Department of Prosthodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, India.
Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, India.
J Indian Prosthodont Soc. 2024 Apr 1;24(2):122-127. doi: 10.4103/jips.jips_441_23. Epub 2024 Apr 23.
Implant therapy in partially edentulous patients has become the most adapted and predictable treatment modality. The success rate of implants has been measured in terms of esthetic, biological, and technical factors such as radiographic bone loss, prosthetic complications, and stability. Despite the existence of several indices for the esthetic assessment of implant crowns, a need for functional evaluation of the implant crown with an objective and reproducible score has arisen. The study aims to validate the reproducibility of the functional implant prosthodontic score (FIPS) and the influence exerted by different dental specialties while evaluating posterior single-unit implant crowns.
This was a prospective clinical study.
Fifteen patients with cement-retained single-implant crowns in the posterior region of the jaws were included. Eight examiners, two prosthodontists, two periodontists, two oral surgeons, and two orthodontists evaluated 15 photographs of single-unit implant crowns during the 1-year follow-up examination. The examiners assessed the photographs for FIPS, which includes five parameters for objectively evaluating the single-unit implant crowns. Assessments were performed twice at a gap of 4 weeks.
Pearson's correlation with a 95% confidence interval was calculated for the intra-examiner and the Kruskal-Wallis test for inter-examiner reproducibility.
The mean total FIPS scores for all included examiners were 7.133 for time T1 and 7.074 for time T2, showing a strong Pearson correlation coefficient for intra-examiner reproducibility. No significant difference was analyzed among different specialties with statistically significant values of the Kruskal-Wallis test.
Intra- and inter-examiner analysis showed very consistent results during the reproducibility assessment of FIPS. The results validated the use of FIPS as a long-term predictive functional evaluation tool for the single-implant crowns in posterior sites irrespective of the effect of different dental specialties. It could be used for risk estimation and prognosis for long-term survival and performance of implant crowns.
在部分缺牙患者中，种植治疗已成为最适应和可预测的治疗方式。种植体的成功率已通过影像学骨丧失、修复体并发症和稳定性等美学、生物学和技术因素来衡量。尽管存在几种用于评估种植体冠美学的指数，但需要一种客观且可重复的评分来对种植体冠进行功能评估。本研究旨在验证功能性种植修复体评分（FIPS）的可重复性，以及不同牙科专业在评估后牙单单位种植体冠时的影响。
这是一项前瞻性临床研究。
纳入了 15 名下颌后牙区有粘结固位单种植体冠的患者。8 名检查者，包括 2 名修复科医生、2 名牙周科医生、2 名口腔外科医生和 2 名正畸科医生，在 1 年的随访检查中对 15 张单单位种植体冠的照片进行了评估。检查者使用 FIPS 评估照片，其中包括 5 个参数用于客观评估单单位种植体冠。评估在 4 周的间隔内进行了两次。
对内部检查者进行 Pearson 相关性分析，对外部检查者进行 Kruskal-Wallis 检验，以评估可重复性。
所有纳入检查者的 FIPS 总分在时间 T1 为 7.133，在时间 T2 为 7.074，表现出很强的 Pearson 相关系数，表明内部检查者的可重复性非常高。不同专业之间的 Kruskal-Wallis 检验的统计值无显著差异。
在 FIPS 可重复性评估中，内部和外部检查者的分析结果非常一致。结果验证了 FIPS 作为一种用于后牙部位单单位种植体冠的长期预测性功能评估工具的使用，不受不同牙科专业的影响。它可用于估计风险和预测种植体冠的长期存活率和性能。
