Strietzel Frank Peter
Department of Oral Surgery and Dental Radiology, School of Dentistry, Charité, Humboldt-University Berlin, Germany.
Int J Oral Maxillofac Implants. 2003 May-Jun;18(3):433-9.
The purpose of this retrospective analysis of expert opinions was to optimize the level of patient information prior to implant-prosthetic treatment.
Twenty-eight expert opinion reports on implant treatment cases compiled between 1996 and August 2001 were analyzed.
Seventy-five percent of all cases subjected to expert opinion reports revealed generally inadequate patient information. Significant associations were found between diagnostic mistakes and a lack of or inadequate information about complications that occurred (P = .04). Inadequate prosthetic or periodontal pretreatment of the patient prior to implant treatment was associated with a lack of information concerning implant and periodontal maintenance (P = .023) as well as insufficient oral hygiene status (P = .001).
In addition to a general lack of patient information, a lack of information about possible complications and inadequate information about treatment risks, treatment costs, and treatment alternatives were also found.
Optimization of pretreatment information for patients, as well as improvement of communication with patients throughout the whole treatment and maintenance period, seem to be necessary.
本次对专家意见的回顾性分析旨在优化种植修复治疗前患者信息的水平。
分析了1996年至2001年8月期间汇编的28份关于种植治疗病例的专家意见报告。
所有接受专家意见报告的病例中，75%显示患者信息总体不足。在诊断错误与关于所发生并发症的信息缺乏或不足之间发现了显著关联（P = 0.04）。种植治疗前患者的修复或牙周预处理不足与关于种植体和牙周维护的信息缺乏（P = 0.023）以及口腔卫生状况不佳（P = 0.001）相关。
除了普遍缺乏患者信息外，还发现缺乏关于可能并发症的信息以及关于治疗风险、治疗成本和治疗替代方案的信息不足。
优化患者的预处理信息，以及在整个治疗和维护期间改善与患者的沟通，似乎是必要的。
