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Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment

Background The decision-making of the most appropriate provisional restoration option in single-tooth implant practice is complex under multi-criteria conditions. The aim of our study is to conduct a case study on the determination of the appropriate provisional treatment option to be used in a sing...

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Autores principales: Deniz, Nurcan, Orhan, Ekim Onur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587859/
https://www.ncbi.nlm.nih.gov/pubmed/37868417
http://dx.doi.org/10.7759/cureus.45589
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author Deniz, Nurcan
Orhan, Ekim Onur
author_facet Deniz, Nurcan
Orhan, Ekim Onur
author_sort Deniz, Nurcan
collection PubMed
description Background The decision-making of the most appropriate provisional restoration option in single-tooth implant practice is complex under multi-criteria conditions. The aim of our study is to conduct a case study on the determination of the appropriate provisional treatment option to be used in a single-tooth dental implant interim period after placement with the help of an entropy-based additive ratio assessment. Methodology Eight important criteria for fulfilling this purpose have been extracted from the literature search: "esthetic potential," "patient comfort," "treatment time," "laboratory cost," "occlusal clearance," "ease of removal," "durability," and "ease of modification." Provisional treatment alternatives are "removable partial denture," "vacuum-formed appliances," "bonded extracted tooth or denture," "metal or fiber-reinforced resin-bonded fixed partial denture," "wire-retained resin-bonded fixed partial denture," "acrylic resin provisional fixed partial denture," and "implant-supported fixed provisional restoration." It has been examined which of these alternatives is most appropriate in terms of both reported specifications and artificially generated dominance scenarios. The scenarios employed are S0 (criteria are equal-weighted), S1 (the criterion is tri-fold dominant), and S2 (the criterion is two-fold dominant). Results "Patient comfort" was the most important criterion (wj = 0.19). The remaining criteria were ranked as "modifications," "treatment time," "durability," "esthetic potential," "laboratory cost," "occlusal clearance," and "ease of removal." The "implant-supported fixed provisional restoration" treatment option had the maximum degree of utility in the S0 (Ki = 0.782) and S2 (Ki = 0.80) categories. If "treatment time" or "occlusal clearance" is the dominant variable, "vacuum-formed appliances" had the highest degree of utility (Ki = 0.69) in S1. Conclusions According to the rankings and scenarios created utilizing entropy-based additive ratio assessment methods, the "implant-supported fixed provisional restoration" is the appropriate provisional option for a single-tooth implant treatment. If "treatment time" or "occlusal clearance" is an absolute criterion, the "vacuum-formed provisional appliance" will replace the appropriate option.
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spelling pubmed-105878592023-10-21 Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment Deniz, Nurcan Orhan, Ekim Onur Cureus Other Background The decision-making of the most appropriate provisional restoration option in single-tooth implant practice is complex under multi-criteria conditions. The aim of our study is to conduct a case study on the determination of the appropriate provisional treatment option to be used in a single-tooth dental implant interim period after placement with the help of an entropy-based additive ratio assessment. Methodology Eight important criteria for fulfilling this purpose have been extracted from the literature search: "esthetic potential," "patient comfort," "treatment time," "laboratory cost," "occlusal clearance," "ease of removal," "durability," and "ease of modification." Provisional treatment alternatives are "removable partial denture," "vacuum-formed appliances," "bonded extracted tooth or denture," "metal or fiber-reinforced resin-bonded fixed partial denture," "wire-retained resin-bonded fixed partial denture," "acrylic resin provisional fixed partial denture," and "implant-supported fixed provisional restoration." It has been examined which of these alternatives is most appropriate in terms of both reported specifications and artificially generated dominance scenarios. The scenarios employed are S0 (criteria are equal-weighted), S1 (the criterion is tri-fold dominant), and S2 (the criterion is two-fold dominant). Results "Patient comfort" was the most important criterion (wj = 0.19). The remaining criteria were ranked as "modifications," "treatment time," "durability," "esthetic potential," "laboratory cost," "occlusal clearance," and "ease of removal." The "implant-supported fixed provisional restoration" treatment option had the maximum degree of utility in the S0 (Ki = 0.782) and S2 (Ki = 0.80) categories. If "treatment time" or "occlusal clearance" is the dominant variable, "vacuum-formed appliances" had the highest degree of utility (Ki = 0.69) in S1. Conclusions According to the rankings and scenarios created utilizing entropy-based additive ratio assessment methods, the "implant-supported fixed provisional restoration" is the appropriate provisional option for a single-tooth implant treatment. If "treatment time" or "occlusal clearance" is an absolute criterion, the "vacuum-formed provisional appliance" will replace the appropriate option. Cureus 2023-09-20 /pmc/articles/PMC10587859/ /pubmed/37868417 http://dx.doi.org/10.7759/cureus.45589 Text en Copyright © 2023, Deniz et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Other
Deniz, Nurcan
Orhan, Ekim Onur
Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title_full Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title_fullStr Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title_full_unstemmed Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title_short Proposal of a Decision-Making Model for the Provisional Restoration Alternatives in Single-Tooth Implant Treatment
title_sort proposal of a decision-making model for the provisional restoration alternatives in single-tooth implant treatment
topic Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587859/
https://www.ncbi.nlm.nih.gov/pubmed/37868417
http://dx.doi.org/10.7759/cureus.45589
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