患者报告的种植体置入同时水平骨增强后的结果测量。

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2025-02-03 DOI:10.1111/cid.70005

Dorian Braun, Vivianne Chappuis, Clemens Raabe, Valerie G. A. Suter, Manrique Fonseca, Emilio Couso-Queiruga

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引用次数: 0

摘要

目的：本研究旨在评估种植体植入同时骨增强对患者重复手术意愿的影响。次要结果包括评估患者报告的结果测量、影响治疗结果的临床和手术相关因素。方法：将正在接受或已经接受种植体同时在美观区（上颌第二前臼齿至第二前臼齿）进行骨增强的受试者分为三组：A组（短期），B组（术后1-5年）和C组（术后50 -5年）。临床评估，二分法问题和视觉模拟量表根据感兴趣的组来评估治疗结果。结果：150例患者完成了研究（每组n = 50）。在A组中，16%的患者出现创面裂开（膜暴露）。结论：在美观区植入种植体并同时进行水平骨增强，表明患者在短期、中期和长期重复该手术的意愿很高。此外，这种治疗方法术后并发症和不适感发生率低，患者在功能表现、美学和整体舒适度方面满意度高。

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Patient-Reported Outcome Measures Following Implant Placement With Simultaneous Horizontal Bone Augmentation

Objectives

This study aimed to evaluate the impact of implant placement with simultaneous bone augmentation on patients' willingness to repeat the procedure. Secondary outcomes included assessing patient-reported outcome measures, clinical- and surgical-related factors affecting treatment outcomes.

Methods

Subjects who were currently undergoing or have undergone implant placement with simultaneous bone augmentation in the esthetic region (maxillary second premolar to second premolar) were assigned to three groups: Group A (short-term), Group B (1–5 years post-surgery), and Group C (> 5 years post-surgery). Clinical assessments, dichotomous questions, and visual analogue scales were used to evaluate therapeutic outcomes according to the group of interest.

Results

One hundred and fifty patients completed the study (n = 50 per group). In Group A, 16% experienced wound dehiscence (membrane exposure < 3 mm), and 2% had postoperative bleeding, infection, swelling, or abscess. Flaps extending beyond three teeth significantly increased early membrane exposure (p = 0.04). Patient-reported postoperative discomfort (p < 0.001) and wound healing scores (p < 0.04) decreased over time. Willingness to repeat the procedure was 100%, 88%, and 98% in Groups A, B, and C, respectively, with satisfaction rates of 98.2 ± 7.5, 91.2 ± 10.6, and 95.2 ± 10.9. No significant differences were found between Groups B and C for functional or esthetic satisfaction. However, Group C reported higher satisfaction and comfort (p < 0.001). Younger adults and women reported greater postoperative discomfort than older adults and men.

Conclusions

Implant placement with simultaneous horizontal bone augmentation in esthetic areas shows a high willingness of patients to repeat the procedure in the short-, mid-, and long-term. Additionally, this therapeutic approach yields low rates of postoperative complications and discomfort, along with high patient satisfaction related to functional performance, esthetics, and overall comfort.

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.