Validity and reliability of a proposed anterior implant esthetic index (AIEI).

IF 4.3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Goth Siu, James L Sheets, Cortino Sukotjo, Alvin G Wee, Judy Chia-Chun Yuan
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引用次数: 0

Abstract

Statement of problem: Patient satisfaction and esthetic acceptance are important factors in predicting the success of implant therapy in the anterior maxilla. A standardized esthetic index to evaluate implant esthetic outcomes is still lacking.

Purpose: The purposes of this study were to describe the newly developed images that correlate to the pink esthetic score and white esthetic score (PES/WES) for improved standardized documentation and to evaluate the validity and reliability of the proposed anterior implant esthetic index (AIEI) with patient satisfaction scores.

Material and methods: A photograph deemed ideal (perfect score of 2) using the PES/WES criteria was acquired and digitally altered to represent scores of 1 (minor discrepancy) and 0 (major discrepancy) according to the PES/WES guidelines. A pilot study enrolled prosthodontists and periodontists to review and verify the representations. A 29-question survey was developed and distributed to 33 participants on a tablet computer to evaluate the photographs. The participants were asked about their satisfaction level with the photographs on a visual analog scale from 0 to 100. Data were extracted, and ANOVA was used to compare mean satisfaction scores. Post hoc Tukey tests were used to analyze the differences within each variable (α=.05).

Results: Standardized sets of 14 altered PES and 14 altered WES photographs were generated. The interrater reliability (n=5) of the pilot study showed moderate agreement with κ=0.453 (95% CI: 0.431-0.476) for all and individual scores. Based on the patient survey, 5 of the 14 factors of the PES/WES showed no significant difference and were eliminated when constructing the index. Using scores and percentages, the anterior implant esthetic index was developed for scores of 0, 1, and 2 for each of the remaining 9 criteria. The maximum score for the index was 20 points.

Conclusions: Photographic representation of each criterion within the PES/WES standardized the patient's ability to evaluate anterior implant esthetics. An anterior implant esthetic index was developed, and a moderate interrater reliability agreement and good validation with patient satisfaction scores were obtained.

提出的前牙种植体美学指数(AIEI)的有效性和可靠性。
问题陈述:患者满意度和审美接受度是预测前上颌种植治疗成功的重要因素。目前还缺乏一种标准的美学指标来评价种植体的美学效果。目的:本研究的目的是描述与粉红色美学评分和白色美学评分(PES/WES)相关的新开发图像,以改进标准化文件,并评估拟议的前种植体美学指数(AIEI)与患者满意度评分的有效性和可靠性。材料和方法:根据PES/WES标准获得一张被认为是理想的照片(满分为2分),并根据PES/WES指南进行数字修改,以表示1分(轻微差异)和0分(主要差异)。一项试点研究招募了义齿医生和牙周病医生来审查和验证这些陈述。一份包含29个问题的调查问卷在平板电脑上分发给33名参与者,让他们对照片进行评估。参与者被问及他们对照片的满意程度,在视觉模拟范围从0到100。提取数据,采用方差分析比较平均满意度得分。采用事后Tukey检验分析各变量间的差异(α= 0.05)。结果:生成了标准化的14张PES和14张WES照片。初步研究的互译信度(n=5)显示,所有和个体得分的κ=0.453 (95% CI: 0.431-0.476)具有中等一致性。根据患者调查,PES/WES的14个因素中有5个无显著差异,在构建指数时予以剔除。使用分数和百分比,对其余9项标准中的每一项的得分分别为0、1和2,制定前路种植体美学指数。该指数的最高得分为20点。结论:PES/WES中每项标准的影像表现使患者评价前路种植体美学的能力标准化。开发了一种前路种植体美学指数,并获得了适度的互信度一致性和良好的患者满意度评分验证。
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 Prosthetic Dentistry
Journal of Prosthetic Dentistry 医学-牙科与口腔外科
CiteScore
7.00
自引率
13.00%
发文量
599
审稿时长
69 days
期刊介绍: The Journal of Prosthetic Dentistry is the leading professional journal devoted exclusively to prosthetic and restorative dentistry. The Journal is the official publication for 24 leading U.S. international prosthodontic organizations. The monthly publication features timely, original peer-reviewed articles on the newest techniques, dental materials, and research findings. The Journal serves prosthodontists and dentists in advanced practice, and features color photos that illustrate many step-by-step procedures. The Journal of Prosthetic Dentistry is included in Index Medicus and CINAHL.
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