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患者对种植牙植入术后恢复的感知。

Patients' Perception of Recovery after Dental Implant Placement.

机构信息

Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

Rabin Medical Center, Petach-Tikva 4941492, Israel.

出版信息

Medicina (Kaunas). 2021 Oct 15;57(10):1111. doi: 10.3390/medicina57101111.

DOI:10.3390/medicina57101111
PMID:34684148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8538387/
Abstract

: The success rates of surgical dental implant insertions are high. However, knowledge of patients' recovery is still lacking. "Health-related quality of life" (HRQOL) questionnaires are gaining popularity in all fields of medicine. The present survey assessed the perception of recovery after the surgical placement of dental implants. : Forty individuals (26 women and 14 men; mean age, 55 ± 12 years) filled a questionnaire evaluating patients' perception of recovery for 7 consecutive days post-surgery. Confounding factors included age, gender, oral habits, smoking, bruxism, bone quality (tactile evaluation) and quantity, implant location, number of implants, implant type, length and diameter, one-stage vs. two-stage, and the need for bone grafting. : The most serious difficulties were found in swelling, which became minimal after 5 days, followed by eating everyday food, ability to enjoy everyday food, maximal pain and average pain (3 days); analgesics consumption (2.5 days); limitations in daily routine, mouth opening, and speech (2 days); swallowing and sleep (1.5 days); and, within 1 day, all other measures attained minimal levels. Gender, and implant location (anterior vs. posterior) were significant predictor variables exerting their different characteristic delayed recoveries. : (1) Patients should expect, in general, recovery within 4 days after dental implant placement; (2) women will experience a delayed recovery, (3) implants placed in the intercanine area will result in postoperative eating difficulties for nearly one week, and (4) the number of implants placed during the same appointment has no effect on post treatment recovery.

摘要

: 牙种植体植入手术的成功率很高。然而,患者的恢复情况仍知之甚少。“健康相关生活质量”(HRQOL)问卷在医学的各个领域都越来越受欢迎。本调查评估了牙种植体植入术后的恢复感知。: 40 名个体(26 名女性和 14 名男性;平均年龄 55 ± 12 岁)填写了一份问卷,评估了患者在手术后连续 7 天对恢复的感知。混杂因素包括年龄、性别、口腔习惯、吸烟、磨牙症、骨质量(触觉评估)和数量、种植体位置、种植体数量、种植体类型、长度和直径、一期与二期、以及是否需要植骨。: 最严重的困难是肿胀,5 天后肿胀最小,其次是日常饮食、享受日常食物、最大疼痛和平均疼痛(3 天);镇痛药的使用(2.5 天);日常活动、张口和言语受限(2 天);吞咽和睡眠(1.5 天);在 1 天内,所有其他指标都达到了最低水平。性别和种植体位置(前牙区与后牙区)是显著的预测变量,表现出不同的延迟恢复特征。: (1)患者通常应预期在牙种植体植入后 4 天内恢复;(2)女性的恢复时间会延长;(3)植入在前牙区的种植体将导致术后近一周的进食困难;(4)在同一次就诊中放置的种植体数量对治疗后恢复没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/e854daad010f/medicina-57-01111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/fd4b207f382c/medicina-57-01111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/e402dc8e0acb/medicina-57-01111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/e854daad010f/medicina-57-01111-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/fd4b207f382c/medicina-57-01111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/e402dc8e0acb/medicina-57-01111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7b/8538387/e854daad010f/medicina-57-01111-g003.jpg

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本文引用的文献

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Different Interventions for Rehabilitation of the Edentulous Maxilla with Implant-Supported Prostheses: An Overview of Systematic Reviews.不同干预措施对种植体支持式义齿修复无牙颌上颌骨的康复效果:系统评价综述。
Int J Prosthodont. 2021;34:s63-s84. doi: 10.11607/ijp.7162.
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The Influence of Patient-Related Factors and Material Selection on the Clinical Outcomes of Fixed and Removable Complete Implant Prostheses: An Overview on Systematic Reviews.
种植体植入相关的组织肿胀:基于患者的数字化三维评估
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