Bineviciute Zemyna, Juodzbalys Gintaras
Department of Maxillofacial Surgery, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, KaunasLithuania.
J Oral Maxillofac Res. 2024 Jun 30;15(2):e3. doi: 10.5037/jomr.2024.15203. eCollection 2024 Apr-Jun.
This cross-sectional study aimed to evaluate the factors that determine the choice of oral surgeons and periodontists to perform immediate dental implant placement.
An anonymous survey was carried out from January 6, 2024 to February 29, 2024. The questionnaire was distributed online to Lithuanian specialists - oral surgeons and periodontists, who perform implantation procedures. A total of 186 professionals were included in this survey. Chi-square test, its degrees of freedom was used for the analysis of variables.
The main reason for refusing immediate implant placement is a periapical lesion greater than 5 mm, reported by 91.7% of oral surgeons and 96.9% of periodontists. Good aesthetics and preservation of anatomical structures are identified as an advantage by 99.2% of oral surgeons and 92.3% of periodontists. In the aesthetic zone, for periodontists, the main criterion for choosing a method is the quantitative and qualitative indicators of the soft tissue of the extraction socket 96.9%, and for oral surgeons - the morphology of the bone walls of the socket 87.6%. Only 43.1% of periodontists and 33.9% of oral surgeons are familiar with and use extraction socket morphology assessment classifications for immediate dental implant placement.
Taking into account study's results, it is recommended to adjust the teaching programs at Universities and to increase the knowledge of specialists performing dental implantation procedures, by carrying out continuous educational programs.
本横断面研究旨在评估决定口腔外科医生和牙周病医生选择进行即刻牙种植的因素。
于2024年1月6日至2024年2月29日进行了一项匿名调查。问卷通过网络分发给立陶宛从事种植手术的口腔外科医生和牙周病医生这两类专家。共有186名专业人员参与了此次调查。采用卡方检验及其自由度对变量进行分析。
拒绝即刻种植的主要原因是根尖周病变大于5mm,91.7%的口腔外科医生和96.9%的牙周病医生报告了这一原因。99.2%的口腔外科医生和92.3%的牙周病医生认为良好的美学效果和解剖结构的保留是一个优势。在美学区域,对于牙周病医生来说,选择方法的主要标准是拔牙窝软组织的定量和定性指标(96.9%),而对于口腔外科医生来说,则是拔牙窝骨壁的形态(87.6%)。只有43.1%的牙周病医生和33.9%的口腔外科医生熟悉并使用拔牙窝形态评估分类来进行即刻牙种植。
考虑到研究结果,建议通过开展持续教育项目来调整大学的教学计划,并增加从事牙种植手术的专家的知识。