Validation of the pink esthetic score/white esthetic score at single tooth-supported prostheses in the esthetic zone: A randomized clinical trial

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Esthetic and Restorative Dentistry Pub Date : 2024-04-30 DOI:10.1111/jerd.13243

Sreeprada Dash MDS, Gunjan Srivastava MDS, Subrat Kumar Padhiary MDS, Monika Samal MDS, Gülce Çakmak DDS, PhD, Andrea Roccuzzo PhD, Pedro Molinero-Mourelle Dr. med. dent, PhD

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引用次数: 0

Abstract

Objectives

To validate the reproducibility and inter/intra-observer variability of the Pink Esthetic Score/White Esthetic Score (PES/WES) of single tooth-supported prostheses in the maxillary esthetic zone (13–23).

Materials and Methods

Forty-five patients were randomly assigned to one of the three treatment options (15 patients per group) receiving each one a different crown type: Porcelain fused to metal (PFM), monolithic zirconia, and lithium disilicate. Eight observers from each of four different specialties (Prosthodontists, Orthodontists, Periodontists, and Oral Surgeons) were recruited and assessed twice and four weeks apart (i.e., T1 and T2) 45 photographs of the single tooth-supported prosthesis using PES/WES and compared them with contralateral teeth.

Results

According to the ANOVA and post hoc tests, the zirconia crown type obtained the highest mean score by all observers, with a mean value of 16.70 ± 2.94. The prosthodontists and oral surgeons assigned the lowest mean score to PFM crowns, 13.03 ± 3.47 and 13.80 ± 3.17, respectively. Notably, the prosthodontists awarded the highest scores, specifically 17.50 ± 2.81 for the zirconia crowns. Intraobserver agreement was calculated utilizing the paired t-test. Pairwise comparisons between observers of different specialties revealed significant intraobserver agreement. Interclass correlation coefficient (ICC) scores were statistically significant among four specialties. No difference was detected concerning the interobserver agreement.

Conclusions

The PES/WES index remains consistent across various observers from different specializations, yielding uniform results in the overall esthetic evaluation. Consequently, in light of the presented preliminary positive results, its use might also be considered for the esthetic assessment of single-tooth-supported prostheses.

Clinical Significance

The PES/WES index may be employed clinically to evaluate single tooth-supported prostheses as it emerged as a reproducible esthetic scoring system.

查看原文本刊更多论文

修复区单颗牙支持修复体的粉色美学评分/白色美学评分的验证：随机临床试验

目的验证上颌美学区（13-23）单颗牙支持修复体的粉色美学评分/白色美学评分（PES/WES）的可重复性和观察者间/观察者内变异性：熔融金属烤瓷冠（PFM）、单片氧化锆冠和二硅酸锂冠。招募了来自四个不同专科（修复科、正畸科、牙周病科和口腔外科医生）的八名观察员，使用 PES/WES 对单牙支撑修复体的 45 张照片进行两次评估，每次评估间隔四周（即 T1 和 T2），并与对侧牙进行比较。修复科医生和口腔外科医生对 PFM 冠的平均评分最低，分别为 13.03 ± 3.47 和 13.80 ± 3.17。值得注意的是，修复医师给氧化锆冠打出的分数最高，具体为 17.50 ± 2.81。观察者内部一致性采用配对 t 检验进行计算。不同专业观察者之间的配对比较显示观察者内部的一致性非常显著。四个专科之间的类间相关系数（ICC）得分具有统计学意义。结论 PES/WES 指数在不同专业的观察者之间保持一致，在整体美学评价中产生统一的结果。临床意义PES/WES指数作为一种可重复的美学评分系统，可用于临床评估单颗牙支持的修复体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科

CiteScore

6.30

自引率

6.20%

发文量

124

审稿时长

>12 weeks

期刊介绍： The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics