Wittneben, Julia; Wismeijer, Daniel; Brägger, Urs; Joda, Tim Alexander; Abou-Ayash, Samir (2018). Patient-reported outcome measures focusing on aesthetics of implant- and tooth-supported fixed dental prostheses: A systematic review and meta-analysis. Clinical oral implants research, 29(S16), pp. 224-240. Wiley-Blackwell 10.1111/clr.13295
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OBJECTIVES
The aim of this systematic review and meta-analysis was to summarize the existing evidence on patient-reported aesthetic outcome measures (PROMs) of implant-supported, relative to tooth-supported fixed dental prostheses.
MATERIAL AND METHODS
In April 2017, two reviewers independently searched the Medline (PubMed), EMBASE, and Cochrane electronic databases, focusing on studies including patient-reported aesthetic outcomes of implant- and tooth-supported fixed dental prostheses (FDPs). Human studies with a mean follow-up period of at least 1 year, a minimum of ten patients, and English, German, or French publication were included. For the comparison of subgroups, random-effects meta-regression for aggregate-level data was used.
RESULTS
The systematic search for implant-supported prostheses focusing on patient-reported outcomes identified 2,675 titles, which were screened by two independent authors. Fifty full-text articles were analyzed, and finally, 16 publications (including 19 relevant study cohorts) were included. For tooth-supported prostheses, no studies could be included. A total of 816 implant-supported reconstructions were analyzed by patients. Overall aesthetic evaluation by the patients' visual analogue scale (VAS) rating was high in implant-supported FDPs (median: 90.3; min-max: 80.0-94.0) and the surrounding mucosa (median: 84.7; min-max: 73.0-92.0). Individual restorative materials, implant neck design (i.e., tissue or bone level type implants), and the use of a fixed provisional had no effect on patients' ratings of the definitive implant-supported FDPs.
CONCLUSIONS
Aesthetics is an important patient-reported measure, which lacks in standardized methods; however, patients' satisfaction was high for implant-supported FDPs and the surrounding mucosa.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology |
UniBE Contributor: |
Wittneben, Julia, Brägger, Urs, Joda, Tim, Abou-Ayash, Samir |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0905-7161 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Vanda Kummer |
Date Deposited: |
07 Mar 2019 17:23 |
Last Modified: |
02 Mar 2023 23:31 |
Publisher DOI: |
10.1111/clr.13295 |
PubMed ID: |
30328183 |
Uncontrolled Keywords: |
FDP Mucosa PROM PROMS VAS esthetic implant implant-supported crown patient-centered outcomes patient-reported outcomes |
BORIS DOI: |
10.7892/boris.123976 |
URI: |
https://boris.unibe.ch/id/eprint/123976 |
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