engleski

Postoperative pain and swelling after receiving mini and standard implants

Purpose: Our aim was to assess short term post-operative pain and swelling after insertion of mini dental implants (MDI) and standard size implants (SSI) in the same patients at different times. Materials and Methods: Forty two patients (22 females, 20 males ; 58-73 years old) participated. Half of the patients first received MDIs and the other half SSIs (4 week intervals between insertions). All MDIs were inserted without flap reflection and all SSIs by reflecting a flap. A total of 25 MDIs and SSIs were inserted in the mandible ; 17 MDIs and SSIs in the maxilla. They assessed selfperceived pain and swelling on the 1st, 3rd, 5th, 7th and the 10th day by using a visual analogue scale (0-10). Results: There was no significant difference throughout the observed period, neither for pain nor for swelling, no matter which type of implant was first received (P>.05). There was no significant difference between gender (P>.05). The SSI insertion led to moderate and the MDI insertion to low level of pain on the 1rst post-operative day. Low levels of pain were recorded afterwards for both implants. However, the implant type elicited significant effect (MDI insertion led to significantly lower levels of pain), while the jaw showed no significant effect. Very low level of swelling was reported after MDI placement, while SSI insertion elicited moderate swelling on the first post-operative day and low levels of swelling afterwards. The effect of the implant type on swelling was significant (significantly more swelling after the SSI insertion), while the jaw showed no significant effect. Conclusion: Flapless insertion of mini dental implants led to significantly less intense post-operative pain and almost no swelling compared to insertion of a standard size implants.

mini dental implants, standard size implants, post-operative pain, post-operative swelling

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