Aesthetics and Patient-Reported Outcomes in Periodontology and Implant Dentistry: Consensus Report.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tonetti Maurizio, Sanz Mariano, Cairo Francesco, Nart Jose, Chapple Iain, Aimetti Mario, Aroca Sofia, Avila-Ortiz Gustavo, Blanco Juan, Bujaldón Antonio, Cavalcanti Raffaele, Cortellini Pierpaolo, Cosyn Jan, Danser Monique, de Sanctis Massimo, Derks Jan, Dommisch Henrik, Figuero Elena, Gianserra Rodolfo, Graziani Filippo, Jepsen Søren, Kebschull Moritz, Lambert France, Montero Eduardo, Naenni Nadja, Needleman Ian, Pilloni Andrea, Ramanauskaite Ausra, Roccuzzo Mario, Sanz-Martín Ignacio, Sanz-Sánchez Ignacio, Schwarz Frank, Sculean Anton, Stefanini Martina, Thoma Daniel, Trombelli Leonardo, Valles Cristina, West Nicola, Zucchelli Giovanni, Zuhr Otto, Herrera David
Аннотация
METHODS: The workshop discussions were informed by five specifically commissioned systematic reviews covering PREs, PROs and clinician-reported outcomes (CROs), including effectiveness, aesthetics and other concerns.
RESULTS: Following treatments such as coronally advanced flaps (CAFs) with a connective tissue graft (CTG) for root coverage (RC), a positive correlation was noted between clinician-reported aesthetic scores and RC measures for GRDs. However, a corresponding correlation for patient-reported aesthetic perceptions was not evident. In dental implant procedures, the addition of a CTG immediately after implant placement significantly mitigated the apical shift in the mid-facial mucosal level. However, clinician- and patient-reported aesthetic scores were not reflective of these changes. Neither set of scores captured the impact of grafting on improving peri-implant soft-tissue volume. In the treatment of peri-implant dehiscences, soft-tissue augmentation (STA), using CTG beneath CAF, resulted in favourable outcomes in clinician- and patient-perceived aesthetics.
CONCLUSIONS: Clinician and patient views provide complementary perspectives for evidence-based clinical decision making. They need to be integrated into select interventions. Specific trials are needed encompassing PREs, PROs and CROs and reporting benefits and harms.