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Rehabilitation of completely and partial edentulous patients with dental implants has proved to be a safe and predictable procedure.

Discussion : Impact of maxillary sinus augmentation (2)

author: E Schiegnitz,P W Kmmerer,K Sagheb,A J Wendt,A Pabst,B Al-Nawas,M O Klein | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

In this prospective study, health-related quality of life questionnaire was given to 76 patients evaluating patient perception of recovery in the four areas pain, oral function, general activity, and other symptoms. The results showed that average and maximal pain peaked on post-operative day 1 and improved on post-operative days 4 and 5. Difficulty in mouth opening was greatest on post-operative day 1 and improved on post-operative day 3. Swelling peaked on post-operative day 2 and improved on post-operative day 5.

The authors concluded that an average patient undergoing sinus augmentation procedure should expect recovery within 5 days. In a prospective cohort study, Reisine et al. examined quality of life changes among post-menopausal women getting dental implants with bone augmentation procedures using OHIP-14 questionnaire. The results showed that patients’ quality of life improved continuously from the pre-treatment to the 9-month assessment. Type of augmentation procedure had no significant influence on quality of life. Better et al. included 18 patients in a prospective clinical study to investigate patient’s perception of immediate post-operative recovery after sinus augmentation, using a minimally invasive implant device. The minimally invasive implant device consisted of a self-tapping implant which contained an L-shaped internal channel allowing the introduction of liquids through the implant body and into the maxillary sinus.

The results showed that patients’ perceptions of post-operative symptoms in the tested areas pain, oral function, general activity, and other symptoms were mostly scored “not at all” or “very little” on post-operative day 1, indicating a minimum discomfort through this procedure for the patient. In a prospective non-randomized clinical trial, changes in OHRQoL and health-related quality of life (HRQoL) after bone graft harvesting for dental implants with respect to the donor site were examined. Therefore, autologous bone grafts were harvested in 23 patients either from an intra-oral or an extra-oral donor site, followed by implant placements. OHRQoL was analyzed using the OHIP-49, HRQoL was measured using the short-form 36.

 

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