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Nigerian Journal of Surgery

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Systemic Assessment of Patients Undergoing Dental Implant Surgeries: A Trans‑ and Post‑operative Analysis

Sanjay Byakodi, Sachin Kumar, Rajesh Kumar Reddy, Vipin Kumar, Shipra Sepolia, Shivangi Gupta, Harkanwal Preet Singh

Abstract


Background: Procedure‑related and patient‑related factors influence the prognosis of dental implants to a major extent. Hence, we aimed to evaluate and analyze various systemic factors in patients receiving dental implants.

Materials and Methods: Fifty‑one patients were included in the study, in which a total of 110 dental implants were placed.  Complete examination of the subjects was done before and after placement of dental implants. Implant surgery was planned, and osseointegrated dental implants were placed in the subjects. Postoperative evaluation of the dental implant patients was done after 3 weeks. Anxiety levels were determined using State‑Trait Anxiety Inventory (STAI) questionnaire on the surgery day and after 1 week of surgery. The participant describes how they feel at the moment by responding to twenty items as follows: (1) absolutely not, (2) slightly, (3) somewhat, or (4) very much. All the results were recorded and statistical analyzed by SPSS software.

Results: Out of 51, 29 patients were males while 22 were females, with ratio of 1.32:1. Female patients’ mean age was 50.18 years while male patients’ mean age was 52.71 years, with statistically nonsignificant difference between them. Functional rehabilitation was the main purpose of choosing dental implants in more than 90% of the subjects. Diameter of 3.75 mm was the shortest implants to be placed in the present study, whereas in terms of length, 8.5 mm was the shortest length of dental implant used in the present study. Tooth area in which maximum implants were placed in our study was 36 tooth region. Maximum implants were placed in Type II bone quality (n = 38). Implants installed in the mandible were clamped more efficiently than implants placed in the maxilla (P < 0.001). The difference of average STAI‑State subscore before and after the surgery was
statistically significant (P < 0.05; significant).

Conclusion: Mandibular dental implants show more clamping (torque) than maxillary dental implants.

Keywords: Implants, mandible, maxilla, osseointegration




http://dx.doi.org/10.4103/1117-6806.199966
AJOL African Journals Online