Naslov
Comparison of short-term post-operative pain and discomfort following insertion of miniimplants and standard size implants in same individuals

Autori
Čelebić, Asja ; Filipović-Zore, Irina ; Kovačić, Ines ; Kranjčić, Josip ; Vojvodić, Denis ; Peršić, Sanja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
ITI World Symposium, Poster Abstract Booklet / - Basel, 2017, 17-17

Skup
TI World Symposium Basel 2017

Mjesto i datum
Basel, Švicarska, 04.05.2017. - 06.05.2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
mini dental implants

Sažetak
Objectives: One recent study reported that insertion of four mini dental implants (MDI) induced more intense post-operative pain than the insertion of two MDIs or two standard size implants, as well as more difficulty in oral hygiene maintenance. Moreover, in the respective study, different groups of patients received either 4, or two MDIs, or two standard size implants. However, MDIs were not inserted by the flapless technique in all patients, flap reflection was done instead. Therefore, the aim of the present study was to assess short-term post- operative pain, discomfort, swelling and easiness of oral hygiene maintenance in patients who received both, standard size implants and MDIs. Methods: Twenty patients with a need for dental implants were selected. Before starting the interventions, patients' ridges and surrounding structures were examined on panoramic radiographs and CBCT images. Patients received standard size implants when the width of the ridge was > 5.5 mm. In sites outside of the chewing centre (lower incisors or second upper incisors, or first premolars) where alveolar width was less than 5 mm, the MDIs (fixed type) were inserted without flap reflection. Flap was reflected only for placement of standard size implants. The respective patients had no history of bruxism. Each patient received one standard-size implant and one MDI, or 2 standard-size implants and 2 MDI implants in 2 separate visits. Ten patients first received MDIs and other 10 patients first received standard-size implants. Antibiotics were prescribed 2 hours before surgery and 3 days after. Patients also received instructions to put ice bag over the skin after surgery. The implants were placed under local anaesthesia by one oral surgeon. The first, third, seventh and the tenth post-operative day patients came for a control exam and answered questions (100-mm VAS) related to pain, swelling, discomfort with chewing and hygiene. Patients also provided data about analgetics intake for pain prevention. Results: Patients reported slightly, but significantly (p< 0.05) more selfperceived pain after receiving standard size implants than MDIs, especially when they received two standard size implants, no matter which implants were inserted first. Similar results were obtained for swelling. Patients also reported significantly more swelling and analgetics intake after surgery of standard size implants (p< 0.05). Chewing ability was slightly better after MDI insertion, but the difference was not statistically significant (p>0.05). There was also no significant difference in ease of oral hygiene maintenance. Conclusion: Patients who received both, standard-size implants and MDIs reported more pain and swelling after standard- size implant surgery, as well as more analgetics intake, no matter which implant(s) was/were inserted first. Patients experienced similar difficulties in oral hygiene maintanance for the first three days.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA