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" Patients' Perspectives of Gingival Recession Defects Around Single-Tooth Implant Restoration and Natural Tooth in the Maxillary Esthetic Zone "
Almutairi, Mohammad
Sauceda, Ruben A.
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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1051998
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| Doc. No
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TL51115
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| Main Entry
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Almutairi, Mohammad
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| Title & Author
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Patients' Perspectives of Gingival Recession Defects Around Single-Tooth Implant Restoration and Natural Tooth in the Maxillary Esthetic Zone\ Almutairi, MohammadSauceda, Ruben A.
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| College
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The University of Texas School of Dentistry at Houston
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| Date
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2019
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| Degree
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M.Sc.D.
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| student score
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2019
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| Note
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83 p.
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| Abstract
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OBJECTIVE: To evaluate patient's perception of gingival recession defects around single-tooth implant restoration and a natural tooth in the esthetic zone of the maxilla. MATERIALS AND METHODS: Ninety randomly selected patients at the University of Texas Health Science Center at Houston, School of Dentistry (UTSD) completed a paper-based survey. Each survey consisted of a clinical photograph modified in Adobe Photoshop® image-editing software with a particular gingival recession defect and questions related to patient's perception using a 5-level Likert scale, demographics, and previous dental experiences. Surveys were divided into 6 groups: natural tooth with -1mm recession (NT-1), natural tooth with -2mm recession (NT-2), titanium abutment with -1mm recession (Ti-1), titanium abutment with -2mm recession (Ti-2), zirconia abutment with -1mm recession (Zr-1), and zirconia abutment with -2mm recession (Zr-2). Kruskal-Wallis rank sum test and pairwise comparisons using Tukey-Kramer-Nemenyi all-pairs test with Tukey-Dist approximation were used to compare responses and groups. RESULTS: This study demonstrated the following: patients were more critical of gingival recession around natural teeth than implants, patients were not as critical of gingival recession around zirconia abutments compared to natural teeth and titanium abutments, females were more critical of esthetics and gingival recession than males, and there was no statistical significance related age, education level, and previous dental experiences to patient perceptions of the gingival defect. CONCLUSIONS: Clinicians must consider the patient's perspective when treating esthetic areas. The results from this study may help clinicians understand patients' expectations, perceptions, and willingness for treatment before planning and proceeding with invasive procedures that may prevent or correct soft tissue deficiencies around anterior natural teeth or anterior implants.
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| Descriptor
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Dentistry
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Sauceda, Ruben A.
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| Added Entry
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The University of Texas School of Dentistry at Houston
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