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The examiners were asked to rate each case at two timepoints with the Implant soft tissue Dehiscence\/deficiency coverage Esthetic Score (IDES) that involved the evaluation of the post\u2010treatment level of the soft tissue margin, peri\u2010implant papillae height, mucosa color, and mucosa appearance (summing up to a total score of 10). Variance components analysis was conducted using multilevel regression fit in a Bayesian framework for obtaining uncertainty intervals for fractional variance contributions and intraclass correlation values (ICC) of the IDES, and for each of its four clinical variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regression models showed reproducible esthetic evaluation among the examiners (inter\u2010reliability) and negligible intra\u2010reviewer variability (assessment of the same case at different timepoints). The ICC for the variability in the assessment of the overall IDES was 0.86, and for the individual components ranged from 0.78 to 0.87. Additionally, there was a strong similarity between the raters\u2019 IDES values, and their subjective esthetic response, by the same raters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The IDES showed persistent judgment among the 4 reviewers, and only a slight intra\u2010reviewer variability across timepoints. Within its limitations, this study suggests that the proposed novel score can be a reliable tool for evaluating the esthetic outcomes of PSTD coverage, which can aid in standardization of esthetic assessments following the treatment of a PSTD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.13706","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T03:08:09Z","timestamp":1610593689000},"page":"349-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Implant soft tissue Dehiscence coverage Esthetic Score (IDES): A pilot within\u2010 and between\u2010rater analysis of consistency in objective and subjective scores"],"prefix":"10.1111","volume":"32","author":[{"given":"Giovanni","family":"Zucchelli","sequence":"first","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"},{"name":"Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5347-6577","authenticated-orcid":false,"given":"Shayan","family":"Barootchi","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-3964","authenticated-orcid":false,"given":"Lorenzo","family":"Tavelli","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9154-637X","authenticated-orcid":false,"given":"Martina","family":"Stefanini","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Rasperini","sequence":"additional","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan Foundation IRCCS Ca\u2019 Granda Polyclinic Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-1799","authenticated-orcid":false,"given":"Hom\u2010Lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"issue":"4","key":"e_1_2_8_2_1","first-page":"416","article-title":"Implant associated soft tissue defects in the anterior maxilla: A randomized control trial comparing subepithelial connective tissue graft and acellular dermal matrix allograft","volume":"23","author":"Anderson L. 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