Buch R S R, Weibrich G, Wegener J, Wagner W
Klinik für Mund, Universitätsklinik Mainz, Augustusplatz 2, 55131 Mainz, Germany.
Mund Kiefer Gesichtschir. 2002 Nov;6(6):433-6. doi: 10.1007/s10006-002-0434-z. Epub 2002 Sep 24.
Almost all implant systems available today achieve success rates of over 90%. The subjective satisfaction of patients with dental implants is only rarely considered in the definition of implant success and there are only limited data on the satisfaction of patients with dental implants in the literature. Therefore, a satisfaction analysis was carried out in a retrospective study.
In addition to a clinical investigation, 330 patients with 1,273 implants (Astra, Frialit-2, IMZ TwinPlus and ITI) were asked to answer a standardized questionnaire to rate their personal opinion on the implant success. A total of 199 questionnaires (803 implants, 63%) were returned and could be analyzed.
Of the patients, 67% participated in regular follow-up after implantation and 15% indicated postoperative discomfort. Patient satisfaction with the implants (rated on a scale of 1-6) was good or excellent (2 and 1, respectively) in 88% of cases. Satisfaction with the prosthetic treatment was 80%. The whole treatment was considered good or very comfortable by 86% of patients. If necessary, 91% of patients who underwent the procedure would do so again, and 94% would recommend the procedure to someone else. The Spearman correlation analysis did not reveal any statistically significant correlations between the clinical parameters and patient satisfaction scores.
Despite the high number of patients involved ( n=330), the expected influence of objective clinical parameters on patient satisfaction could not be statistically evaluated. Nevertheless, in addition to the clinical parameters, subjective patient satisfaction should be included in the evaluation of implant success.
如今几乎所有可用的种植体系统成功率都超过90%。在种植体成功的定义中，很少考虑患者对牙种植体的主观满意度，并且文献中关于患者对牙种植体满意度的数据有限。因此，在一项回顾性研究中进行了满意度分析。
除了临床调查外，还要求330例植入1273颗种植体（Astra、Frialit-2、IMZ TwinPlus和ITI）的患者回答一份标准化问卷，以评价他们对种植体成功的个人看法。共收回199份问卷（803颗种植体，63%）并可进行分析。
67%的患者在植入后参加了定期随访，15%的患者表示术后不适。88%的病例中患者对种植体的满意度（按1-6分评分）良好或优秀（分别为2分和1分）。对修复治疗的满意度为80%。86%的患者认为整个治疗良好或非常舒适。如有必要，91%接受该手术的患者会再次接受，94%会向他人推荐该手术。Spearman相关性分析未显示临床参数与患者满意度评分之间存在任何统计学上的显著相关性。
尽管涉及的患者数量很多（n=330），但客观临床参数对患者满意度的预期影响无法进行统计学评估。然而，除了临床参数外，患者的主观满意度也应纳入种植体成功的评估中。
