Ashy Linah M
Department of Oral and Maxillofacial Prosthodontics, King Abdulaziz University Faculty of Dentistry (KAUFD), Jeddah, Saudi Arabia.
Pragmat Obs Res. 2021 Apr 1;12:1-8. doi: 10.2147/POR.S243623. eCollection 2021.
To investigate the attitude of clinicians in Saudi Arabia towards dental implant treatment using different implant surgery approaches.
This cross-sectional observational study was conducted using a web-based questionnaire wherein 56 clinicians ranked their attitude toward computer-guided implant surgery (CGIS) and conventional non-computer-guided surgery (non-CGIS) in terms of advantages, disadvantages and clinical indications. Statistical analysis was conducted by the Spearman correlation test, Kruskal-Wallis test, and Wilcoxon rank sum tests, at a significance level of <0.05.
The survey results indicated that the most significant advantages of CGIS from the participants' perspective were low levels of stress during surgery ( = 0.003) and minimal requirement of surgical skills ( = 0.04). Notably, the advantages of accurate outcome and predictable flapless surgery were not considered significantly higher for CGIS than for non-CGIS ( = 0.2 and 0.7, respectively). The high treatment cost was the most significant disadvantage of CGIS when compared to non-CGIS ( = 0.002), and complete edentulism was the most recommended clinical condition for CGIS.
Clinicians acknowledged the advantages of CGIS over non-CGIS, especially in complete edentulism. The significant advantages of CGIS were the clinician's state of low stress and minimal skills required rather than the patient's interest in treatment predictability. CGIS is an attractive approach for most participants, in spite of the low rate of actual use.
调查沙特阿拉伯临床医生对使用不同种植手术方法进行牙种植治疗的态度。
本横断面观察性研究采用基于网络的问卷进行,56名临床医生就计算机引导种植手术(CGIS)和传统非计算机引导手术(非CGIS)的优缺点及临床适应症对其态度进行了排序。采用Spearman相关检验、Kruskal-Wallis检验和Wilcoxon秩和检验进行统计分析,显著性水平<0.05。
调查结果表明,从参与者的角度来看,CGIS最显著的优点是手术过程中压力水平低(P = 0.003)和对手术技能的要求最低(P = 0.04)。值得注意的是,CGIS在精确结果和可预测的无瓣手术方面的优势,与非CGIS相比,并未被认为显著更高(分别为P = 0.2和0.7)。与非CGIS相比,高治疗成本是CGIS最显著的缺点(P = 0.002),全口无牙是CGIS最推荐的临床情况。
临床医生认可CGIS相对于非CGIS的优势,尤其是在全口无牙的情况下。CGIS的显著优势在于临床医生压力小且所需技能最少,而非患者对治疗可预测性的关注。尽管实际使用率较低,但CGIS对大多数参与者来说是一种有吸引力的方法。