Implantatbehandling i atrofiske overkjever rekonstruert med hoftebenstransplantat. Vurdering av
resultater, smerter og pasienttilfredshet. En pilotstudie
Engelsk titel: Dental implants in bone grafted maxilla. Assessment of pain experience and satisfaction with
treatment - a pilot study
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Författare:
Frid P
;
Trovik TA
;
Busch O
;
Alvsaker B
;
Hellem S
Email: paulafrid@hotmail.com
Språk: Nor
Antal referenser: 23
Dokumenttyp:
Artikel
UI-nummer: 09093321
Sammanfattning
Background: Little is known about long-term results of implant treatment in the grafted maxilla concerning pain experience and satisfaction with treatment.
Material and method: Bone grafting to the severely resorbed maxilla with a Le Fort I down fracture osteotomy and a 2-stage method (SAILER) was performed in 11 patients at Sørlandet Hospital, Arendal, Norway. A total of 79 dental implants were inserted, before rehabilitation with a fixed implant-supported prosthesis. Pain was recorded according to the short version of the McGill Pain Questionnaire (NSF-MPQ). A clinical and radiographic examination and evaluation of patient satisfaction was performed, before surgery and retrospectively in 9 of the 11 patients.
Results and interpretation: No implants were lost and minor complications were recorded. Pain experience was low after a mean period of 33.6 months, compared to postoperative pain (NSF-MPQ: 0.3 versus 7.9). Evaluation of retrospective pain results seems reliable. Perceived masticatory function, phonetic ability and oral health related quality of life improved scientifically after treatment (p<0.05). The long-term results of implant treatment in the grafted maxilla, using a two-stage method, showed good results, according to patient satisfaction with treatment and pain experience.