Esthetic outcome for maxillary anterior single implants assessed by different dental specialists

PURPOSE: The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS: Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS: The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION: Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.

Oral rehabilitation of a case of Papillon-Lefevre syndrome with dental implants

Papillon-Lefevre syndrome [PLS] is a rare autosomal recessive disorder characterized by diffuse palmoplantar keratoderma and precocious aggressively progressing periodontitis, leading to the premature loss of deciduous and permanent teeth. Full mouth rehabilitation with implant supported fixed prosthesis provides numerous advantages over the conventional denture in terms of esthetics, function, longevity of the prosthesis, and patient satisfaction. We report a case of PLS in a 19-year-old female who underwent extraction of all the teeth followed by full mouth rehabilitation with implant supported fixed prostheses. A one-year follow up of the case showed functionally and esthetically stable dental implant with no signs of infection or bone loss

Oral health status of primary dentition among 551 children aged 6 to 8 years in Jazan, Saudi Arabia

A cross-sectional study of 551 primary school children was conducted to assess their oral health status in the primary dentition. The participants were examined regarding their frequency of brushing, oral hygiene status, caries experience and treatment needs. Caries was diagnosed according to the World Health Organization [WHO] criteria. The Simplified Oral Hygiene index [OHI-S] was used to assess oral health status. A logistic regression analysis was utilized to detect the relative effects of gender and/or age on oral hygiene. It was found that there was a significant gender effect [p = 0.007] with males having worse oral hygiene than females. No age effect was detected [p = 0.600]. A difference In caries experience was found between rural and urban areas. The mean dft for rural subjects was 3.16 compared to a mean of 4.67 for the urban subjects. When analyzing the relative contribution of the different components of the scores, the dt component was found to be the major contributor to the total score. it was found also that the proportion of caries-free children declined with increasing age In both male and female groups. The results indicated a need for oral health promotion and preventive program for children aged 6-8 years old