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BACKGROUND: This review aimed to concisely describe the current aesthetic objective indices for a single-implant maxillary anterior crown. The secondary aim was to propose introducing a unified, standardized questionnaire for adequately collecting patient-reported outcome measures (PROMs) in implant dentistry. MATERIALS AND METHODS: A literature review was conducted using both EMBASE/Ovid and MEDLINE/PubMed databases by combining keywords and Emtree/Mesh terms related to "Esthetics," "Self-Assessment or Surveys and Questionnaires," and "Single-Tooth Dental Implants." RESULTS: The most meaningful aesthetic objective indices for single implants in the literature are the Pink Esthetic Score (PES), the Papilla Presence Index (PPI), Peri-Implant and Crown Index (PICI), PES/White Esthetic Score (PES/WES), the Implant Crown Aesthetic Index (ICAI), and a modified version of the ICAI (mod-ICAI) index. Clearly, PES/WES is still the most widely accepted tool. It is encouraging to observe that there is an increasing tendency in recent years to report PROMs more frequently in the implant dentistry literature. We proposed the implementation of a unified, standardized questionnaire using a self-administered visual analogue scale (VAS) scoring system, which evaluates overall satisfaction, comfort, tooth appearance, gingival appearance, function, and hygiene complexity. This tool should be validated in the oral implantology research context for its regular implementation or further development. CONCLUSIONS: Conducting qualitative studies among dental implant patients who received few implants or single-tooth implant reconstructions in the aesthetic zone may help dental researchers understand better how to efficiently develop and validate a quantitative instrument. This standard tool would reduce heterogeneity bias by providing comparable data between studies.
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Health professionals, such as medical and dental clinicians, have scant understanding of patients' experiences and perceptions of satisfaction. Nevertheless, implementing a patient-reported outcome measures (PROMs) research practice in surgical sciences is necessary. Hence, the objective of this article was to better understand patients' satisfaction with their medical and dental care. The methods of the current article are based on a narrative review of the literature strategy. A literature review was conducted using both EMBASE and Medline databases up to July 12, 2020, by combining keywords and terms related to "satisfaction theories" and "patient satisfaction," and "medicine" or "dentistry/stomatology/odontology." Patient satisfaction's multidimensional nature has been established since the perceived reasons for satisfaction varied widely among patients. Many aspects of treatment influence participant satisfaction at different stages of the intervention process. An improved understanding of the basis for managing patients' expectations with information reiteratively and efficiently may ultimately reduce patients' potential for negative feelings toward the medical and dental treatment experience. Lastly, the consumerist method may misrepresent the still undertheorized concept of satisfaction in health service.
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BACKGROUND: Prosthodontic rehabilitation maintains the esthetics, functional support, and the masticatory function of the oral cavity. The main aim of the present study was to explore the knowledge, attitude, and practice towards prosthodontic rehabilitation and factors affecting the KAP of patients. MATERIALS AND METHODS: The present research is a cross-sectional descriptive questionnaire study conducted among the patients visiting private hospitals in Riyadh City, Saudi Arabia. The city was divided into five directions; south, north, east, west, and central. From each direction, one hospital was included randomly with more than 50 patients in OPD per day. The interview was conducted among 121 patients from each hospital which made the sample size of 605. RESULTS: Among all study participants in the present study, majority (252 [41.67%]) of them were more than 50 years of age. Female study participants (318 [52.57%]) were more than (287 [47.43%]) the male participants. It was reported that 458 (75.70%) of the study participants have missing teeth ranging from 6 to 10. The main reason reported for absence of prosthesis was money constraints among the 121 (38.90%) study participants. Inadequate knowledge regarding prosthodontic rehabilitation was significantly associated (P-value ≤ 0.05*) with attitude and practice of the study participants. CONCLUSION: It was concluded that financial constraints were the major factors for not availing prosthodontic rehabilitation. Moreover, inadequate knowledge regarding prosthodontic rehabilitation significantly affects the attitude and practice of the study participants.
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AIM: To provide an update on artificial saliva used to maintain the health of the oral cavity of patients with severe hyposalivation. MATERIALS AND METHODS: A literature search was conducted in April 2018 in three electronic databases (The Cochrane Central Register of Controlled Trials [CENTRAL], PubMed, and Embase) by combining key words and terms related to the population and intervention of the topic. RESULTS: The databases search resulted in 455 titles and abstracts. Of these, 21 were judged to meet inclusion criteria and full texts were read. Finally, 10 clinical trials were included for qualitative synthesis. CONCLUSION: Published evidence suggests that all the artificial saliva products tested in included studies reduced symptoms of xerostomia. These products should specifically be selected according to the patients' concerns and needs. However, the included studies presented a wide range of products and suffered from high risk of bias. Therefore, long-term randomized controlled trials on effects of various products are required.
