| Autor: |
Reissmann, Daniel R., Dietze, Björn, Vogeler, Michael, Schmelzeisen, Rainer, Heydecke, Guido |
| Předmět: |
|
| Zdroj: |
Clinical Oral Implants Research; Jun2013, Vol. 24 Issue 6, p698-705, 8p, 4 Charts |
| Abstrakt: |
Objectives 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. Material and methods 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. Results 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. Conclusion 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 FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Plný text