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the entire treatment?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">12.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the time taking to finish the treatment?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">13.</td>
<td valign="top" align="left" rowspan="1" colspan="1">How satisfied are you with the cost?</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label>
<caption><title>Clinical peri-implant parameters of the 23 implants</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i002"></graphic>
<table frame="hsides" rules="rows"><col width="16%" span="1"></col>
<col width="16.8%" span="1"></col>
<col width="16.8%" span="1"></col>
<col width="16.8%" span="1"></col>
<col width="16.8%" span="1"></col>
<col width="16.8%" span="1"></col>
<thead><tr><th valign="top" align="left" rowspan="1" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="1">Valid</th>
<th valign="top" align="center" rowspan="1" colspan="1">Minimum</th>
<th valign="top" align="center" rowspan="1" colspan="1">Maximum</th>
<th valign="top" align="center" rowspan="1" colspan="1">Mean</th>
<th valign="top" align="center" rowspan="1" colspan="1">SD</th>
</tr>
</thead>
<tbody><tr><td valign="middle" align="left" rowspan="1" colspan="1">DIB mm</td>
<td valign="middle" align="right" rowspan="1" colspan="1">23</td>
<td valign="middle" align="right" rowspan="1" colspan="1">0</td>
<td valign="middle" align="right" rowspan="1" colspan="1">5</td>
<td valign="middle" align="center" rowspan="1" colspan="1">2.14</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.23</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Msbi</td>
<td valign="top" align="right" rowspan="1" colspan="1">23</td>
<td valign="top" align="right" rowspan="1" colspan="1">0</td>
<td valign="top" align="right" rowspan="1" colspan="1">100</td>
<td valign="top" align="center" rowspan="1" colspan="1">14.13</td>
<td valign="top" align="center" rowspan="1" colspan="1">18.2</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">mPI (%)</td>
<td valign="top" align="right" rowspan="1" colspan="1">20</td>
<td valign="top" align="right" rowspan="1" colspan="1">0</td>
<td valign="top" align="right" rowspan="1" colspan="1">100</td>
<td valign="top" align="center" rowspan="1" colspan="1">98.1</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.81</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">PD (L)</td>
<td valign="top" align="right" rowspan="1" colspan="1">23</td>
<td valign="top" align="right" rowspan="1" colspan="1">2</td>
<td valign="top" align="right" rowspan="1" colspan="1">5</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.21</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.8</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">PD (B)</td>
<td valign="top" align="right" rowspan="1" colspan="1">23</td>
<td valign="top" align="right" rowspan="1" colspan="1">1</td>
<td valign="top" align="right" rowspan="1" colspan="1">5</td>
<td valign="top" align="center" rowspan="1" colspan="1">2.6</td>
<td valign="top" align="center" rowspan="1" colspan="1">1</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">PD (D)</td>
<td valign="top" align="right" rowspan="1" colspan="1">23</td>
<td valign="top" align="right" rowspan="1" colspan="1">1</td>
<td valign="top" align="right" rowspan="1" colspan="1">5</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.04</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.9</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">PD (M)</td>
<td valign="top" align="right" rowspan="1" colspan="1">23</td>
<td valign="top" align="right" rowspan="1" colspan="1">1</td>
<td valign="top" align="right" rowspan="1" colspan="1">5</td>
<td valign="top" align="center" rowspan="1" colspan="1">2.9</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.06</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label>
<caption><title>Summarized the PES and WES of the 23 implants</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i003"></graphic>
<table frame="hsides" rules="rows"><col width="7.42%" span="1"></col>
<col width="11.13%" span="1"></col>
<col width="16.88%" span="1"></col>
<col width="13.73%" span="1"></col>
<col width="11.5%" span="1"></col>
<col width="15.96%" span="1"></col>
<col width="15.96%" span="1"></col>
<col width="7.42%" span="1"></col>
<tbody><tr><td valign="middle" align="center" rowspan="1" colspan="1">PES</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Mesial papilla</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Distal papilla</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Curvature of facial mucosa</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Level of facial mucosa</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Root convexity, soft tissue color and texture</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Total PES (Max 10)</td>
</tr>
<tr><td valign="middle" align="center" rowspan="1" colspan="1">Mean</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.50</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.42</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.21</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.15</td>
<td valign="middle" align="center" rowspan="1" colspan="1">1.25</td>
<td valign="middle" align="center" rowspan="1" colspan="1">6.54</td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">SD</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.67</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.65</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.74</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.76</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.72</td>
<td valign="top" align="center" rowspan="1" colspan="1">2.74</td>
</tr>
<tr><td valign="middle" align="center" rowspan="1" colspan="1">WES</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Tooth form</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Tooth volume/outline</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Color (hue/value)</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Surface texture</td>
<td valign="top" align="center" rowspan="1" colspan="1">Translucency and characterization</td>
<td valign="middle" align="center" rowspan="1" colspan="1">Total WES (Max 10)</td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">Mean</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.08</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.09</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.10</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.33</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.21</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.80</td>
</tr>
<tr><td valign="top" align="center" rowspan="1" colspan="1">SD</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.70</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.69</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.77</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.68</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.74</td>
<td valign="top" align="center" rowspan="1" colspan="1">2.81</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label>
<caption><title>Specialty-wise distribution of the observations</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i004"></graphic>
<table frame="hsides" rules="rows"><col width="25%" span="1"></col>
<col width="18%" span="1"></col>
