Alghamdi Ali Saad Thafeed
Faculty of Dentistry, King Abdulaziz University, P.O. Box 109725, Jeddah 21351, Saudi Arabia.
ISRN Dent. 2013 May 21;2013:134210. doi: 10.1155/2013/134210. Print 2013.
Objectives. The aim of this study was to investigate intrasurgical and after surgical, pain and the incidence of after surgical alteration of sensation in the mandible and lower lip when placing implants in the posterior mandible using ridge mapping, panoramic radiography, and infiltration anesthesia. Methods. This was a longitudinal clinical study of healthy patients needing implant placement in the posterior mandible. After thorough examination and treatment plan using ridge mapping and panoramic radiography, all patients received dental implants under local infiltration anesthesia. The patients were then given a questionnaire to assess the pain during anesthesia and implant surgery. Change of sensation in the lower lip was evaluated by standard neurosensory examination tests at 7 days and 1 and 4 months. Prosthetic treatment was carried out 4 months postsurgery and the patients were followed for an average of 28.5 months afterwards. Results. A total of 103 implants were placed in 62 patients. Patients reported very minor pain during injection. No pain was reported during either implant placement or bone grafting procedures. No alteration of sensation in the mandible or lower lip was recorded postsurgery. Conclusion. In most cases, ridge mapping, panoramic radiography, and infiltration anesthesia are sufficient for posterior mandibular implant placement without pain or complications.
目的。本研究旨在调查使用牙槽嵴测绘、全景X线摄影和浸润麻醉在下颌骨后部植入种植体时的术中及术后疼痛情况，以及下颌骨和下唇术后感觉改变的发生率。方法。这是一项针对需要在下颌骨后部植入种植体的健康患者的纵向临床研究。在使用牙槽嵴测绘和全景X线摄影进行全面检查和制定治疗计划后，所有患者在局部浸润麻醉下接受牙种植体植入。然后给患者发放问卷以评估麻醉和种植手术期间的疼痛情况。在术后7天、1个月和4个月通过标准神经感觉检查测试评估下唇感觉的变化。术后4个月进行修复治疗，之后对患者平均随访28.5个月。结果。62例患者共植入103枚种植体。患者报告注射期间疼痛非常轻微。在种植体植入或骨移植过程中均未报告疼痛。术后未记录到下颌骨或下唇感觉改变。结论。在大多数情况下，牙槽嵴测绘、全景X线摄影和浸润麻醉足以进行下颌骨后部种植体植入，且无疼痛或并发症。
