Aesthetic Outcomes of Single-Tooth Implant-Supported Crowns in the Anterior Region: A Retrospective Evaluation Using the Pink and White Esthetic Scores

Mohammed Thafar Aldosari; Abdulrahman Abdulkader Jomah; Alanoud Abdulrhman Mohamed Alsultan; Lana Ahmed Alaskar; Abdullah Saad Salem Alamri; Mohammed Ali Alshahrani

doi:10.63278/mme.v31i1.1227

Authors

Mohammed Thafar Aldosari Advanced Education in General Dentistry resident, Prince Abdulrahman Advanced Dental Institute, Riyadh, KSA
Abdulrahman Abdulkader Jomah Advanced Education in General Dentistry specialist, Dental department, Prince sultan military medical city, Riyadh, KSA
Alanoud Abdulrhman Mohamed Alsultan Advanced Education in General Dentistry registrar, dental department, Armed Forces hospital of southern region, Khamis Mushait, KSA
Lana Ahmed Alaskar Advanced Education in General Dentistry specialist, Dental department, East Riyadh Dental Clinics Center, Riyadh, KSA
Abdullah Saad Salem Alamri Consultant in Restorative/Implant Dentistry, Department of restorative Dentistry, Prince Abdulrahman Advanced Dental Institute, Armed Forces Health Services, Riyadh, KSA
Mohammed Ali Alshahrani Consultant in Restorative Dentistry, Department of Restorative Dentistry, Prince Abdulrahman Advanced Dental Institute, Armed Forces Health Services, Riyadh, KSA

DOI:

https://doi.org/10.63278/mme.v31i1.1227

Keywords:

Aesthetic outcomes, anterior implants, Pink Esthetic Score, White Esthetic Score, implant-supported crowns, peri-implant tissues, bone grafting, dental implants, abutment types.

Abstract

Background: Aesthetic success in anterior dental implants is critical for patient satisfaction and overall clinical outcomes. The Pink Esthetic Score (PES) and White Esthetic Score (WES) provide standardized methods to evaluate the aesthetic integration of implant-supported crowns, assessing peri-implant soft tissues and visible restorations, respectively. Study Aim: This study aimed to evaluate the aesthetic outcomes of single-tooth implant-supported crowns in the anterior region using the PES/WES scores and to identify clinical factors influencing these outcomes. Methodology: This retrospective study included 49 participants who received maxillary and mandibular single anterior implants between 2017 and 2023. Aesthetic outcomes were assessed using the PES and WES, with the combined total esthetic score (TES) calculated for each implant. Associations between aesthetic scores and clinical variables such as implant type, site, size, bone graft type, and abutment type were analyzed using statistical tests, with significance set at p < 0.05. Results: The mean PES was 7.4 ± 2.6. The mean WES was 8.6 ± 1.3. The combined TES was 16.4 ± 2.9. Significant associations were found between PES and implant type (p=0.010), implant site (p=0.000), bone graft type (p=0.027), and abutment type (p=0.002). WES was significantly influenced by implant brand (p=0.018) and abutment type (p=0.002). TES showed significant associations with implant type (p=0.004), implant site (p=0.000), implant size (p=0.06), and bone graft type (p=0.015). Clinical parameters such as the modified bleeding index (MBI) and modified plaque index (MPI) also showed significant correlations with aesthetic scores. Conclusion: The study highlights the critical factors influencing aesthetic outcomes in anterior implant-supported crowns. The PES and WES provide a robust framework for assessing implant aesthetics, with significant influences identified for implant type, site, bone graft material, and abutment type. These findings underscore the importance of meticulous planning and selection of appropriate materials to achieve optimal aesthetic results in dental implantology.

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