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Results : Patient experience following iliac crest-derived alveolar bone grafting and implant placement [1]

Results : Patient experience following iliac crest-derived alveolar bone grafting and implant placement [1]

author: Cecilie G Gjerde, Siddharth Shanbhag, Evelyn Neppelberg, Kamal Mustafa, Harald Gjengedal | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

The final sample consisted of 44 patients that responded and completed the questionnaire, giving a response rate of 74.6%: 24 women and 20 men, mean age of 61.2 years ± 13.1 (range 27–82 years). The mean time from augmentation surgery until completing the questionnaire was 7.8 years ± 2.65 (range 1.9–12 years).

Summary of demographic and lifestyle-related data is presented (Table 2).

Most patients reported “good” or “very good” levels of general health (81.4%), oral health (83.7%), and overall quality of life (90.7%). Less than 5% reported “bad” levels for either of these variables. Most patients reported better general (86%) and oral health (78%) after treatment. Only two patients (4.7%) reported their oral health to be worse after treatment.

Most patients (85.4%) were satisfied with the hip surgery procedure. Pain at the donor site was reported by 38% of patients, lasting for an average of 18.1 ± 16.1 days and measuring 43.6 ± 27 on the VAS (0–100) scale. Only two patients (4.7%) reported post-operative infection at the donor site. Scar formation on skin (hip) was reported in 49% of patients, by majority esthetically acceptable (90.4%). Four (9.5%) and two (4.7%) patients reported “a little” or “a lot” of reduced sensitivity at the donor site, respectively. Three patients (7.3%) reported problems in walking (Table 3). The average time of hospitalization was 4.3 ± 3.5 days and sick leave 20.2 ± 18.5 days.

Most patients (n = 40, 90.9%) reported to have implants placed and received prostheses in the augmentation site(s). This was interpreted as graft survival, indicating a graft survival rate of 90.9% on the patient level. Two patients received implants, although without further prosthetic rehabilitation. Implants could not be installed in two patients. However, 29.3% of patients reported “loosening or loss” of implants in the post-operative period (1 year), indicating an implant survival rate on the patient level of 70.7%, and most patients (8 out of 11) received new implants.

No pain was reported in 39 patients (82.9%) following implant surgery and a majority of patients (90.2%) were satisfied/very satisfied with the implant therapy overall and in terms of overall satisfaction with teeth (90.5%).

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