Impact of donor site for bone graft harvesting for dental implants on health‐related and oral health‐related quality of life
Identifieur interne : 003377 ( Istex/Corpus ); précédent : 003376; suivant : 003378Impact of donor site for bone graft harvesting for dental implants on health‐related and oral health‐related quality of life
Auteurs : Daniel R. Reissmann ; Björn Dietze ; Michael Vogeler ; Rainer Schmelzeisen ; Guido HeydeckeSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2013-06.
English descriptors
- KwdEn :
- Augmentation, Autologous, Autologous bone grafts, Baseline, Baseline gender, Bodily pain, Bone graft harvesting, Bone harvesting, Clin, Composite scores, Dental implants, Dentistry, Diff, Donor, Donor site, Donor site morbidity, Donor sites, Effect size, Emotional problems, Gender, German version, Graft, Harvesting, Hrqol, Iliac, Iliac crest, Impairment, Impl, Implant, Implants research, John wiley sons, John wiley sons reissmann, Joshi kostakis, Linear regression analysis, Maxillofacial, Maxillofacial surgery, Morbidity, Nkenke, Ohip, Ohip points, Ohip score, Ohip scores, Ohip subscales, Ohip summary scores, Ohrqol, Oral health, Oral health impact, Oral impl, Oral quality, Oral surgery, Physical component, Physical problems, Postoperative, Prospective study, Prosthetic dentistry, Reissmann, Role limit, Role limitations, Sensory disturbances, Study groups, Subscales, Substantial deterioration, Summary scores, Surgery, Surgical, Surgical procedures, Treatment characteristics, Wilcoxon test.
- Teeft :
- Augmentation, Autologous, Autologous bone grafts, Baseline, Baseline gender, Bodily pain, Bone graft harvesting, Bone harvesting, Clin, Composite scores, Dental implants, Dentistry, Diff, Donor, Donor site, Donor site morbidity, Donor sites, Effect size, Emotional problems, Gender, German version, Graft, Harvesting, Hrqol, Iliac, Iliac crest, Impairment, Impl, Implant, Implants research, John wiley sons, John wiley sons reissmann, Joshi kostakis, Linear regression analysis, Maxillofacial, Maxillofacial surgery, Morbidity, Nkenke, Ohip, Ohip points, Ohip score, Ohip scores, Ohip subscales, Ohip summary scores, Ohrqol, Oral health, Oral health impact, Oral impl, Oral quality, Oral surgery, Physical component, Physical problems, Postoperative, Prospective study, Prosthetic dentistry, Reissmann, Role limit, Role limitations, Sensory disturbances, Study groups, Subscales, Substantial deterioration, Summary scores, Surgery, Surgical, Surgical procedures, Treatment characteristics, Wilcoxon test.
Abstract
To assess and compare changes in health‐related quality of life (HRQoL) and oral health‐related quality of life (OHRQoL) after bone graft harvesting for dental implants with respect to the donor site.
Url:
DOI: 10.1111/j.1600-0501.2012.02464.x
Links to Exploration step
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<author xml:id="author-0000" role="corresp"><persName><forename type="first">Daniel R.</forename>
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<affiliation><orgName>Department of Prosthetic Dentistry</orgName>
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<affiliation>Corresponding author: Daniel R. Reissmann University Medical Center Hamburg‐Eppendorf Martinistrasse 52 20246 Hamburg Germany Tel.: +49 40 7410 54658 Fax: +49 40 7410 54096 e‐mail: d.reissmann@uke.de</affiliation>
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<author xml:id="author-0001"><persName><forename type="first">Björn</forename>
<surname>Dietze</surname>
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<affiliation><orgName>Department of Prosthetic Dentistry</orgName>
<orgName>University Medical Center Hamburg‐Eppendorf</orgName>
<address><settlement type="city">Hamburg</settlement>
<country key="DE">Germany</country>
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<note type="foot"></note>
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<author xml:id="author-0002"><persName><forename type="first">Michael</forename>
<surname>Vogeler</surname>
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<affiliation><orgName>Dental Practice</orgName>
<address><settlement type="city">Freiburg</settlement>
<country key="DE">Germany</country>
</address>
</affiliation>
</author>
<author xml:id="author-0003"><persName><forename type="first">Rainer</forename>
<surname>Schmelzeisen</surname>
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<affiliation><orgName>Department of Oral and Craniomaxillofacial Surgery</orgName>
<orgName>University Hospital Freiburg</orgName>
<address><settlement type="city">Freiburg</settlement>
<country key="DE">Germany</country>
</address>
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<author xml:id="author-0004"><persName><forename type="first">Guido</forename>
<surname>Heydecke</surname>
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<affiliation><orgName>Department of Prosthetic Dentistry</orgName>
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<idno type="eISSN">1600-0501</idno>
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<profileDesc><abstract style="main" xml:id="clr2464-abs-0001"><head>Abstract</head>
Objectives
<p>To assess and compare changes in health‐related quality of life (<hi rend="fc">HRQoL</hi>
) and oral health‐related quality of life (<hi rend="fc">OHRQoL</hi>
) after bone graft harvesting for dental implants with respect to the donor site.</p>
Material and methods
<p>Autologous bone grafts were harvested in a consecutive sample of 23 patients (mean age: 46.1 years; 52% female) either from an intra‐oral (<hi rend="fc">IO</hi>
; <hi rend="italic">N</hi>
