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An RCT comparing patient‐centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement

Identifieur interne : 002B39 ( Istex/Corpus ); précédent : 002B38; suivant : 002B40

An RCT comparing patient‐centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement

Auteurs : Marjolein Vercruyssen ; Antoon De Laat ; Wim Coucke ; Marc Quirynen

Source :

RBID : ISTEX:5826FE6F4D35BA5AD1429A8F803B12A3518AF1E1

Abstract

To assess in a randomized study the patient‐centred outcome of two guided surgery systems (mucosa or bone supported) compared to conventional implant placement, in fully edentulous patients.

Url:
DOI: 10.1111/jcpe.12257

Links to Exploration step

ISTEX:5826FE6F4D35BA5AD1429A8F803B12A3518AF1E1

Le document en format XML

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Aim
<p>To assess in a randomized study the patient‐centred outcome of two guided surgery systems (mucosa or bone supported) compared to conventional implant placement, in fully edentulous patients.</p>
Material and Methods
<p>Fifty‐nine patients (72 jaws) with edentulous maxillas and/ or mandibles, were consecutively recruited and randomly assigned to one of the treatment groups. Outcome measures were the Dutch version of the McGill Pain Questionnaire (
<hi rend="fc">MPQ</hi>
<hi rend="fc">DLV</hi>
), the Health‐related quality of life instrument (
<hi rend="fc">HRQOL</hi>
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<hi rend="fc">VAS</hi>
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Results
<p>Three hundred and fourteen implants were placed successfully. No statistical differences could be shown between treatment groups on pain response (
<hi rend="fc">MPQ</hi>
<hi rend="fc">DLV</hi>
), treatment perception (
<hi rend="fc">VAS</hi>
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<hi rend="fc">HRQOLI</hi>
‐instrument, a significant difference was found between the Materialise Mucosa and Materialise Bone group at day 1 (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.02) and day 2 (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.01). For the duration of the surgery, a statistical difference (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.005) was found between the Materialise mucosa and the Mental group, in favour of the first.</p>
Conclusion
<p>In this study little difference could be found in the patient outcome variables of the different treatment groups. However there was a tendency for patients treated with conventional flapped implant placement to experience the pain for a longer period of time.</p>
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<affiliation countryCode="BE" type="organization" xml:id="jcpe12257-aff-0003">
<orgDiv>Clinical Biology</orgDiv>
<orgName>Scientific Institute of Public Health</orgName>
<address>
<city>Brussels</city>
<country>Belgium</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author">
<keyword xml:id="jcpe12257-kwd-0001">flapless surgery</keyword>
<keyword xml:id="jcpe12257-kwd-0002">guided surgery</keyword>
<keyword xml:id="jcpe12257-kwd-0003">patient outcome</keyword>
<keyword xml:id="jcpe12257-kwd-0004">quality of life</keyword>
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<abstract type="main" xml:id="jcpe12257-abs-0001">
<title type="main">Abstract</title>
<section xml:id="jcpe12257-sec-0001">
<title type="main">Aim</title>
<p>To assess in a randomized study the patient‐centred outcome of two guided surgery systems (mucosa or bone supported) compared to conventional implant placement, in fully edentulous patients.</p>
</section>
<section xml:id="jcpe12257-sec-0002">
<title type="main">Material and Methods</title>
<p>Fifty‐nine patients (72 jaws) with edentulous maxillas and/ or mandibles, were consecutively recruited and randomly assigned to one of the treatment groups. Outcome measures were the Dutch version of the McGill Pain Questionnaire (
<fc>MPQ</fc>
<fc>DLV</fc>
), the Health‐related quality of life instrument (
<fc>HRQOL</fc>
), visual analogue scales (
<fc>VAS</fc>
), the duration of the procedure, and the analgesic doses taken each day.</p>
</section>
<section xml:id="jcpe12257-sec-0003">
<title type="main">Results</title>
<p>Three hundred and fourteen implants were placed successfully. No statistical differences could be shown between treatment groups on pain response (
<fc>MPQ</fc>
<fc>DLV</fc>
), treatment perception (
<fc>VAS</fc>
) or number or kind of pain killers. For the
<fc>HRQOLI</fc>
‐instrument, a significant difference was found between the Materialise Mucosa and Materialise Bone group at day 1 (
<i></i>
=
<i> </i>
0.02) and day 2 (
<i></i>
=
<i> </i>
0.01). For the duration of the surgery, a statistical difference (
<i></i>
=
<i> </i>
0.005) was found between the Materialise mucosa and the Mental group, in favour of the first.</p>
</section>
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<title type="main">Conclusion</title>
<p>In this study little difference could be found in the patient outcome variables of the different treatment groups. However there was a tendency for patients treated with conventional flapped implant placement to experience the pain for a longer period of time.</p>
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<p>
<b>Conflict of interest and source of funding statement</b>
</p>
<p>There are no conflicts of interests.</p>
<p>Oral implants were delivered free of charge by DENTSPLY Implants (Mölndal, Sweden), stereolithographic guides were delivered free of charge by the Materialise Dental Company (Leuven, Belgium).</p>
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<title>An RCT comparing patient‐centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement</title>
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<namePart type="given">Marjolein</namePart>
<namePart type="family">Vercruyssen</namePart>
<affiliation>Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation>
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<affiliation>E-mail: marjolein.vercruyssen@uzleuven.be</affiliation>
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<affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation>
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<name type="personal">
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<edition>Vercruyssen M, De Laat A, Coucke W, Quirynen M. An RCT comparing patient‐centred outcome variables of guided surgery (bone or mucosa supported) with conventional implant placement. J Clin Periodontol 2014; 41: 724–732. doi: 10.1111/jcpe.12257.</edition>
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<abstract>To assess in a randomized study the patient‐centred outcome of two guided surgery systems (mucosa or bone supported) compared to conventional implant placement, in fully edentulous patients.</abstract>
<abstract>Fifty‐nine patients (72 jaws) with edentulous maxillas and/ or mandibles, were consecutively recruited and randomly assigned to one of the treatment groups. Outcome measures were the Dutch version of the McGill Pain Questionnaire (MPQ‐DLV), the Health‐related quality of life instrument (HRQOL), visual analogue scales (VAS), the duration of the procedure, and the analgesic doses taken each day.</abstract>
<abstract>Three hundred and fourteen implants were placed successfully. No statistical differences could be shown between treatment groups on pain response (MPQ‐DLV), treatment perception (VAS) or number or kind of pain killers. For the HRQOLI‐instrument, a significant difference was found between the Materialise Mucosa and Materialise Bone group at day 1 (p = 0.02) and day 2 (p = 0.01). For the duration of the surgery, a statistical difference (p = 0.005) was found between the Materialise mucosa and the Mental group, in favour of the first.</abstract>
<abstract>In this study little difference could be found in the patient outcome variables of the different treatment groups. However there was a tendency for patients treated with conventional flapped implant placement to experience the pain for a longer period of time.</abstract>
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<date>2014</date>
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