即刻加载种植体支持的上颌部分修复患者的早期并发症和生活质量:前瞻性队列研究。

IF 2.2 3区 医学
A Sánchez-Torres, M Moragón-Rodríguez, A Agirre-Vitores, I Cercadillo-Ibarguren, R Figueiredo, E Valmaseda-Castellón
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引用次数: 0

摘要

背景:即刻植入种植体被认为是在短时间内重建功能和美观的极佳选择,从而减少缺牙带来的心理影响。本研究旨在描述即刻加载种植体支持的单颗或部分上颌临时修复中并发症的发生率;评估患者生活质量(QoL)的变化;评价患者的总体满意度;并确定并发症的发生是否会影响这些结果:一项前瞻性队列研究纳入了需要使用种植体对上颌骨进行部分修复的患者。在所有病例中,均采用了种植体即刻加载修复方案。种植体植入后 72 小时内植入临时修复体。在首次就诊时和最终修复体植入前,使用两份经过验证的问卷对患者的生活质量进行了测量。在植入最终修复体之前发生的所有机械和生物并发症都被记录在案。对数据进行了描述性和双变量分析:对 35 名患者的 40 个修复体和 60 个种植体进行了分析。观察到三个种植体失败,存活率为 95%。4名患者中有5例临时假体骨折,2例假体螺丝松动。观察发现,OHIP-14评分明显下降。同样,QoLFAST-10的结果也有明显差异,初次评估和最终评估的平均得分相差7.3分:结论:接受即刻加载种植体支持的单颗或部分上颌临时修复的患者发生早期机械并发症(13.3%)或生物并发症(5%)的风险较低。尽管并发症的发生似乎会影响这些结果,但这些患者的生活质量似乎得到了明显改善,并对所接受的治疗表示非常满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early complications and quality of life in patients with immediately loaded implant-supported maxillary partial rehabilitations: A prospective cohort study.

Background: Immediate loading of dental implants is considered an excellent option to reestablish function and aesthetics in a short period of time, thereby reducing the psychological impact of edentulism. The aim of this study was to describe the incidence of complications in immediately loaded implant-supported single or partial maxillary provisional rehabilitations; to assess changes in patient quality of life (QoL); to evaluate patient overall satisfaction; and to determine whether the occurrence of complications affects these outcomes.

Material and methods: Patients requiring partial rehabilitation with implants in the maxilla were included in a prospective cohort study. In all cases, implant-based restoration with an immediate loading protocol was indicated. A provisional restoration was placed within 72 hours after implant placement. Patient QoL was measured at the first appointment and just before placing the final restoration, using two validated questionnaires. All mechanical and biological complications occurring up until placement of the final restoration were documented. A descriptive and bivariate analysis of the data was performed.

Results: Thirty-five patients with 40 prostheses supported by 60 implants were analyzed. Three implant failures were observed, yielding a 95% survival rate. Five provisional prosthesis fractures and two prosthetic screw loosenings were recorded in four patients. A significant reduction in OHIP-14 score was observed. Likewise, significant differences were found in the results of the QoLFAST-10, with a mean difference in score of 7.3 between the initial and final evaluation.

Conclusions: Patients receiving immediately loaded implant-supported single or partial maxillary provisional rehabilitations seem to have a low risk of developing early mechanical (13.3%) or biological complications (5%). These patients appear to experience significant improvement in QoL and report excellent overall satisfaction with the treatment received - though the occurrence of complications seems to affect these outcomes.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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