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European survey on criteria of aesthetics for periodontal evaluation: The ESCAPE study

Journal article
Authors Sarah Le Roch
Frédéric Rouche
Fabien Valet
Philippe Bouchard
Ingemar Abrahamsson
Z. Artzi
T. Asbi
M. G. Balta
S. Bizzarro
J. Buti
L. Chaushu
M. Danser
B. De Carvalho
J. Garabetyan
M. Goldstein
H. Gursoy
L. Harmouche
P. Harrison
D. Herrera
J. Horwitz
O. Huck
J. C. Imber
Karolina Karlsson
S. Kerner
A. Kozlovsky
B. Kuru
G. Lecloux
F. Lambert
J. Lim
E. Madeley
Y. Mayer
B. Molemans
F. Mora
F. Noguerol
G. Nuzzo
C. Petit
I. Polyzois
K. Rabah
R. Rotundo
G. E. Salvi
I. Sanz-Sánchez
A. Sculean
L. Shapira
A. Temmerman
W. Teughels
E. Yarimoglu
Published in Journal of Clinical Periodontology
Volume 46
Issue 11
Pages 1116-1123
ISSN 0303-6979
Publication year 2019
Published at Institute of Odontology, Section 2
Pages 1116-1123
Language en
Keywords aesthetics, gingival recessions, plastic surgery, score
Subject categories Periodontology


© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd Objective: The ESCAPE multicentre survey was designed to (a) compare the agreement of three relevant aesthetic scoring systems among different centres, and (b) evaluate the reproducibility of each question of the questionnaires. Materials and Methods: EFP centres (n = 14) were involved in an e-survey. Forty-two participants (28 teachers, 14 postgraduate students) were asked to score the one-year aesthetic outcomes of photographs using the Before–After Scoring System (BASS), the Pink Esthetic Score (PES) and the Root coverage Esthetic Score (RES). Mean values of kappa statistics performed on each question were provided to resume global agreement of each method. Results: Between teachers, a difference of kappa ≥ 0.41 (p =.01) was found for BASS (75%) and PES (57%). Similarly, RES (84%) and PES (57%) were different (p <.001). No difference was found between BASS (75%) and RES (84%). No difference was found between students, whatever the scoring system. Questions of each scoring system showed differences in their reproducibility. Conclusions: The outcomes of this study indicate that BASS and RES scoring systems are reproducible tools to evaluate aesthetic after root coverage therapies between different centres. Among the various variables, lack of scar, degree of root coverage, colour match and gingival margin that follows the CEJ show the best reliability.

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