Bertossi D, Gerosa R, Schembri E, Zanotti G, Rossini N, Colletti G, Rossetto A, Chiarini L, Nocini P F
Oral and Maxillofacial Surgery Dental School, University of Verona, Verona, Italy -
Azienda Ospedaliera Universitaria Integrata, Policlinico G. B. Rossi, Verona, Italy.
Minerva Stomatol. 2013 Aug;62(8 Suppl 1):55-63. Epub 2013 Aug 1.
The aim of this study was to evaluate the perception of pain after Computer-aided-implantology Implant Surgery (NobelGuideTM, Nobel Biocare, Göteborg, Sweden) compared to the conventional implant surgery.
Eighteen patients from dental and maxillo-facial clinic of Policlinico G. B. Rossi (Verona, Italy) have been recruited: 9 were treated with the NobelGuide™ Technique, and 9 with the conventional one (approved by Local Ethical Committee) After the operation, painkillers (Ibuprofene tablets of 400 mg) were prescribed to the patients. Patients were asked to answer a questionnaire during the postoperative days and to report on the Visual Analogue Scale form (VAS), the intensity of pain and the number of painkillers used.
The VAS mean one day after the operation (peak of maximum pain) was 47.22 for the conventional technique, and 12.77 for the NobelGuide™ technique, and also the number of painkillers assumed is smaller for the NobelGuide™ technique. The 5th day after the operation all the patients treated with the NobelGuide™ Technique stopped painkillers and nobody felt pain, while the patients treated with the conventional technique felt more pain and for a longer period. They also took painkillers until the 7th day.
Pain is minor and disappears more quickly with the Nobelguide™ Implant Surgery compared with the conventional surgical technique. Nobelguide™ Implant Surgery can reduce hospitalization improving the compliance of odontophobic patients towards implant therapy.
本研究旨在评估计算机辅助种植术（NobelGuideTM，诺贝尔生物公司，瑞典哥德堡）与传统种植术后疼痛的感知情况。
招募了来自意大利维罗纳市波利克利尼科·G·B·罗西口腔颌面诊所的18名患者：9名接受诺贝尔引导技术治疗，9名接受传统技术治疗（经当地伦理委员会批准）。术后给患者开了止痛药（400毫克布洛芬片）。要求患者在术后几天内回答一份问卷，并在视觉模拟量表（VAS）上报告疼痛强度和使用的止痛片数量。
传统技术术后一天（疼痛峰值）的VAS平均值为47.22，诺贝尔引导技术为12.77，而且诺贝尔引导技术使用的止痛片数量也较少。术后第5天，所有接受诺贝尔引导技术治疗的患者停止服用止痛药，且无人感到疼痛，而接受传统技术治疗的患者疼痛更明显，持续时间更长。他们一直服用止痛药到第7天。
与传统手术技术相比，诺贝尔引导种植术的疼痛较轻且消失更快。诺贝尔引导种植术可以减少住院时间，提高恐牙症患者对种植治疗的依从性。
