Comparison of two different augmentation techniques

Yıl 2022, Cilt: 27 Sayı: 2, 162 - 172, 24.05.2022

Hatice Balci Yuce , Zekeriya Taşdemir

https://doi.org/10.21673/anadoluklin.1034650

Öz

Aim: This study aims to compare Guided Bone Regeneration (GBR) performed using autogenous block graft to particulate autograft with xenograft from physicians’ and patients’ perspectives.

Methods: 30 systemically healthy individuals participated in this study. GBR using block graft (GBR-BAX) was performed in 15 of the patients and GBR using particulate autograft with xenograft (GBR-PAX) was performed in the other 15 patients. Bone thickness was recorded preoperatively and in the 6th month postoperatively. Bleeding, hematoma, flap dehiscence, infection, and paresthesia were evaluated. Patients were requested to record pain intensity and swelling levels using the visual analog scale (VAS) on the 3rd, 7th, and 14th days after surgery. The swelling levels were also recorded by a clinician on the 3rd, 7th, and 14th days after surgery. The cost of the surgery, the time spent on preparing the patient for the surgery, the time spent during the surgery, and the fatigue levels of the physician resulting from surgery were also determined.

Results: Both GBR-BAX and GBR-PAX provided significant bone gain. Bleeding, hematoma, flap dehiscence, infection, and paresthesia levels found also similar. Both techniques caused similar pain, swelling, and discomfort on the 3rd, 7th, and 14th days. VAS results showed no differences in terms of pain and discomfort. GBR-BAX was found more time-consuming in both preparation and surgical period and tiring for the physician but was less costly compared to GBR-PAX.

Conclusion: Within the limitation of the present study, GBR with autogenous block graft and particulate autograft plus xenograft provided similar bone gain and caused similar complications, pain, and discomfort. In terms of efficacy, none of the two techniques was found superior to the other; however, block graft was more time-consuming, tiring, and costly.

Anahtar Kelimeler

block graft, guided bone regeneration, pain;, xenograft.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

Erciyes University Faculty of Dentistry Department of Periodontology staff and research assistants for their assistance in preparing the present study

İki kemik arttırım yönteminin karşılaştırılması

Öz

Amaç: Bu çalışmanın amacı, otojen blok greft veya partikül otogreft ve ksenograft ile uygulanan yönlendirilmiş kemik rejenerasyonu (YKR) uygulamalarını hekim ve hasta açısından karşılaştırmaktır.

Yöntemler: Bu çalışmaya sistemik olarak sağlıklı olan 30 birey katıldı. 15 hastaya blok greft ile (YKRBOK) YKR ve 15 hastaya partiküler otogreft ve ksenogreft (YKR-POK) ile YKR uygulaması yapıldı. Kemik kalınlıkları ameliyat öncesi ve 6. ayda kaydedildi. Kanama, hematom, flep açılması, enfeksiyon ve uyuşma değerlendirildi. Hastalardan ameliyat sonrası 3., 7. ve 14. günlerde görsel analog skala ile ağrı ve şişlikleri kaydetmeleri istendi. Şişlik, ameliyattan sonraki 3., 7. ve 14. günlerde bir klinisyen tarafından kaydedildi. Maliyet, hasta hazırlık süresi, ameliyat süresi ve hekimin ameliyattan kaynaklanan yorgunluğu da belirlendi.

Bulgular: YKR-BOK ve YKR-POK uygulamaları önemli ölçüde kemik kazanımı sağladı. Her iki uygulama sonrası kanama, hematom, flep ayrılması, enfeksiyon, uyuşma seviyeleri de benzer bulundu. Her iki teknik de 3., 7. ve 14. günlerde benzer ağrı, şişlik ve rahatsızlığa neden oldu. Sonuçlar ağrı
ve rahatsızlık açısından farklılık göstermedi. YKR-BOK’nin hem hazırlık hem de cerrahi dönemde daha fazla zaman alıcı ve hekim için yorucu olduğu ancak YKR-POK’e göre daha az maliyetli olduğu bulundu.

Sonuç: Bu çalışmanın sınırlamaları dahilinde, otojen blok greft veya partikül otogreft artı ksenograft ile benzer kemik kazanımı sağlandı ve teknikler benzer komplikasyonlara, ağrıya ve rahatsızlığa neden oldu. Etkinlik açısından iki teknikten biri diğerine üstün bulunmadı, ancak blok greft daha fazla zaman alıcı ve maliyetli bununla birlikte hekim açısından daha yorucuydu.

Anahtar Kelimeler

ağrı;, blok greft, ksenogreft;, yönlendirilmiş kemik rejenerasyonu

Proje Numarası

yok

Kaynakça

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