Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, 18-22 Hobrovej, DK-9000, Aalborg, Denmark.
Department of Clinical Medicine, The Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Int J Implant Dent. 2021 Mar 22;7(1):20. doi: 10.1186/s40729-021-00302-5.
Osteotome-mediated sinus floor elevation with or without a grafting material is associated with high implant survival, intrasinus bone gain, and low frequency of complications. However, patient's perception of recovery and satisfaction with the surgical intervention are rarely reported. The objective of the present randomized controlled trial was to assess patient's perception of recovery after osteotome-mediated sinus floor elevation with Bio-Oss collagen compared with no grafting material. Forty healthy patients were randomly allocated to Bio-Oss collagen or no grafting material. Oral health-related quality of life was assessed by Oral Health Impact Profile-14 at enrollment. Patient's perception of recovery was assessed by self-administrated questionnaires and visual analog scale evaluating pain, social and working isolation, physical appearance, duration and quality of life alterations, eating and speaking ability, diet variations, and sleep impairment after 1 week and 1 month, respectively. Descriptive statistics was expressed as mean percentage with standard deviation. Correlation between impaired oral health-related quality of life, age, gender, and recovery were assessed by T test. Level of significance was 0.05.
Osteotome-mediated sinus floor elevation is associated with high patient satisfaction, limited postoperative discomfort, and willingness to undergo similar surgery. Influence on patient's daily life activities seems to be minimal and limited to the first postoperative days. Most patients managed to return to work and their routine daily activities after 0-2 days. Impaired preoperative oral health-related quality of life, gender, or younger age seems not to predispose for delayed recovery. However, number of days with pain, eating difficulties, and sleep disturbances were significantly increased with Bio-Oss collagen compared with no grafting material (P<0.05).
Patient's discomfort seems to be minimal and limited to the first postoperative days following osteotome-mediated sinus floor elevation with or without a grafting material. Impaired preoperative oral health-related quality of life, gender, or younger age seems not to predispose for delayed recovery.
使用或不使用移植物的骨凿引导下的鼻窦底提升与高种植体存活率、窦内骨增量和低并发症发生率相关。然而，患者对手术恢复和对手术干预的满意度的感知很少被报道。本随机对照试验的目的是评估使用 Bio-Oss 胶原的骨凿引导下的鼻窦底提升与不使用移植物材料相比，患者对恢复的感知。将 40 名健康患者随机分配到 Bio-Oss 胶原组或不使用移植物材料组。在入组时通过口腔健康影响简表 14 评估口腔健康相关生活质量。通过自我管理的调查问卷和视觉模拟量表评估疼痛、社交和工作孤立、身体外观、生活质量改变的持续时间和质量、进食和说话能力、饮食变化以及睡眠障碍，分别在术后 1 周和 1 个月评估患者对恢复的感知。描述性统计数据表示为平均值和标准差。通过 T 检验评估受损的口腔健康相关生活质量、年龄、性别与恢复之间的相关性。显著性水平为 0.05。
骨凿引导下的鼻窦底提升与高患者满意度、术后不适有限以及愿意接受类似手术相关。对患者日常生活活动的影响似乎很小，仅限于术后最初几天。大多数患者在 0-2 天内能够恢复工作和日常活动。术前口腔健康相关生活质量受损、性别或年龄较小似乎不会导致恢复延迟。然而，与不使用移植物材料相比，使用 Bio-Oss 胶原的患者术后第 1 天的疼痛天数、进食困难和睡眠障碍天数显著增加（P<0.05）。
骨凿引导下的鼻窦底提升（使用或不使用移植物材料）后，患者的不适似乎很小，仅限于术后最初几天。术前口腔健康相关生活质量受损、性别或年龄较小似乎不会导致恢复延迟。
