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EAO Digital Days 2020

Dental Implant Treatments Made Appealing

Background: Dental implant treatment has proved highly successful in the literature. As patient expectations rise, patient‐centered planning needs to be given a priority.

Aim/Hypothesis: This review aims to identify patients’ preferences with regard to dental implants in order to explore the possibility of incorporating them into decision making in treatment planning.

Materials and Methods: A PubMed search in English, using general and comprehensive set of keywords: ((patient‐reported outcome) OR (patient‐reported outcomes) OR (PROM) OR (PROMs)) AND (“dental implants” OR “dental implant”), allowed the author to find PubMed‐indexed implant‐related articles which have pointed to patient‐reported outcome measures (PROMs). The relevant articles with the highest validity – meta‐analyses, systematic reviews, and randomized controlled trials – were afterwards selected for in‐depth assessment. PROMs were then reported, accordingly.

Results: Reported values for PROMs for dental implants are favorable. Elicited from the literature, the following can be reported from the patients’ perspective: placing short implants is preferred to increasing the available bone height; non‐autogenous bone grafts are preferred to autogenous bone grafts; implant overdentures are preferred to conventional dentures; smile line can affect the rates of satisfaction; it seems that immediate loading and early/conventional loading of immediately placed implants are both well tolerated by the patients; shape of the implants, their being bone‐ or soft tissue‐ level, and tilted or axially placed, are each of minor importance. Additionally, although some other factors have been pointed to in the literature, yet no conclusive evidence about them could be found to be reported. In terms of treatment result, dentist’s view seems to reflect patient’s opinion, with patients being less discerning, depending on their personality traits.

Conclusions and Clinical Implications: Overall, dental implant treatment is evidenced to be a successful treatment in terms of improving quality of life, with highly satisfying patient‐reported outcome measures. This could be related not only to success of the treatment but also to convenience of that from the patient’s perspective. Therefore, the strategic recommendation is made to consider both patient’s preferences and predictability of the results, when planning.

Keywords: patient‐reported outcome, PROM, dental implant, decision making