The general condition of patients requiring the alveolar bone crest reconstruction

Alexandru Ghetiu
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Abstract

Objectives: To present the survey questionnaire used for the medical assessment of patients requiring alveolar ridge reconstruction as well as the study of concomitant pathologies and their influence on the healing process. Material and methods: The study involved 173 patients aged between 18 and 69 years. All patients have been assessed according to the survey questionnaire developed to determine the patient’s general condition, life anamnesis, and medical history. Results: Out of the total of 173 patients, 72 (41.6%) had no concomitant pathologies, 8 patients (4.6%) had concomitant pathologies that did not interfere with the operation, 40 (23.1%) had pathologies that might affect the outcome of alveolar ridge reconstruction but still were admitted to surgery, and 53 patients (30.6%) had pathologies that could affect the outcome of the reconstruction procedure and were not admitted to bone grafting. Conclusions: Assessment of patients with alveolar ridge defects during preparation and planning of preimplantation bone reconstruction identified a number of concomitant pathologies, more or less noticed by the patient, which may remain unclear due to superficial study of the patient’s condition that is able to influence the surgical treatment outcome. These issues can be both intraoperative and postoperative and lead to failure of surgical treatment and further reoperation.
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牙槽骨嵴重建患者的一般情况
目的:提出一份调查问卷,用于对需要进行牙槽嵴重建的患者进行医学评估,并研究其伴随病变及其对愈合过程的影响。材料与方法:本研究纳入173例患者,年龄在18岁至69岁之间。所有患者均根据调查问卷进行评估,以确定患者的一般情况、生活记忆和病史。结果:173例患者中,72例(41.6%)患者无合并病理,8例(4.6%)患者合并病理不影响手术,40例(23.1%)患者存在可能影响牙槽嵴重建结果的病理但仍住院,53例(30.6%)患者存在可能影响牙槽嵴重建结果的病理但未住院植骨。结论:对种植前骨重建准备和计划过程中牙槽嵴缺损患者的评估发现了一些患者或多或少注意到的伴随病变,由于对患者病情的肤浅研究,这些病变可能仍不清楚,从而影响手术治疗结果。这些问题可能发生在术中和术后,并导致手术治疗失败和进一步的再手术。
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