EVALUATİON OF AESTHETICS AND GINGIVAL HARMONY IN FIXED PROSTHETIC RESTORATIONS WİTH WHİTE AND PİNK AESTHETİC SCORES

Year 2023, Volume: 9 Issue: 3, 21 - 30, 01.12.2023

Elifnur Güzelce Sultanoğlu , Büşra Keleş Eroğlu , Zeliha Betül Özsağır

Abstract

Objectives: In this study, the aim was to evaluate the PES and WES values of fixed metal ceramic restorations in a specific population based on gingival phenotype.
Materials and Methods: The condition of metal ceramic restorations involving 263 anterior and premolar teeth in 63 patients was evaluated photographically before and after treatment. PES/WES scoring was used for an objective aesthetic assessment. Gingival phenotypes were classified as 'thin' and 'thick'. All values were analysed statistically.
Results: The mean PES was 11.36, and the mean WES was 5.41. The 'thick' phenotype constituted the majority at 80.3%, whereas the 'thin' phenotype constituted 19.7% of cases. No significant relationship was observed between PES and WES values for either 'thin' or 'thick' phenotypes.
Conclusion: No significant relationship was observed between the initial aesthetic values of metal-ceramic restorations and the gingival phenotype when the correct treatment protocol was followed, but further and longer follow-up studies are needed.

Keywords

: aesthetics, periodontal Indexes, permanent Dental Restorations

SABİT PROTETİK DİŞ TEDAVİLERİNDE ESTETİK VE DİŞ ETİ UYUMUNUN PEMBE VE BEYAZ ESTETİK SCORLAR İLE DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu çalışmada belirli bir populasyonda sabit metal seramik restorasyon tedavilerinin PES, WES değerlerinin diş eti fenotipine göre değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: 63 hastada 263 anterior ve premolar dişleri içeren metal seramik restorasyonların tedavi öncesi ve sonrası durumu fotoğrafik olarak değerlendirildi. PES/WES skorlamaları objektif bir estetik deeğerlendirme için kullanıldı. Diş eti fenotipleri ‘ince’ ve ‘kalın’olarak sınıflandı. Tüm değerler istatistiksel olarak incelendi.
Bulgular: PES ortalama 11,36 WES ortalama 5.41 bulunmuştur. Kalın" fenotipi %80,3 ile çoğunluğu oluştururken, "İnce" fenotipi vakaların %19,7'sini oluşturmuştur. İnce ve kalın fenotipler için PES ve WES değerleri arasında anlamlı bir ilişki gözlemlenmemiştir.
Sonuç: Doğru tedavi protokolü izlendiğinde metal-seramik restorasyonların başlangıç estetik değerleri ile dişeti fenotipi arasında anlamlı bir ilişki gözlenmemiştir ancak daha ileri ve uzun takip çalışmalarına ihtiyaç vardır.

