title: Patient satisfaction and esthetic outcome after immediate placement and provisionalization of single-tooth implants involving a definitive individual abutment.
abstract: OBJECTIVE
  To assess patient satisfaction and esthetic outcome after immediate placement and provisionalization of single-tooth implants involving a definitive individual abutment and a provisional crown followed by later placement of a definitive crown.
  
  
  METHODS
  In private practice, a single-tooth implant was placed immediately after tooth extraction in the esthetic zone of 54 patients. A definitive individual abutment and a provisional crown were mounted in the same visit. The definitive crown was placed after a mean period of 7 months. After a mean follow-up period of 33 months, the subjective and professional evaluation of the total implant treatment, peri-implant soft tissues, and implant crown were assessed on a 10-cm visual analog scale (VAS). The professional esthetic treatment outcome was also evaluated using pink esthetic score (PES), white esthetic score (WES), and total score of PES/WES.
  
  
  RESULTS
  The evaluation of total implant treatment, peri-implant soft tissues, and implant crown demonstrated a significantly higher subjective than professional score for all 3 parameters (P < 0.001), for example, for the overall treatment, the mean scores were 9.4 and 7.0, respectively. A significant positive correlation was revealed between the professional VAS scores and the PESs and WESs.
  
  
  CONCLUSIONS
  Immediate placement and provisionalization of single-tooth implants involving a definitive individual abutment and provisional crown followed by later placement of a definitive crown demonstrated high subjective and professional satisfaction. Generally, the professionals seem to be more critical than the patients. A strong correlation was observed between the professional VAS scores and the PES and WES scoring systems.
authors.affiliation: Section for Oral and Maxillofacial Surgery & Oral Pathology, Department of Dentistry, Health, Aarhus University, Aarhus, Denmark.|Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Jens
authors.initials: J
authors.lastname: Hartlev
authors.affiliation: private practice, Tinglev, Denmark.
authors.forename: Peter
authors.initials: P
authors.lastname: Kohberg
authors.affiliation: CoDENT, Aarhus, Denmark.
authors.forename: Søren
authors.initials: S
authors.lastname: Ahlmann
authors.affiliation: Section for Biostatistics, Institute of Public Health, Health, Aarhus University, Aarhus, Denmark.
authors.forename: Niels T
authors.initials: NT
authors.lastname: Andersen
authors.affiliation: Section for Oral and Maxillofacial Surgery & Oral Pathology, Department of Dentistry, Health, Aarhus University, Aarhus, Denmark.
authors.forename: Søren
authors.initials: S
authors.lastname: Schou
authors.affiliation: Section for Prosthetic Dentistry, Department of Dentistry, Aarhus University, Health, Aarhus, Denmark.
authors.forename: Flemming
authors.initials: F
authors.lastname: Isidor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000539:Alveolar Process / Q000033:anatomy & histology; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003442:Crowns; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D016019:Survival Analysis; D016896:Treatment Outcome; D064232:Visual Analog Scale; D055815:Young Adult
keywords: endosseous dental implantation; implant-supported dental prosthesis; patient satisfaction; retrospective study; single-tooth dental implants