牙种植手术患者的全身评估：术前与术后分析

Systemic Assessment of Patients Undergoing Dental Implant Surgeries: A Trans- and Post-operative Analysis.

作者信息

Byakodi Sanjay, Kumar Sachin, Reddy Rajesh Kumar, Kumar Vipin, Sepolia Shipra, Gupta Shivangi, Singh Harkanwal Preet

机构信息

Department Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Sangli, Maharashtra, India.

Consultant Oral and Maxillofacial Surgeon, Ghaziabad, Uttar Pradesh, India.

出版信息

Niger J Surg. 2017 Jan-Jun;23(1):58-62. doi: 10.4103/1117-6806.199966.

DOI:10.4103/1117-6806.199966

PMID:28584514

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5441219/

Abstract

BACKGROUND

Procedure-related and patient-related factors influence the prognosis of dental implants to a major extent. Hence, we aimed to evaluate and analyze various systemic factors in patients receiving dental implants.

MATERIALS AND METHODS

Fifty-one patients were included in the study, in which a total of 110 dental implants were placed. Complete examination of the subjects was done before and after placement of dental implants. Implant surgery was planned, and osseointegrated dental implants were placed in the subjects. Postoperative evaluation of the dental implant patients was done after 3 weeks. Anxiety levels were determined using State-Trait Anxiety Inventory (STAI) questionnaire on the surgery day and after 1 week of surgery. The participant describes how they feel at the moment by responding to twenty items as follows: (1) absolutely not, (2) slightly, (3) somewhat, or (4) very much. All the results were recorded and statistical analyzed by SPSS software.

RESULTS

Out of 51, 29 patients were males while 22 were females, with ratio of 1.32:1. Female patients' mean age was 50.18 years while male patients' mean age was 52.71 years, with statistically nonsignificant difference between them. Functional rehabilitation was the main purpose of choosing dental implants in more than 90% of the subjects. Diameter of 3.75 mm was the shortest implants to be placed in the present study, whereas in terms of length, 8.5 mm was the shortest length of dental implant used in the present study. Tooth area in which maximum implants were placed in our study was 36 tooth region. Maximum implants were placed in Type II bone quality ( = 38). Implants installed in the mandible were clamped more efficiently than implants placed in the maxilla ( < 0.001). The difference of average STAI-State subscore before and after the surgery was statistically significant ( < 0.05; significant).

CONCLUSION

Mandibular dental implants show more clamping (torque) than maxillary dental implants.

摘要

背景

与手术过程和患者相关的因素在很大程度上影响牙种植体的预后。因此，我们旨在评估和分析接受牙种植体治疗患者的各种全身因素。

材料与方法

本研究纳入51例患者，共植入110颗牙种植体。在植入牙种植体前后对受试者进行全面检查。制定种植手术计划，并在受试者体内植入骨结合牙种植体。3周后对牙种植体患者进行术后评估。使用状态-特质焦虑量表（STAI）问卷在手术当天和术后1周测定焦虑水平。参与者通过对以下20个项目的回答来描述他们当下的感受：（1）完全没有，（2）轻微，（3）有些，或（4）非常。所有结果均记录在案，并使用SPSS软件进行统计分析。

结果

51例患者中，男性29例，女性22例，比例为1.32:1。女性患者的平均年龄为50.18岁，男性患者的平均年龄为52.71岁，两者之间无统计学显著差异。超过90%的受试者选择牙种植体的主要目的是功能康复。本研究中植入的最短种植体直径为3.75mm，而在长度方面，8.5mm是本研究中使用的最短牙种植体长度。本研究中植入种植体最多的牙位是36牙区。植入II型骨质的种植体最多（=38）。植入下颌骨的种植体比植入上颌骨的种植体固位更有效（<0.001）。手术前后平均STAI-状态子评分的差异具有统计学意义（<0.05；显著）。