AI Article Synopsis
- The study aimed to compare the effectiveness of two-piece and one-piece abutments in terms of esthetics, patient satisfaction, and oral health quality for single crowns on implants.
- Thirty implants were randomly divided into two groups (15 each) and various measurements for esthetics, satisfaction, and quality of life were taken at different time points.
- Results showed no significant differences between the two types of abutments, with both improving patient satisfaction and esthetics over time, indicating they are equally effective.
Article Abstract
Objective: To evaluate whether a two-piece abutment is equivalent to a one-piece in peri-implant esthetics, patients' satisfaction, and oral health-related quality of life (OHRQOL) for implant-supported anterior single crown placement.
Material And Methods: Thirty implants were allocated sequentially: 15 in the one-piece abutment group (OP) and 15 in the two-piece abutment group (TP). Peri-implant esthetics were evaluated by the pink esthetic score (PES) at temporary crown insertion (T1), after tissue conditioning (T2), and at 30 days after the final crown insertion (T3). OHRQOL was measured using the OHIP-14 and satisfaction was evaluated using the visual analog scale (VAS) at baseline, T1, and T3. Treatment was considered equivalent if the 95% coefficient interval (CI) for mean difference in PES was between -1.5 and +1.5 points. Statistical analysis was performed using Mann-Whitney, SPANOVA, and Student's t-test, with Sidak's posttest, adopting p < 0.05.
Results: No differences were found between the groups for any variable and during follow-up. A significant increase in OHRQOL and satisfaction was observed at T3, when compared to baseline (p < 0.05) for both groups. Significant improvements in peri-implant esthetics were also observed throughout the treatment, particularly after tissue conditioning (p < 0.05). Primary and secondary outcomes were evaluated for equivalence, and both abutment types were considered equivalent following the insertion of the temporary crowns.
Conclusions: Two-piece abutment was equivalent to one-piece abutment for peri-implant esthetics, quality of life, or the satisfaction of patients rehabilitated with metal-free single crowns. Tissue conditioning and final crown insertion appear to play a role in improving these outcomes.
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| http://dx.doi.org/10.1111/clr.14370 | DOI Listing |
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Article Synopsis
- The study aimed to compare the effectiveness of two-piece and one-piece abutments in terms of esthetics, patient satisfaction, and oral health quality for single crowns on implants.
- Thirty implants were randomly divided into two groups (15 each) and various measurements for esthetics, satisfaction, and quality of life were taken at different time points.
- Results showed no significant differences between the two types of abutments, with both improving patient satisfaction and esthetics over time, indicating they are equally effective.
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