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Aesthetic Parameters and Patient-Perspective Assessment Tools for Maxillary Anterior Single Implants
Kelvin I Afrashtehfar1,2,3,4,5,6, Mansour K A Assery7,8, S Ross Bryant9,10
1Division of Restorative Dental Sciences, Department of Clinical Sciences, College of Dentistry, Ajman University, 346 Ajman, UAE.
International Journal of Dentistry
|March 12, 2021
Summary
This review details aesthetic indices for single dental implants and proposes a standardized questionnaire for patient-reported outcomes (PROMs) in implant dentistry. This aims to improve data comparability and patient satisfaction assessments.
Area of Science:
- Dental Implantology
- Aesthetic Dentistry
- Patient-Reported Outcomes
Background:
- Current aesthetic objective indices for single-implant maxillary anterior crowns are reviewed.
- There is a need for standardized patient-reported outcome measures (PROMs) in implant dentistry.
Purpose of the Study:
- To describe current aesthetic objective indices for single-implant maxillary anterior crowns.
- To propose a unified, standardized questionnaire for PROMs in implant dentistry.
Main Methods:
- A comprehensive literature review was conducted using EMBASE/Ovid and MEDLINE/PubMed.
- Keywords included "Esthetics," "Self-Assessment or Surveys and Questionnaires," and "Single-Tooth Dental Implants."
Main Results:
- Key aesthetic indices identified include PES, PPI, PICI, PES/WES, ICAI, and mod-ICAI, with PES/WES being widely accepted.
- A trend towards increased reporting of PROMs in implant dentistry literature was observed.
- A unified, standardized visual analogue scale (VAS) questionnaire for PROMs is proposed, evaluating satisfaction, comfort, appearance, function, and hygiene.
Conclusions:
- Qualitative studies are recommended to develop and validate a quantitative instrument for aesthetic zone implant patients.
- A standardized tool would minimize heterogeneity bias and enable comparable data across studies.

