Pain and discomfort following immediate and delayed loading by overdentures in the single mandibular implant study (SMIS)

被引：18

作者：

Mundt, T. ^{[1
]}

Passia, N. ^{[2
]}

Att, W. ^{[3
]}

Heydecke, G. ^{[4
]}

Freitag-Wolf, S. ^{[5
,6
]}

Luthardt, R. G. ^{[7
]}

Kappel, S. ^{[8
]}

Konstantinidis, I. K. ^{[9
]}

Stiesch, M. ^{[10
]}

Wolfart, S. ^{[11
]}

Kern, M. ^{[2
]}

机构：

[1] Greifswald Univ Hosp, Dept Prosthodont Gerodontol & Biomat, Rotgerberstr 8, D-17475 Greifswald, Germany

[2] Christian Albrechts Univ Kiel, Dept Prosthodont Propaedeut & Dent Mat, Kiel, Germany

[3] Freiburg Univ Hosp, Dept Prosthodont, Freiburg, Germany

[4] Univ Med Ctr Hamburg Eppendorf, Dept Dent Prosthet, Ctr Dent & Oral Med, Hamburg, Germany

[5] Christian Albrechts Univ Kiel, Ctr Clin Studies, Kiel, Germany

[6] Christian Albrechts Univ Kiel, Inst Med Informat & Stat, Kiel, Germany

[7] Ulm Univ Hosp, Dept Prosthet Dent, Ctr Dent, Ulm, Germany

[8] Univ Heidelberg Hosp, Dept Prosthodont, Heidelberg, Germany

[9] Tech Univ Dresden, Med Fac Carl Gustav Carus, Dept Prosthet Dent, Dresden, Germany

[10] Univ Hosp Hannover, Dept Prosthodont, Hannover, Germany

[11] Univ Hosp Aachen, Dept Prosthodont & Biomat, Aachen, Germany

来源：

CLINICAL ORAL INVESTIGATIONS | 2017年 / 21卷 / 02期

关键词：

Single dental implant; Mandibular overdenture; Immediate loading; Randomized trial; Postoperative pain; RANDOMIZED CONTROLLED-TRIAL; POSTOPERATIVE PAIN; DENTAL IMPLANTS; CLINICAL-TRIAL; PLACEMENT; SURGERY; OUTCOMES;

D O I：

10.1007/s00784-016-1930-0

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

This randomized clinical trial compares immediate and delayed loading of single implants to support mandibular overdentures. The aim of this preliminary analysis is to test the hypothesis whether patients with immediate loading will experience less pain and discomfort through the intervention than patients with delayed loading. Edentulous patients in nine German dental schools received a midline implant with a length of 11 mm. Implants with a minimum insertion torque of 30 Ncm and an implant stability quotient of ae60 were randomly allocated to group A for immediate loading using ball attachments or to group B for delayed loading after 3 months. Patients completed questionnaires with 100-mm visual analogue scales about the items pain, pain during chewing, swelling, bleeding, and perception of the intervention at the day of surgery and 1, 2, 3, and 7 days, thereafter. Groups were compared by Wilcoxon-Mann-Whitney tests (P ae 0.05). The questionnaires of 81 patients in group A and 74 patients in group B were completed. The medians for pain and discomfort were moderate (< 30). Participants of group A felt significantly more pain from the first day and more swelling from the third day after implantation than participants of group B. The individual perception of interventions showed no significant differences between groups. Immediate loading evoked more postoperative pain and swelling than the two stages of delayed loading. Immediate loading of a single mandibular midline implant supporting overdentures should be carefully considered.

引用

页码：635 / 642

页数：8

共 23 条

[1] Assessment of pain associated with the surgical placement of dental implants [J].