= 8; chin, ascending ramus, buttress region) or an extra‐oral (<hi rend="fc">EO</hi>
; <hi rend="italic">N</hi>
= 15; anterior iliac crest) donor site, followed by implant placements. <hi rend="fc">HRQoL</hi>
was self‐administered by the patients using the Short‐Form 36 (<hi rend="fc">SF</hi>
‐36) and <hi rend="fc">OHRQoL</hi>
was assessed using the Oral Health Impact Profile (<hi rend="fc">OHIP</hi>
‐49) preoperatively, 3 days and 4 weeks after surgery. Impact of donor site on changes in both concepts of <hi rend="fc">QoL</hi>
was determined in multiple linear regression analyses.</p>
Results
<p>Patients with extra‐oral donor sites reported a substantial deterioration in the physical component (<hi rend="fc">PC</hi>
) of <hi rend="fc">HRQoL</hi>
indicated by an increase in the <hi rend="fc">PC</hi>
score of the <hi rend="fc">SF</hi>
‐36 (<hi rend="italic">P</hi>
< 0.001), whereas this score did not significantly change in patients with intra‐oral donor sites. The mental health component (<hi rend="fc">MC</hi>
) of <hi rend="fc">HRQoL</hi>
(<hi rend="fc">MC</hi>
score of the <hi rend="fc">SF</hi>
‐36) remained virtually identical in both groups. <hi rend="fc">OHRQoL</hi>
deteriorated from baseline (67.7 <hi rend="fc">OHIP</hi>
points) to first follow‐up (76.6 <hi rend="fc">OHIP</hi>
points) in both groups, however, changes were not statistically significant.</p>
Conclusion
<p>In clinical decision‐making regarding donor site for bone graft harvesting, patients and clinicians should be aware of the expected decrease in <hi rend="fc">HRQoL</hi>
if deciding to use extra‐oral donor sites. Whenever possible, intra‐oral donor sites should be preferred.</p>
</abstract>
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<section xml:id="clr2464-sec-0001"><title type="main">Objectives</title>
<p>To assess and compare changes in health‐related quality of life (<fc>HRQoL</fc>
) and oral health‐related quality of life (<fc>OHRQoL</fc>
) after bone graft harvesting for dental implants with respect to the donor site.</p>
</section>
<section xml:id="clr2464-sec-0002"><title type="main">Material and methods</title>
<p>Autologous bone grafts were harvested in a consecutive sample of 23 patients (mean age: 46.1 years; 52% female) either from an intra‐oral (<fc>IO</fc>
; <i>N</i>
= 8; chin, ascending ramus, buttress region) or an extra‐oral (<fc>EO</fc>
; <i>N</i>
= 15; anterior iliac crest) donor site, followed by implant placements. <fc>HRQoL</fc>
was self‐administered by the patients using the Short‐Form 36 (<fc>SF</fc>
‐36) and <fc>OHRQoL</fc>
was assessed using the Oral Health Impact Profile (<fc>OHIP</fc>
‐49) preoperatively, 3 days and 4 weeks after surgery. Impact of donor site on changes in both concepts of <fc>QoL</fc>
was determined in multiple linear regression analyses.</p>
</section>
<section xml:id="clr2464-sec-0003"><title type="main">Results</title>
<p>Patients with extra‐oral donor sites reported a substantial deterioration in the physical component (<fc>PC</fc>
) of <fc>HRQoL</fc>
indicated by an increase in the <fc>PC</fc>
score of the <fc>SF</fc>
‐36 (<i>P</i>
< 0.001), whereas this score did not significantly change in patients with intra‐oral donor sites. The mental health component (<fc>MC</fc>
) of <fc>HRQoL</fc>
(<fc>MC</fc>
score of the <fc>SF</fc>
‐36) remained virtually identical in both groups. <fc>OHRQoL</fc>
deteriorated from baseline (67.7 <fc>OHIP</fc>
points) to first follow‐up (76.6 <fc>OHIP</fc>
points) in both groups, however, changes were not statistically significant.</p>
</section>
<section xml:id="clr2464-sec-0004"><title type="main">Conclusion</title>
<p>In clinical decision‐making regarding donor site for bone graft harvesting, patients and clinicians should be aware of the expected decrease in <fc>HRQoL</fc>
if deciding to use extra‐oral donor sites. Whenever possible, intra‐oral donor sites should be preferred.</p>
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<abstract>To assess and compare changes in health‐related quality of life (HRQoL) and oral health‐related quality of life (OHRQoL) after bone graft harvesting for dental implants with respect to the donor site.</abstract>
<abstract>Autologous bone grafts were harvested in a consecutive sample of 23 patients (mean age: 46.1 years; 52% female) either from an intra‐oral (IO; N = 8; chin, ascending ramus, buttress region) or an extra‐oral (EO; N = 15; anterior iliac crest) donor site, followed by implant placements. HRQoL was self‐administered by the patients using the Short‐Form 36 (SF‐36) and OHRQoL was assessed using the Oral Health Impact Profile (OHIP‐49) preoperatively, 3 days and 4 weeks after surgery. Impact of donor site on changes in both concepts of QoL was determined in multiple linear regression analyses.</abstract>
<abstract>Patients with extra‐oral donor sites reported a substantial deterioration in the physical component (PC) of HRQoL indicated by an increase in the PC score of the SF‐36 (P < 0.001), whereas this score did not significantly change in patients with intra‐oral donor sites. The mental health component (MC) of HRQoL (MC score of the SF‐36) remained virtually identical in both groups. OHRQoL deteriorated from baseline (67.7 OHIP points) to first follow‐up (76.6 OHIP points) in both groups, however, changes were not statistically significant.</abstract>
<abstract>In clinical decision‐making regarding donor site for bone graft harvesting, patients and clinicians should be aware of the expected decrease in HRQoL if deciding to use extra‐oral donor sites. Whenever possible, intra‐oral donor sites should be preferred.</abstract>
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