OWN - Quintessence Publishing Company, Ltd. CI - Copyright Quintessence Publishing Company, Ltd. OCI - Copyright Quintessence Publishing Company, Ltd. TA - Int J Prosthodont JT - The International Journal of Prosthodontics IS - 1942-4426 (Electronic) IS - 0893-2174 (Print) IP - 4 VI - 35 PST - ppublish DP - 2022 PG - 396-404 LA - en TI - Esthetic Evaluation of Anterior Implant-Supported Single Crowns: A Comparison Between Patients and Dentists LID - 10.11607/ijp.8032 [doi] FAU - Foong, Alethea Li Y AU - Foong A FAU - Tey, Valerie Hwee Shinn AU - Tey V FAU - Tan, Keson Beng Choon AU - Tan K FAU - Teoh, Khim Hean AU - Teoh K FAU - Tan, Ken AU - Tan K CN - AB - Purpose: To compare the esthetic outcomes of anterior implant-supported single crowns as evaluated by patients and clinicians of different specialties. Materials and methods: A total of 133 patients with 138 implant-supported crowns were recalled from the National Dental Centre Singapore Implant Registry to rate the esthetic outcomes of their restorations using a visual analog scale (VAS) questionnaire. Patients with crowns in the maxillary or mandibular canine-to-canine region with a contralateral natural tooth and minimum time in function of 6 months were recruited. Three clinicians trained in prosthodontics rated each restoration using the modified Pink Esthetic Score/White Esthetic Score (PES/WES) index through photographs and models. Two periodontists, two orthodontists, and two general dentists each rated a randomized sample of 40 crowns using the same index for comparison. Statistical analysis was done using a linear mixed model, analysis of variance, intraclass correlation coefficient, kappa score, Spearman rank correlation, and Mann- Whitney U tests. Results: Mean PES, WES, and PES/WES scores for the 138 implants were 4.7, 5.0, and 9.7, respectively. Based on modified PES/WES criteria, 22 (15.9%) of the 138 implants were deemed clinically acceptable. Mean patient VAS scores ranged from 79.3 to 84.4 out of 100. Prosthodontists had significantly lower mean PES, WES, and PES/WES scores (P < .05) than the other specialties. When orthodontists were excluded, papilla scores had the highest agreement of all the variables. Conclusion: Patients were less critical of esthetic outcomes than clinicians. A weak correlation was found between patients' subjective evaluations and the modified PES/WES index as rated by prosthodontists. Prosthodontists were the strictest assessors. AID - 3425073