Keywords

estetik, periodontal indeksler, kalıcı dental restorasyonlar

References

• Lanza A, Di Francesco F, DE Marco G, Femiano F, Itro A.Clinical application of the PES/WES Index on natural teeth: Case report and literature review. Case Rep Dent; 2017, https://www.hindawi.com/journals/crid/2017/9659062/abs/ (2017).
• Tole N, Lajnert V, Kovacevic Pavicic D, Spalj S. Gender, Age, and Psychosocial Context of the Perception of Facial Esthetics. J Esthet Restor Dent 2014; 26(2): 119–30.
• Ashok V, Suvitha S. Awareness of all ceramic restoration in rural population. Research Journal of Pharmacy and Technology 2016; 9: 1691–3.
• De Araujo EM , Fortkamp S, Baratieri LN. Closure of Diastema and Gingival Recontouring Using Direct Adhesive Restorations: A Case Report. J Esthet Restor Dent 2009; 21: 229– 40.
• Kurtzman GM. Improving aesthetics: harmonizing the white and pink. Dent Today 2012; 31: 60–2.
• Nahsan FPS, Mondelli RFL, Franco EB, Naufel FS, Ueda JK, Schmitt VL, Baseggio, W.Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J Appl Oral Sci 2012; 20: 151–6.
• Jyothi S, Robin PK, Ganapathy D. Periodontal health status of three different groups wearing temporary partial denture. Res J Pharm Technol 2017; 10(12): 4339–42.
• Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res 2005; 16(6): 639–44.
• Belser UC, Grütter L, Vailati F, Bornstein M, Weber P, Buser, D. Outcome Evaluation of Early Placed Maxillary Anterior Single-Tooth Implants Using Objective Esthetic Criteria: A Cross-Sectional, Retrospective Study in 45 Patients With a 2- to 4-Year Follow-Up Using Pink and White Esthetic Scores. J Periodontol 2009; 80(1): 140–51.
• Dani S, Prabhu A, Jain KV, Dugad S, Sindhe JR, Patil S. R.Esthetic evaluation of maxillary anterior single-tooth implant by dental specialists and non-dental personnel. J Int Dent Medical Res 2018; 4(1): 1–6.
• Tettamanti S, Millen C, Gavric J, Buser D, Belser UC, Brägger U, Wittneben J. Esthetic Evaluation of Implant Crowns and Peri-Implant Soft Tissue in the Anterior Maxilla: Comparison and Reproducibility of Three Different Indices. Clin Implant Dent R 2016; 18(3): 517–26.
• Malpartida-Carrillo V, Tinedo-Lopez PL, Guerrero ME. Periodontal phenotype: A review of historical and current classifications evaluating different methods and characteristics. J Esthet Restor Dent 2021;33(3): 432-45.
• Stellini E, Comuzzi L, Mazzocco F, Parente N. Relationships between different tooth shapes and patient’s periodontal phenotype. J. Periodontal Res 2013; 48(5): 657-62.
• Maciel Vidigal G, Groisman M, Rene Clavijo VG, Barros Paulinelli Santos IG, Guimarães Fischer R. Evaluation of Pink and White Esthetic Scores for Immediately Placed and Provisionally Restored Implants in the Anterior Maxilla. Int J Oral Maxillofac Implants 2017; 32(3).
• Bernal G, Ruiz L, Aellos F, Salazar C, Sadowsky, SJ. Clinical and cone beam computed tomography outcomes of maxillary anterior implant restorations after immediate implant placement with interim restorations: A 1-to 14-year retrospective analysis. J Prosthet Dent 2023.
• Gjelvold B, Chrcanovic B, Collin Bagewitz I, Kisch J, Albrektsson T, Wennerberg A. Esthetic and patient-centered outcomes of single implants: a retrospective study. Int J Oral Maxillofac Implants 2017; 32(5): 1065-73.
• Bittencourt TC, Assis SP, Ribeiro G, Ferreira CF, Sotto-Maior BS. Evaluation of the peri-implant tissues in the esthetic zone with prefabricated titanium or zirconia abutments: A randomized controlled clinical trial with a minimum follow-up of 7 years. J Prosthet Dent 2021;129(3):573-81
• Tatum L, Saltz AE, Prihoda TJ, DeGroot BS, Mealey BL, Mills P, Huynh-Ba G. Management of Thick and Thin Periodontal Phenotypes for Immediate Dental Implants in the Esthetic Zone: A Controlled Clinical Trial. Int J Periodontics Restorative Dent 2020;40(1): 50-9
• Akoğlu Vanlıoğlu B, Kahramanoğlu E, Yıldız C, Özkan Y, Kulak-Özkan Y. Esthetic outcome evaluation of maxillary anterior single-tooth bone-level implants with metal or ceramic abutments and ceramic crowns. Int J Oral Maxillofac Implants 2014; 29(5):1130-6
• Lee WZ, Ong MM, Yeo ABK. Gingival profiles in a select Asian cohort: A pilot study. J Investig Clin Dent 2018; 9(1): e12269.
• Donner A, Eliasziw M. A goodness-of-fit approach to inference procedures for the kappa statistic: Confidence interval construction, significance-testing and sample size estimation. Stat Med 1992; 11: 1511-1519.
• Shoukri MM, Asyali MH, Donner A. Sample size requirements for the design of reliability study: review and new results. Statistical Methods in Medical Research 2004; 13: 1-21.
• Chen J, Chiang C, Zhang Y. Esthetic evaluation of natural teeth in anterior maxilla using the pink and white esthetic scores. Clin Implant Dent R 2018;20(5):770-7.