PDF(Pubmed)
Abstract：
OBJECTIVE: 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.
METHODS: This was a prospective clinical study.
METHODS: 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.
METHODS: Pearson\'s correlation with a 95% confidence interval was calculated for the intra-examiner and the Kruskal-Wallis test for inter-examiner reproducibility.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: This was a prospective clinical study.
METHODS: 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.
METHODS: Pearson\'s correlation with a 95% confidence interval was calculated for the intra-examiner and the Kruskal-Wallis test for inter-examiner reproducibility.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
目的：部分无牙患者的种植疗法已成为最适应和可预测的治疗方式。植入物的成功率已经根据美学来衡量，生物，和技术因素，如放射学骨丢失，假肢并发症,和稳定性。尽管存在一些用于植入物牙冠美学评估的指标，需要以客观和可重复的评分对植入物牙冠进行功能评估。该研究旨在验证功能性种植体修复评分（FIPS）的可重复性以及不同牙科专业的影响，同时评估后单单元种植体冠。
方法：这是一项前瞻性临床研究。
方法：纳入了15例颌骨后部骨水泥保留单种植体牙冠患者。八个考官,两个牙齿修复师,两位牙周病医生,两位口腔外科医生,两名正畸医生在1年的随访检查中评估了15张单单元种植体冠的照片。考官评估了FIPS的照片，其中包括用于客观评估单单元植入物牙冠的五个参数。在4周的间隔内进行两次评估。
方法：计算了Pearson与95％置信区间的相关性，并采用Kruskal-Wallis检验进行了检查者间的可重复性。
结果：所有纳入考官的平均总FIPS评分在时间T1为7.133，在时间T2为7.074，显示出较强的Pearson相关系数与考官内可重复性。不同专业之间的差异无统计学意义，Kruskal-Wallis检验的值具有统计学意义。
结论：在FIPS的可重复性评估过程中，研究者间和研究者间分析显示出非常一致的结果。结果验证了FIPS作为后部单种植体牙冠的长期预测功能评估工具的使用，而与不同牙科专业的影响无关。它可用于植入物牙冠的长期生存和性能的风险估计和预后。
方法：这是一项前瞻性临床研究。
方法：纳入了15例颌骨后部骨水泥保留单种植体牙冠患者。八个考官,两个牙齿修复师,两位牙周病医生,两位口腔外科医生,两名正畸医生在1年的随访检查中评估了15张单单元种植体冠的照片。考官评估了FIPS的照片，其中包括用于客观评估单单元植入物牙冠的五个参数。在4周的间隔内进行两次评估。
方法：计算了Pearson与95％置信区间的相关性，并采用Kruskal-Wallis检验进行了检查者间的可重复性。
结果：所有纳入考官的平均总FIPS评分在时间T1为7.133，在时间T2为7.074，显示出较强的Pearson相关系数与考官内可重复性。不同专业之间的差异无统计学意义，Kruskal-Wallis检验的值具有统计学意义。
结论：在FIPS的可重复性评估过程中，研究者间和研究者间分析显示出非常一致的结果。结果验证了FIPS作为后部单种植体牙冠的长期预测功能评估工具的使用，而与不同牙科专业的影响无关。它可用于植入物牙冠的长期生存和性能的风险估计和预后。
