DYNAMICS OF QUALITY OF LIFE ACCORDING TO THE VISUALANALOGUE PSQ SCALE IN PATIENTS AFTER SINGLE-STEP DENTAL IMPLANTATION ACCORDING TO A ONE-STAGE PROTOCOL DEPENDING ON THE TECHNIQUE
DOI:
https://doi.org/10.35220/2523-420X/2024.1.8Keywords:
dental implantation, quality of life, visual analogue PSQ scale, single-step implantation, xenograft, connective tissue graft, socket preservation, autotransplantationAbstract
Purpose of the work. Study the quality of life in dynamics of the quality of life in the patients after single-step dental implantation according to a one-stage protocol depending on the technique of its implementation according to the visual analogue (VAS) PSQ scale. Materials and methods. The study comprised 56 patients who underwent single-step dental implantation according to a onestage protocol. Depending on the technique of dental implantation, patients were divided into two groups: the index group consisted of 25 patients who, after tooth extraction, had the implant placed in the prepared bed with preliminary filling of the socket with Sensobone xenograft, when a soft tissue cuff reinforced with bone grafting material was formed afterwards (the soft tissue area was filled with Sensobone xenograft and free connective tissue autograft), followed by fixation of a temporary crown. The comparison group included 26 patients who, after tooth extraction, had the implant placed in the prepared socket with preliminary filling of the socket with Sensobone xenograft, when the soft tissue area was filled with Sensobone xenograft afterwards, and a temporary crown was fixed. To assess the quality of life, patients were asked to fill out the VAS PSQ before the implantation, three-month follow-up and one year after implantation. The results of the study were processed using the statistical package of the licensed software “Statistica, version 13” (Copyright 1984-2018 TIBCO Software Inc. All rights reserved. License No. JPZ8041382130ARCN10-J). Results. It was found that before implantation, patients of both groups had been dissatisfied with their teeth appearance, moderately satisfied with brushing their teeth, and partially satisfied with their mastication ability. In both groups, there was a significant correlation between the low level of the VAS PSQ mean value and unidirectional low satisfaction with the teeth appearance, the ability to masticate, teeth brushing, and the cost of treatment. One year after the implantation, both groups reported increased satisfaction with the appearance of their teeth; however, in the index group, it was significantly higher than in the comparison group. In the index group, patients reported high satisfaction with the cost of treatment and the initial cost of the dental treatment, which was significantly higher by 1.2 times than in the comparison group. The average value of the VAS PSQ in the index group increased significantly by 1.5 times, which was significantly higher than in the comparison group. In both groups, the correlation between the increase in the VAS PSQ average value and the increase in the level of patients’ satisfaction with the cost of treatment and the initial costs of the dental treatment, the appearance of the teeth and the ability to speak was observed. In patients of the index group, there is also a correlation with increased satisfaction with the ability to masticate; in the comparison group, there is a correlation with easy teeth brushing. Conclusions. In patients who underwent single-step dental implantation using a soft tissue cuff reinforced with bone grafting material, a significantly higher quality of life is observed after a oneyear follow-up year; the treatment meets their expectations (high satisfaction with the teeth appearance, the ability to brush them, the ability to masticate and speak, the cost of treatment and the initial expenses on dental treatment), compared to patients who were treated with only a matrix of bone grafting material. The use of the VAS PSQ is an important tool in assessing the quality of life (both before dental implantation and in the dynamics) to determine the effectiveness of the treatment.
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