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

Results : 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 the subcategory physical and psychological disabilities, all questions had significant better values after the sinus lift (p < 0.001; Table 2). The total score achievable in this category was 27. Mean total scores were 5.79 ± 6.4 (range 0–27) before and 1.94 ± 3.2 (range 0–21) after the sinus augmentation procedure, indicating a significant difference (n = 164; p < 0.001).

In the subcategory complaints due to the surgical procedure, the patients were asked to answer the items regarding the periods “pre-operative,” “post-operative,” and “recently.” Six of the 11 items (items 1, 2, 6, 8, 9, and 10) were significant worse “post-operative” compared to “pre-operative” (n = 126; p ≤ 0.03; Table 3; Fig. 3). However, comparing the periods “pre-operative” and “recently,” items 1, 3, 4, 6, 7, 8, 9, and 11 showed a significant improvement (n = 126; p ≤ 0.002). Comparison of the periods “post-operative” and “recently,” all items were significant better in the period recently (n = 126; p < 0.001). Mean total scores were 5.1 ± 5.4 (range 0–26) pre-operative, 6.9 ± 6.1 (0–31) post-operative, and 2.4 ± 3.7 (range 0–27) recently. This meant a significant difference between “pre-operative” vs. “post-operative” (n = 126; p = 0.003), “pre-operative” vs. “recently” (n = 126; p < 0.001), and “post-operative” vs. “recently” (n = 126; p < 0.001).

Impact of implant indication on oral health-related quality of life

In edentulous patients, median total scores in the category functional limitations were 8.4 ± 4.1 before and 2.7 ± 2.4 after the treatment, indicating a significant improvement (p < 0.001; Fig. 4). In addition, patients with a distal extension situation (4.6 ± 4.0 vs. 1.7 ± 2.7; p < 0.001), an extended edentulous gap (3.9 ± 3.8 vs. 1.4 ± 1.9; p = 0.009) and a single tooth gap (1.5 ± 2.2 vs. 0.6 ± 1.3; p = 0.034) showed significant lower mean total scores after the rehabilitation compared to before the treatment. Concerning the category physical and psychological disabilities, mean total score of edentulous patients showed the most distinct improvement after the procedure (11.1 ± 8.2 vs. 3.7 ± 4.5; p < 0.001; Fig. 5). For patients with a distal extension situation (5.5 ± 5.8 vs. 1.8 ± 3.3; p < 0.001), with an extended edentulous gap (4.4 ± 4.9 vs. 1.4 ± 1.7; p = 0.007) and with a single tooth gap (3.0 ± 3.0 vs. 1.0 ± 1.2; p = 0.005), total score were significantly lower after the sinus lift.

 

 

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