{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T11:36:21Z","timestamp":1793014581215,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Long\u2010term evaluations of single dental implants have mainly focused on clinician\u2010reported outcomes, whereas patient\u2010reported and esthetic outcomes beyond 20\u2009years remain sparsely documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess patient\u2010reported outcomes, peri\u2010implant soft\u2010tissue esthetics, and crown infraposition of single dental implants after a mean follow\u2010up of 38.9\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 13 patients with 18 single dental implants placed between 1982 and 1985 (mean follow\u2010up: 38.9\u2009\u00b1\u20090.8\u2009years; range: 37.9\u201340.5\u2009years). Patient\u2010reported outcomes were assessed using the Oral Health Impact Profile\u201014 (OHIP\u201014), the Orofacial Esthetic Scale (OES), and study\u2010specific Visual Analog Scale (VAS) evaluating overall treatment outcome, function, esthetics, and oral hygiene. Peri\u2010implant soft\u2010tissue esthetics were assessed using the Pink Esthetic Score (PES), with assessments conducted independently by two calibrated prosthodontists. Infraposition\u2010related incisal and cervical discrepancies were evaluated descriptively in six maxillary central\u2010incisor implant sites using intraoral scans or calibrated photographic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean OHIP\u201014 score was 18.1\u2009\u00b1\u20097.3. Mean VAS scores were 92.8\u2009\u00b1\u20099.0 for overall treatment outcome, 95.5\u2009\u00b1\u20096.9 for function, 80.9\u2009\u00b1\u200927.0 for esthetics, and 90.2\u2009\u00b1\u200914.5 for oral hygiene. The mean total OES score was 40.8\u2009\u00b1\u200920.5 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912; possible range: 0\u201380), with substantial interindividual variation. Mean total PES was 7.9\u2009\u00b1\u20092.2 and 8.6\u2009\u00b1\u20091.9 for the two observers. Interobserver reliability was assessed using the intraclass correlation coefficient (ICC), yielding an ICC of 0.47 (95% CI: 0.04\u20130.76). At all six assessable anterior implant sites, incisal and cervical discrepancies were observed, with the cervical discrepancy exceeding the incisal discrepancy in most cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>After a mean of 38.9\u2009years in function, the available single\u2010implant cohort reported high overall and functional satisfaction, while patient\u2010reported esthetic outcomes and professional peri\u2010implant soft\u2010tissue assessments were more variable. Incisal and cervical discrepancies were present in the small assessable anterior subgroup; because baseline esthetic measurements were unavailable, these cross\u2010sectional discrepancies cannot be attributed specifically to progressive infraposition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.70190","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:34:15Z","timestamp":1792629255000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010Reported Outcomes and Esthetics of Single Dental Implants After 38.9\u2009Years: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6308-7260","authenticated-orcid":false,"given":"Jan","family":"Kowar","sequence":"first","affiliation":[{"name":"Br\u00e5nemark Clinic, Public Dental Health Care Service  Gothenburg Sweden"},{"name":"Department of Prosthodontics\/Dental Material Science Institute of Odontology, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9733-0927","authenticated-orcid":false,"given":"Sargon","family":"Barkarmo","sequence":"additional","affiliation":[{"name":"Br\u00e5nemark Clinic, Public Dental Health Care Service  Gothenburg Sweden"},{"name":"Department of Prosthodontics\/Dental Material Science Institute of Odontology, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13299"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2011.01841.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12215"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40729\u2010018\u20100153\u20103"},{"issue":"4","key":"e_1_2_11_6_1","first-page":"335","article-title":"Esthetic Outcome of Implant\u2010Supported Single\u2010Tooth Replacements Assessed by the Patient and by Prosthodontists","volume":"12","author":"Chang M.","year":"1999","journal-title":"International Journal of 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