Patient´s perception of recovery after sinus membrane elevation and blood coagulum compared with 1:1 mixture of autogenous bone graft and deproteinized porcine bone mineral. Secondary outcomes from a single-blinded randomized controlled trial.
Patient´s perception of recovery after sinus membrane elevation and blood coagulum compared with 1:1 mixture of autogenous bone graft and deproteinized porcine bone mineral. Secondary outcomes from a single-blinded randomized controlled trial.
复制标题
与单盲随机对照试验的 1:1 混合自体骨移植物和去蛋白猪骨矿物质的次要结果相比，患者对窦膜抬高和凝血后恢复的感觉。
DOI：
10.1111/clr.13866
复制
发表时间：
2021
影响因子：
4.3
通讯作者：
N. Bruun
中科院分区：
文献类型：
--
作者：
T. Starch;N. Bruun
客观化
本研究的目的是评估患者S对上颌窦膜抬高和血液凝固术后恢复的感觉，并与上颌窦底增高术和1：1颊上颌窦造口自体骨移植和去蛋白猪骨矿粉1：1混合物(对照组)进行比较。
材料和方法
将40例健康患者随机分为试验组和对照组。口腔健康相关生活质量(OHRQOL)在入选时和术后一周采用口腔健康影响量表(OHIP-14)进行评定。在1周和1个月后通过问卷调查和视觉模拟评分评估疼痛、社交和工作隔离、身体外观、进食和说话能力、饮食变化、睡眠障碍和不适感。平均差异以95%可信区间(CI)表示。估计了人事厅生活质量与康复之间的关系。P值低于0.05被认为是显著的。
结果
与MSFA相比，MSME的疼痛天数(p=0.03，95%CI：0.2-4.1)和病假天数(p=0.01，95%CI：0.3-2.1)减少了2.1天(p=0.03，95%CI：0.2-4.1)。在进食和说话能力、体貌、工作表现和睡眠障碍方面，两组之间没有显著差异。未观察到OHRQOL受损和恢复之间的显著关联。女性的OHIP-14得分高于男性(P=0.01，95%CI：1.60~7.94)，而年龄与OHIP-14的相关性为-0.10(P=0.28，95%CI：-0.28~0.08)。
结论
与MSFA相比，MSME的疼痛和病假天数显著减少。因此，自体骨移植的收获似乎对恢复的感觉有重大影响。
OBJECTIVE
The objective was to assess patient´s perception of recovery after maxillary sinus membrane elevation (MSME) and blood coagulum (test) compared with maxillary sinus floor augmentation (MSFA) and 1:1 mixture of autogenous bone graft from the buccal antrostomy and deproteinized porcine bone mineral (DPBM) (control).
MATERIAL AND METHODS
Forty healthy patients were randomly allocated to test or control. Oral health-related quality of life (OHRQoL) was evaluated by Oral Health Impact Profile-14 (OHIP-14) at enrolment and one week postsurgical. Recovery was estimated by questionnaires and visual analog scale assessing pain, social and working isolation, physical appearance, eating and speaking ability, diet variations, sleep impairment and discomfort after one week and one month. Mean differences were expressed with 95% confidence interval (CI). Association between OHRQoL and recovery were estimated. P-value below 0.05 was considered significant.
RESULTS
MSME revealed 2.1 less days of pain (p = 0.03, 95% CI: 0.2-4.1) and 1.2 days of sick leave (p = 0.01, 95% CI: 0.3-2.1) compared with MSFA. No significant difference was observed in eating and speaking ability, physical appearance, work performance and sleep impairment. No significant association between impaired OHRQoL and recovery was observed. Females reported 4.77 higher OHIP-14 score compared with males (p = 0.01, 95% CI: 1.60-7.94), while association between age and OHIP-14 was -0.10 (p = 0.28, 95% CI: -0.28-0.08).
CONCLUSION
MSME revealed significantly less days of pain and sick leave compared with MSFA. Harvesting of autogenous bone graft seems therefore to have a significant impact on perception of recovery.