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患者对种植义齿治疗和维护的认知:基于问卷调查的研究。

Patients' perceptions of implant therapy and maintenance: A questionnaire-based survey.

机构信息

Department of Neurosciences, School of Dentistry, University of Padova, Padova, Italy.

Department of Management and Engineering, University of Padova, Vicenza, Italy.

出版信息

Clin Oral Implants Res. 2020 Oct;31(10):917-927. doi: 10.1111/clr.13634. Epub 2020 Jul 26.

DOI:10.1111/clr.13634
PMID:32645229
Abstract

OBJECTIVES

To evaluate patients' perceptions regarding implant treatment and maintenance.

MATERIAL AND METHODS

A semi-structured questionnaire was developed focusing on 4 main domains: (a) information regarding possible complications received before implant therapy; (b) information received after treatment regarding maintenance; (c) self-performed daily home care; and (d) implant maintenance received at the dental office. Adult patients, restored with implant-supported prosthesis by at least 6 months, were recruited between June 2016 and December 2017.

RESULTS

The study population consisted of 522 patients with a mean age of 61 years. The majority of the participants referred to have received information about the need of periodical check-ups (91.6%). However, only 58.9% declared to have been informed about complications and failures before treatment commencement. Even though 91.2% of the participants declared to have received instruction about cleaning measures around implants, less than half of the sample reported to have been asked to try the cleaning tools at the office (40.4%). Even though patients' awareness about implant treatment and maintenance resulted to be low in a consistent part of the sample, patients' satisfaction level about information received regarding implant care was high (Visual Analogue Scale 8.18).

CONCLUSIONS

Most patients appeared to be informed about the importance of specific oral hygiene measurements and recall programs. However, an unsatisfactory level of knowledge about implant-related complications was evidenced. Improvements in time and energy employed by dentists and hygienist in communication with patients are needed, in order to enhance health outcomes and compliance both to the treatment and to the maintenance.

摘要

目的

评估患者对种植治疗和维护的认知。

材料和方法

开发了一个半结构化问卷,重点关注 4 个主要领域:(a) 在种植治疗前获得的有关可能并发症的信息;(b) 治疗后获得的关于维护的信息;(c) 自行进行的日常家庭护理;以及(d) 在牙科诊所进行的种植体维护。2016 年 6 月至 2017 年 12 月,招募了至少 6 个月接受种植体支持修复的成年患者。

结果

研究人群由 522 名平均年龄为 61 岁的患者组成。大多数参与者表示已经获得了定期检查的必要性信息(91.6%)。然而,只有 58.9%的人表示在治疗开始前已经被告知并发症和失败的可能性。尽管 91.2%的参与者表示已经接受了关于清洁措施的指导,但不到一半的样本报告说在办公室被要求试用清洁工具(40.4%)。尽管在研究样本中,大部分患者对种植治疗和维护的认知程度较低,但他们对种植体护理相关信息的满意度水平较高(视觉模拟评分 8.18)。

结论

大多数患者似乎已经了解了特定口腔卫生措施和回访计划的重要性。然而,证据表明,他们对与种植体相关的并发症的了解程度并不理想。牙医和口腔卫生师在与患者沟通方面需要改进时间和精力,以提高治疗和维护的效果和依从性。

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