Almeida Paulo H T, Salvoni Alexander D'Alvia, França Fabiana M G
Department of Dental Surgery, São Leopoldo Mandic Insitute and Dental Research Center, Campinas, SP, Brazil.
Ann Med Surg (Lond). 2017 Sep 1;22:22-29. doi: 10.1016/j.amsu.2017.08.017. eCollection 2017 Oct.
To evaluate the satisfaction of individuals with atrophic maxilla, rehabilitated with fixed dental prostheses, anchored on zygomatic implants, with variables being the anesthetic procedure: general anesthesia, or local with sedation.
By means of the clinical record charts from the Training Course in Advanced Hospital Surgeries for Implant Dentists conducted at the Campinas-SP unit of the São Leopoldo Mandic School of Dentistry, 30 individuals were randomly selected. They had zygomatic implant placement surgeries performed, and were rehabilitated with fixed implant supported complete dentures, between the years 2005 and 2011. One group of 15 individuals underwent surgery in hospital, under general anesthesia. The other 15 were treated in the post-graduation clinic at the School of Dentistry, under local anesthesia and sedation.
From the emotional point of view, the Wilcoxon test revealed that irrespective of the anesthesia procedure used, at the beginning of treatment, the emotional condition of individuals differed from that verified after conclusion of the treatment (p < 0.0001).
There was no difference between the two groups as regards the anesthetic procedure. General satisfaction was high; there was emotional improvement after conclusion of the treatment, thus improving the quality of life.
评估采用颧种植体支持的固定义齿修复萎缩上颌骨的患者对不同麻醉方式（全身麻醉或局部麻醉加镇静）的满意度。
通过圣利奥波多·曼迪克牙科学院坎皮纳斯 - 圣保罗分校举办的种植牙科高级医院手术培训课程的临床记录图表，随机选取30例患者。他们在2005年至2011年间接受了颧种植体植入手术，并采用种植体支持的固定全口义齿进行修复。其中一组15例患者在医院接受全身麻醉下的手术。另外15例在牙科学院的研究生诊所接受局部麻醉加镇静下的治疗。
从情感角度来看，威尔科克森检验显示，无论采用何种麻醉方式，在治疗开始时患者的情绪状况与治疗结束后所观察到的情况不同（p < 0.0001）。
两组在麻醉方式上没有差异。总体满意度较高；治疗结束后患者情绪有所改善，从而提高了生活质量。