<col width="18%" span="1"></col>
<col width="18%" span="1"></col>
<col width="21%" span="1"></col>
<thead><tr><th valign="middle" align="center" rowspan="1" colspan="1">Specialty group</th>
<th valign="middle" align="center" rowspan="1" colspan="1">Valid (n)</th>
<th valign="middle" align="center" rowspan="1" colspan="1">Mean PES</th>
<th valign="middle" align="center" rowspan="1" colspan="1">Mean WES</th>
<th valign="middle" align="center" rowspan="1" colspan="1">PES + WES</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Orthodontist 1</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.00 ± 1.91</td>
<td valign="top" align="center" rowspan="1" colspan="1">4.17 ± 2.82</td>
<td valign="top" align="center" rowspan="1" colspan="1">11.17 ± 3.13</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Orthodontist 2</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.04 ± 1.96</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.57 ± 2.57</td>
<td valign="top" align="center" rowspan="1" colspan="1">12.61 ± 3.69</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Orthodontist 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.65 ± 3.04</td>
<td valign="top" align="center" rowspan="1" colspan="1">4.74 ± 3.44</td>
<td valign="top" align="center" rowspan="1" colspan="1">10.39 ± 5.37</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Orthodontist 1 + 2 + 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.23 ± 2.3</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.16 ± 2.94</td>
<td valign="top" align="center" rowspan="1" colspan="1">11.39 ± 4.06</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Surgeon 1</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.22 ± 3.22</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.43 ± 2.33</td>
<td valign="top" align="center" rowspan="1" colspan="1">14.65 ± 5.09</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Surgeon 2</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.30 ± 3.1</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.65 ± 1.85</td>
<td valign="top" align="center" rowspan="1" colspan="1">12.96 ± 4.15</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Surgeon 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.09 ± 2.48</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.43 ± 2.63</td>
<td valign="top" align="center" rowspan="1" colspan="1">13.52 ± 4.42</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Surgeon 1 + 2 + 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.87 ± 2.93</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.84 ± 2.27</td>
<td valign="top" align="center" rowspan="1" colspan="1">13.71 ± 4.55</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Prosthodontist 1</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.61 ± 1.62</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.74 ± 2.09</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.35 ± 3.20</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Prosthodontist 2</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.48 ± 2.15</td>
<td valign="top" align="center" rowspan="1" colspan="1">4.52 ± 2.41</td>
<td valign="top" align="center" rowspan="1" colspan="1">11.00 ± 4.08</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Prosthodontist 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.83 ± 3.41</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.16 ± 2.67</td>
<td valign="top" align="center" rowspan="1" colspan="1">15.09 ± 4.64</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Prosthodontist 1 + 2 + 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.97 ± 2.39</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.16 ± 2.39</td>
<td valign="top" align="center" rowspan="1" colspan="1">11.13 ± 3.97</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Periodontist 1</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">9.00 ± 1.95</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.35 ± 2.35</td>
<td valign="top" align="center" rowspan="1" colspan="1">16.35 ± 3.17</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Periodontist 2</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.26 ± 2.11</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.48 ± 1.75</td>
<td valign="top" align="center" rowspan="1" colspan="1">8.74 ± 3.48</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Periodontist 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.96 ± 1.66</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.26 ± 1.76</td>
<td valign="top" align="center" rowspan="1" colspan="1">14.22 ± 3.09</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Periodontist 1 + 2 + 3</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">7.07 ± 1.9</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.03 ± 1.95</td>
<td valign="top" align="center" rowspan="1" colspan="1">13.10 ± 3.24</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Total Group</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">6.45 ± 2.38</td>
<td valign="top" align="center" rowspan="1" colspan="1">5.80 ± 2.39</td>
<td valign="top" align="center" rowspan="1" colspan="1">12.34 ± 3.95</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T5" orientation="portrait" position="float"><label>Table 5</label>
<caption><title>Statistical significance (P) according to Kruskal Wallis analysis among the specialty groups</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i005"></graphic>
<table frame="hsides" rules="rows"><col width="20%" span="1"></col>
<col width="20%" span="1"></col>
<col width="20%" span="1"></col>
<col width="20%" span="1"></col>
<col width="20%" span="1"></col>
<thead><tr><th valign="top" align="left" rowspan="1" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="1">Valid</th>
<th valign="top" align="center" rowspan="1" colspan="1">PES</th>
<th valign="top" align="center" rowspan="1" colspan="1">WES</th>
<th valign="top" align="center" rowspan="1" colspan="1">Total PES/WES</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="center" rowspan="1" colspan="1">Specialty groups</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.100</td>
<td valign="top" align="center" rowspan="1" colspan="1">< 0.01</td>
<td valign="top" align="center" rowspan="1" colspan="1">< 0.01</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T6" orientation="portrait" position="float"><label>Table 6</label>
<caption><title>Correlation between the total PES/WES and the VAS response</title>
</caption>
<alternatives><graphic xlink:href="jap-8-345-i006"></graphic>
<table frame="hsides" rules="rows"><col width="25%" span="1"></col>
<col width="25%" span="1"></col>
<col width="25%" span="1"></col>
<col width="25%" span="1"></col>
<thead><tr><th valign="top" align="center" rowspan="1" colspan="1">Regional group</th>
<th valign="top" align="center" rowspan="1" colspan="1">Valid</th>
<th valign="top" align="center" rowspan="1" colspan="1">Spearman correlation coefficient</th>
<th valign="top" align="center" rowspan="1" colspan="1">Statistical significance (<italic>P</italic>
value)</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">PES/WES and VAS response</td>
<td valign="top" align="center" rowspan="1" colspan="1">23</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.669</td>
<td valign="top" align="center" rowspan="1" colspan="1">< .01</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
</floats-group>
</pmc>
</record>
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