Evidence map›Paper›PMID 40833238›Full record

SynthesisClinical oral implants research2025

Patient-Reported and Clinician-Reported Esthetic Outcomes at Implant Sites Are Not Associated: A Systematic Review With Individual Participant Data Meta-Analysis.

Sofya Sadilina, Nicolas P A Müller, Franz J Strauss, Ronald E Jung, Daniel S Thoma, Stefan P Bienz

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical oral implants research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sofya SadilinaClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-3408-3943
Nicolas P A MüllerClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0009-0005-3002-0920
Franz J StraussClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5832-7327
Ronald E JungClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-2055-1320
Daniel S ThomaClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1764-7447
Stefan P BienzClinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5262-6756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aimed to determine whether patient-reported outcomes (PROs) are associated with clinician-reported outcomes (ClinROs) in terms of esthetics in patients with single implant-supported crowns in the esthetic region.

methodsA systematic electronic search was conducted following a pre-established protocol to identify randomized controlled trials (RCT) involving patients with single implant-supported crowns in the esthetic region. Studies had to assess both patient- and clinician-reported outcomes. A two-stage individual participant data (IPD) meta-analysis was conducted. First, each study was analyzed separately to obtain correlation coefficients. Second, these estimates were pooled using a random-effects restricted maximum likelihood (REML) model.

resultsA total of 29 RCTs evaluating 1414 implant-supported crowns were included, with IPD available for 14 trials evaluating 675 patients. At crown insertion, IPD meta-analysis from 171 patients across four RCTs showed no significant correlations (r = 0.11, 95% CI [-0.04; 0.27], p = 0.16) between pink esthetic score (PES) and patient satisfaction with esthetics assessed with visual analogue scale (VAS). At the 1-year follow-up, IPD from 502 patients in 11 studies showed a negligible positive correlation (r = 0.09, 95% CI [-0.00; 0.18], p = 0.06) between PES or modified PES and VAS esthetic satisfaction. At 10-year follow-up, data from 80 patients in two studies showed no correlation between modified PES and VAS patient satisfaction (r = -0.05, 95% CI [-0.37; 0.27], p = 0.75). Regarding white esthetic score (WES) and VAS satisfaction, data from 376 patients in seven studies showed no significant correlations at the 1-year follow-up (r = 0.03, 95% CI [-0.08; 0.13], p = 0.60).

conclusionClinician-reported outcomes, using PES and WES, showed no correlation with patient-reported esthetic satisfaction, regardless of the follow-up duration.

trial registrationPROSPERO number CRD42023394920.

Indexed as

CrownsDental Implants, Single-ToothDental Prosthesis, Implant-SupportedEsthetics, DentalPatient Reported Outcome MeasuresHumansPatient SatisfactionRandomized Controlled Trials as Topicclinician‐reported outcomesdental implantsdentistryesthetic outcomespatient‐reported outcomessystematic review

Identifiers

PMID40833238
PMCPMC12598916

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.